"Sister Zhanting, don't have any burden in your heart. In the final analysis, they are responsible for this matter themselves and it has nothing to do with you. You are the real victim. But there is no winner in this fight," Qin Chuan said.
Gao Zhanting nodded, glanced at the hospital bed, sighed and walked out. Qin Chuan also looked at it and walked out of the ward. No one noticed that a crystal teardrop rolled down from the corner of Luo Meifen's eyes.
Suddenly disappeared on the white sheets.
Qin Chuan stopped by to see Wang Yuezhen again. Wang Yuezhen was in a good mood today.
"My eldest daughter came to see me yesterday." Although it seemed to be a simple sentence, Qin Chuan could hear the joy in Wang Yuezhen's heart. She needs attention. The children may have various excuses.
But all the elderly need is care. This care may be extremely cheap, just a phone call and a greeting.
"Really? That's great. It seems that they have realized their mistake. How about we just forgive them?" Qin Chuan said with a smile.
Wang Yuezhen raised her lips and said with a smile: "They haven't planned to take me home yet."
Wang Yuezhen was worried that she would die in the hospital because she was worried that after death, she would be sent to a cold morgue. Wang Yuezhen hoped that when she passed away, she could lie on the bed at home, surrounded by her descendants, and send her to heaven.
But Wang Yuezhen's children are all worried about taking over her as a burden.
"What delicious food did your daughter bring you?" Qin Chuan asked.
"We have brought a lot of delicious food, Doctor Qin, do you want to try it?" Wang Yuezhen said.
"No, let's leave it to your old man to eat." Qin Chuan said.
"Actually, it's not easy for my children. I used to have many children, but they didn't read much. Now my three sons live by their own strength. Their income is not very big. If I, an old woman, are added to the mix, life will be even more difficult. I'm getting old.
When I get old, I still have to cause trouble to my children." Wang Yuezhen sighed, feeling helpless and disappointed.
"Wang Yao, you have said it before, who doesn't have time to grow old? If you don't care about the elderly, then who will care about you when you are old in the future?" Qin Chuan also thought of his parents who had begun to grow old.
I also secretly reminded myself to care more about the elderly at home.
Wang Yuezhen's health seems to be worse than before. She is older and has been living in such an environment. There is nothing she can do about it.
When Cheng Guanhua came to work, he was very surprised to see Qin Chuan arriving at the hospital so early: "Qin Chuan, you performed very well in Xingsha yesterday morning. Dean Ye even called me specifically to ask about your situation. Listen.
You are said to be praised by the leaders of the Department of Health. Young people must be willing to work hard, be courageous, and be careful. These are the most important qualities of our emergency doctors."
"Actually, I arrived in time. Many enthusiastic people were helping, otherwise I wouldn't be able to do anything by myself," Qin Chuan said.
"Your organization at the scene was very good. You led so many ordinary people without emergency skills to rescue the wounded in time. If you hadn't been well organized at that time, I'm afraid the casualties would have been much greater. By the way, when did you study obstetrics?
?”
This was a question that was difficult for Qin Chuan to answer, and Cheng Guanhua was obviously teasing Qin Chuan, a young man.
"I saw it by chance on TV. Yesterday, I really had no other choice, so I took the risk. Fortunately, the mother and child are safe." Qin Chuan said vaguely.
"Hehe. Go and do your work." Cheng Guanhua said with a smile.
During the National Day holiday, emergency doctors were basically on rotation. Although routine rounds were conducted in the morning, not many doctors participated. He Xiaokang was injured and had open wounds, so he could only take a few days off. Gao Zhanting had an accident at home.
After such a big thing happened, it was naturally impossible to stay in the hospital. Wu Xiaoming worked overtime yesterday and took turns today. He asked him to come over and work overtime. Cheng Guanhua also felt that he did not have such a big face. He had to call the elderly He Xuedong and Yang Yaoqing over.
During the ward rounds, I came to the bedside of a new patient that Wu Xiaoming received yesterday. Since Wu Xiaoming was not here, the responsible nurse could only read out the patient's case. The patient, Rong Fugui, was 77 years old. He was vomiting and had pain in his lower right abdomen.
The physical examination showed blood pressure of 140/90mmhg McFarland point tenderness, mild rebound tenderness, white blood cell count of 11*109, which was neutral and normal, and the electrocardiogram was basically normal. The surgery was consulted for suspected "appendicitis" and was treated with cephalosporin antibiotics.
"Old man, how are you feeling now?" Cheng Guanhua leaned over and asked.
"My stomach hurts. It hurts so much. It hurts even more than yesterday." The old man spoke intermittently, without much energy.
Standing next to Rong Fugui was Rong Fugui's daughter Rong Yueying. Rong Yueying quickly said: "My dad kept crying out in pain last night. The medicine he gave me didn't seem to have any effect at all."
Cheng Guanhua turned back and asked Qin Chuan: "Qin Chuan, tell me, how should we deal with this situation now?"
"Check your blood pressure first." Qin Chuan said.
The nurse immediately measured the old man's blood pressure, and the result showed 90/60mmhg. The change was very large.
"What now?" Cheng Guanhua asked.
Qin Chuan asked Rong Fugui's daughter Rong Yueying: "Has your father had any disease before?"
"My father used to be in good health. He never had any serious illness. He did have colds and coughs." Rong Yueying thought for a while and said.
"Nurse Fang, check the patient's cardiac enzymes and review the electrocardiogram to see how the situation is," Qin Chuan said.
"My dad has a stomachache, how can we check these things?" Rong Yueying asked. She was a little worried that the hospital would check randomly.
"Although your father has a stomachache, considering that he is older, it is not very accurate. The possibility of other diseases cannot be ruled out. So it is better to do an examination." Qin Chuan said.
Cheng Guanhua also said: "Doctor Qin is right. Abdominal pain is a relatively complex physical symptom. It cannot be diagnosed simply based on the patient's description. It is still necessary to determine the real cause through examination. Who was responsible for this patient before?"
Although Cheng Guanhua's last sentence was very casual, it showed that he was not satisfied with the handling of this case. Of course, this sentence was said while avoiding the patient's family members.
"Dr. Wu Xiaoming received the consultation the night before yesterday when he was working the night shift." Fang Ping flipped through the medical record and breathed a sigh of relief when she saw the name on it. She was a little worried that it was He Xiaokang. From the director's tone, this time it should be
Misdiagnosis. However, there was a surgical consultation at the time, and the misdiagnosis was not Wu Xiaoming’s fault alone.
After the myocardial enzyme test results came out, Qinchuan's concerns were confirmed. Myocardial enzyme ck increased to 3 to 4 times the normal high value, and ckmb was more than 2 times the normal high value. The electrocardiogram results showed no significant changes compared with before.
Qin Chuan asked Fang Ping to check troponin, and the result showed that it was 2 to 3 times the normal value, indicating "acute myocardial infarction". The patient was an elderly patient and had no typical symptoms such as chest tightness and chest pain. The electrocardiogram showed no obvious abnormalities, and
There were no dynamic ECG changes, which were mainly gastrointestinal symptoms, and it was easy for people to ignore "myocardial infarction". Therefore, Wu Xiaoming's misdiagnosis was actually reasonable. But if he could check the enzymatic indicators at that time, he would have complained to the elderly patient about abdominal pain.
Or if the gastrointestinal symptoms cause attention to the investigation of cardiology emergencies, misdiagnosis may not occur.
Qin Chuan compared his feelings with his own. If he had examined the patient himself the night before yesterday, would there have been a misdiagnosis? Of course, at Qin Chuan's current level, what he could see was no longer comparable to Qin Chuan's before he got the [Genius Famous Doctor System].
Wu Xiaoming was not comparable to Wu Xiaoming who was in the Cao camp but whose heart was in the Han Dynasty. Wu Xiaoming completely ignored some details that Qin Chuan would not ignore. In the end, it led to misdiagnosis.
This is also a wake-up call for Qin Chuan.
Now that the patient's myocardial infarction has been investigated, the only option is to transfer the patient to a cardiologist. The mission of the emergency department has been completed.
After Fang Ping sent the patient away, she breathed a long sigh of relief: "If this happens to Xiaokang, I'm afraid it will have the same result."
"Nurse Fang, don't underestimate your well-off family. In fact, Dr. He is usually very careless, but he is very careful when treating patients. There should be nothing wrong with this kind of disease in Dr. He's hands. Dr. Wu's heart
Not here." Qin Chuan said.
"Yes. That night, after listening to the patient's chief complaint, he directly prescribed medicine. Then he contacted the surgical consultation. The surgeon was Gu Junjie. Also influenced by Wu Xiaoming, he made the diagnosis decision easily. Wu Xiaoming had been at the hospital that night
The emergency department is rushing to write a paper. I heard that he has been sorting out materials and writing papers recently. Judging from his attitude, he is not going to let go of any medical journal." Fang Ping said.
Qin Chuan naturally knows what kind of virtue Wu Xiaoming is. But such indifference to the lives of patients is unforgivable. Since you are a doctor, you should do your job well first. Because doctors are the ones who control the lives of patients. Others give their lives to others.
If it is in your hands, if you cannot take it seriously, it is tantamount to seeking wealth and murder.
But there is nothing anyone can do about people like Wu Xiaoming. There is nothing Cheng Guanhua can do against him, because there is Zheng Yuanmeng behind him. Unless there is a serious medical accident, Vice President Zheng can still survive.
of.
Rong Fugui and his daughter are both honest people. They didn’t say anything and kept it to themselves. In fact, they were not without complaints in their hearts. In fact, the deterioration of the doctor-patient relationship was slowly accumulated bit by bit. In the end, it ended up like this.
The situation is out of control. The bad behavior of a few people ultimately harms the entire industry.
Qin Chuan was filled with emotion and wrote down today's experience in his notepad. If a young doctor wants to grow into a famous doctor, he must start accumulating bit by bit. The system can give Qin Chuan a lot of medical knowledge, but it cannot let him.
Qin Chuan directly became a famous doctor. The road required Qin Chuan to walk step by step.
