Pneumoconiosis is actually the most common occupational disease in my country at present. The so-called occupational disease is a disease caused by workers being exposed to dust, radioactive substances or other toxic and harmful factors or harmful mental factors in their daily work. That is to say, the disease has a direct causal relationship with occupational exposure. , among which pneumoconiosis is the most common caused by exposure to dust.
As the name suggests, pneumoconiosis seems to mean that there is a lot of dust in the lungs. In fact, the real meaning is similar to this. Pneumoconiosis is a disease in which long-term inhalation of inorganic dust in the working environment causes fibrosis of lung tissue, thereby damaging lung function.
The cause is long-term exposure to dust at work, which results in fibrosis of lung tissue and impaired lung function.
Not only lung tissue, but fibrosis of any organ tissue is terrible once it exceeds a certain proportion. The so-called fibrosis means that the original constituent cells of the lungs are replaced by connective tissue cells. The original cells are cells with specific functions, and connective tissue
The cells do not have relevant specific functions and are just fake. Therefore, the final result is damage to the organ's function and eventually failure.
Ou Lianfeng was admitted to the hospital and was about to undergo a thoracotomy to check his lungs. There was no other way. It was obviously pneumoconiosis, but the local occupational disease prevention and control center refused to diagnose it, so we couldn't just let it go.
Based on the current condition of his lungs, if he does not undergo lung replacement surgery, Ou Lianfeng may not survive for a few years. Every time he thinks of this, Ou Lianfeng can't help but feel very uncomfortable. He has been running around and in debt in the past few years, and has never been diagnosed with pneumoconiosis.
Without a diagnosis of pneumoconiosis, Ou Lianfeng would not be able to receive compensation. Without compensation, he would be unable to treat his illness and live a life.
Now, whether Ou Lianfeng goes to his original workplace or to the occupational disease prevention and treatment center, the other party treats him as a troublemaker and won't let him in at all. The security guards guarding the door all know him and will immediately attack him when they see him.
Because some things couldn't be explained clearly on the phone, Dean Xia took the time to come to the Institute of Surgery to discuss the matter with Yang Ping.
"This is pneumoconiosis, there is no doubt about it, but the patient has been running around for several years and has not been diagnosed. He has been to many big hospitals, including the Imperial Capital, Shanghai and ours. All the experts considered pneumoconiosis, but their local occupational disease prevention and control center has always been
Refuse to make a direct diagnosis and require the patient to go to the employer to issue occupational history, dust exposure history, environmental monitoring reports over the years, and the patient’s physical examination reports over the years.”
Yang Ping told Dean Xia the general story of the matter, and then took Dean Xia to see Ou Lianfeng.
Returning to the doctor's office, Director Xia stared at the X-rays on the electronic screen. Although he had not been engaged in clinical work for many years, he still had basic clinical knowledge, and Yang Ping said it was pneumoconiosis, so there was no doubt.
"Pneumoconiosis is an occupational disease. The diagnosis of occupational diseases has always been based on the principle of jurisdiction, that is, it must be diagnosed by a qualified occupational disease prevention and control center in the place where the work unit is located. Other unqualified hospitals and qualified hospitals outside the jurisdiction cannot make diagnosis. According to
Based on this principle, the only person who can legally diagnose him is their local occupational disease prevention and treatment center. However, if you think about it, you will know why this patient has been running around for so long without being found? This enterprise must be intricately connected in the local area. How can an ordinary migrant worker do this?
Maybe we can beat the company."
Dean Xia is very knowledgeable about these matters. After hearing Yang Ping explain the situation in a few words, Dean Xia already knew it. This was not the first time he had heard of this matter.
"What do you plan to do?"
Dean Xia asked.
Yang Ping thought for a moment and said: "We plan to operate on the patient and use thoracoscopy to remove lung tissue for pathological examination. If it fails, we will open the chest to examine the lungs."
"Okay! Since you have the righteousness to be a doctor, I can't lag behind. You just go ahead and do it. Whatever happens, I'll be responsible for it. I don't believe in this evil. This matter won't be solved in a few years. Today, I'll be here on my third day.
Bo Hospital will handle it. Technically, you can do whatever you want, and I will take care of the other things. But you must communicate well with the patient. After all, there is probably no precedent for this kind of chest-opening and lung-examination surgery in the country."
Dean Xia's voice is very loud, and he can be heard by the whole venue without using a microphone when he speaks in meetings.
With Dean Xia's support, everyone feels more at ease. After all, the hospital will be implicated, and it won't just be Yang Ping's fault.
"This patient's respiratory function is now very poor, and he must have a lung transplant. It is best to do a lung lavage surgery before the lung transplant. However, the patient's financial situation is very poor. This hospitalization was raised by selling all his family's belongings for 10,000 yuan.
Money, there is no money for the subsequent lung cleaning and other things, let alone a lung transplant."
Graduate student Xiao Wu also added that he had just graduated and had a relatively simple mind, so he was very empathetic and always wanted to provide some help to Ou Lianfeng.
"I want to think of a way. I will ask the hospital's relief fund to send someone to investigate his situation. If he is indeed a rescue target, our relief fund will pay for the follow-up treatment."
Dean Xia can only say this for the time being, because the relief fund is not to be used indiscriminately, it must meet the conditions, and the patient's situation must be strictly investigated.
At this time, President Sun also came to the Institute of Surgery. He found that President Xia was also there, and they could discuss the pneumoconiosis patients together. President Sun frowned and sat down: "How is it? Has the patient been discharged from the hospital?"
"I asked Professor Yang to perform a thoracotomy and lung examination on this patient, and then make a pathological diagnosis."
Dean Xia said.
Dean Sun immediately waved his hand: "You must not come. Let this patient be discharged from the hospital as soon as possible."
Having said this, Dean Sun glanced at the open door of the doctor's office, and a graduate student immediately went up and closed the door.
Dean Sun continued, his voice very low: "I happen to have a classmate who works in the local health department of this patient. I just contacted him to learn about this matter. Their local health department is aware of this matter.
Don’t touch it.”
''What's wrong? There's something wrong with this patient?" Dean Xia was very surprised.
This chapter is not over, please click on the next page to continue reading! "It's not the patient who has the problem, but the company where the patient works is a boss that is not easy to mess with. It has deep roots in the local area. You think people must have the confidence to be so tough. Where does the confidence come from?
We don’t say that everyone knows that this patient has complained everywhere, and it’s of no use.”
Dean Sun already has a basic understanding of Ou Lianfeng's situation.
Dean Xia said: "Don't we care? Just forget it? Let the patients continue to run around?"
"We'd better not get into this trouble. It's none of our business. We are a general hospital and don't have the qualifications to diagnose occupational diseases. It's reasonable, reasonable and legal not to diagnose him."
Dean Sun hopes to convince Dean Xia and Yang Ping why they should cause trouble themselves.
"Old Sun, your intention is for everyone's good, but if we turn him away, what will happen to this patient? Just forget it? We are not trying to be heroes, we just do our job well.
I think this is something within our scope.”
"I understand, but judging from what I learned from my classmate, he said that this matter is complicated and can easily cause trouble, so don't take it up. Moreover, pneumoconiosis is not our responsibility."
President Sun has always been relatively stable and conservative, and he tried his best to prevent Yang Ping from causing this trouble, which was not good for the hospital or Yang Ping personally.
Normally Dean Xia has a domineering temper, but he never speaks out, and is very democratic. Therefore, both Dean Sun and other hospital leaders dare to speak and express different opinions.
"I know there will definitely be trouble in this matter. Just be troublesome and I will bear it."
Dean Xia's attitude was firm.
Dean Sun said helplessly: "Okay, we must work hard on the procedures. This matter will inevitably be held accountable in the future. We still have to convene a hospital committee. When the time comes, we will really be held accountable. We will take responsibility together.
How can one person bear this responsibility?"
"That's fine. We'll hold a hospital committee meeting tomorrow morning to discuss it and postpone the surgery for one day."
Dean Xia decided immediately.
With this matter settled, Yang Ping sent the two deans away, and the doctor in charge, Xiao Wu, hurriedly came in to report:
"Wen Lianfeng was out of breath just now. The chest X-ray at the bedside showed pneumothorax. I just performed closed chest drainage on him."
This is a pneumothorax caused by local rupture and air leakage in the lungs. When he was in the outpatient clinic, Yang Ping saw that Ou Lianfeng was not in very good condition and was likely to develop a pneumothorax. He did not expect that a pneumothorax would occur just after he was admitted to the hospital. Since closed chest drainage was done,
Since there was no danger for the time being, Yang Ping decided to repair the ruptured part of his lung during surgery.
Yang Ping looked at the X-rays on the computer, and then went to the bedside to check on Ou Lianfeng. His current condition was stable and it would not affect the surgery plan.
While Xiao Wu was dealing with Ou Lianfeng's pneumothorax, he began to perform preoperative examinations on Ou Lianfeng. The surgical method was to use thoracoscopy first, and use thoracotomy when necessary. Therefore, this was also a serious major operation. As long as there was something else
Neither doctors nor patients would choose this extreme approach.
But at present, it seems that there is no other way to prove to patients that this is pneumoconiosis. The local occupational disease prevention and control office believes that it must be certified by the factory before making a diagnosis. The factory's intention is also obvious, there is no diagnosis of occupational disease prevention and control.
, he will not pay compensation, so the patient is trapped in a dead end.
Professor Cao took the time to come over to see Ou Lianfeng and learn about his condition and when Yang Ping planned to operate. When he learned that Dean Xia firmly expressed his support, Professor Cao was very excited. This patient had been struggling for so long and could finally get an objective diagnosis.
diagnosis.
For Ou Lianfeng, he has no choice now. This is the only way out. He has visited so many hospitals, including the most authoritative hospitals. Experts have said that they should consider pneumoconiosis, but the Occupational Disease Prevention and Control Center refuses to diagnose it. He has no choice now.
There was no way to go, so he came to Sanbo Hospital with the idea of all-or-nothing and trying his luck. Unexpectedly, Sanbo Hospital immediately agreed to admit him for a chest opening and lung examination, which gave him a glimmer of hope.
If he doesn't get a lung test, if he doesn't get a diagnosis of pneumoconiosis, he won't get a penny of compensation. Without compensation, how can his family survive? He used to be the breadwinner of the family, but now because of this disease, how long he can live is at a loss.
It was unknown. As for lung replacement, he didn't even dare to think about it.
Ou Lianfeng was unable to take care of himself because the closed drainage tube connected to his chest was inconvenient. In view of his special situation, the head nurse arranged for a nurse to help him.
When it was time for dinner, graduate student Xiao Wu knew that Ou Lianfeng was in financial difficulty, so he paid for a lunch box and sent it over.
Ou Lianfeng is very grateful. There are still many good people in this world, such as those experts who told him that this was pneumoconiosis. They just did not have the qualifications and authority to make a diagnosis, but they never hid it from him, and some even gave him advice and helped him find a solution.
Not long after Dean Xia finished chatting with Yang Ping about Ou Lianfeng, he called Yang Ping and told Yang Ping the good news. The province was planning to approve a piece of land in the suburbs for Sanbo Hospital to build an animal laboratory. Every inch of land is precious.
The provincial capital of Nandu was actually promised land by the province.
In fact, Dean Xia didn't apply formally at all, because he knew it was impossible, so he simply didn't cause trouble to the provincial leaders. He just mentioned it when chatting with the leaders. Unexpectedly, the leaders actually remembered this and asked Xia Yuan to do it.
Make a formal report and follow the formal approval process.
As for whether it can be approved, the leader cannot guarantee it, but he said that in principle, he strongly supports the innovative development of Sanbo Hospital. The animal laboratory is very helpful to improve the hands-on ability of doctors, especially young doctors, and is helpful for scientific research experiments.
It is very big. In line with the strategy of rejuvenating the country through science and education, the province should provide support.
Dean Xia felt that since then, Sanbo Hospital has been doing things smoothly and everything he wished has come true. If this was impossible before, how could there be such a large piece of land for Sanbo under the current development situation?
Bo Hospital, don’t even think about it.
Ou Lianfeng called his wife to report that he was safe. He heard from his wife that several workers were fired from the factory for helping Ou Lianfeng. Ou Lianfeng felt guilty because he had affected so many people. In fact, these workers were not doing anything else, but complaining about Ou Lianfeng.
, they went to the factory director's office to reason why they should not issue a certificate to Ou Lianfeng. The factory director was furious and fired all these outstanding workers.
In fact, these workers have more or less contracted pneumoconiosis. The factory's protective measures are not up to standard at all. It can be said that there are no protective measures at all. The working environment is usually filled with a lot of dust, but all the protective measures for the workers are only a thin layer.
Simple masks, not even N95, because this can save money and cost.
After receiving the diagnosis certificate, Ou Lianfeng thought it was better to go to the media, hoping to get help from the media to seek justice. It was too weak to rely on his own strength. The last time he went to the factory where he used to work, the security guard refused to let him in, saying that he did not know him.
, and even said that he never worked in the factory and just wanted to blackmail money. It is said that all his work records have been destroyed.
After working hard in a factory for several years, Ou Lianfeng finally contracted pneumoconiosis and was told by the factory that he was not one of their employees, but just a rogue who extorted money. Ou Lianfeng couldn't swallow this breath.
Graduate student Xiao Wu came to see if Ou Lianfeng's chest closed drainage tube was normal, and then chatted with Ou Lianfeng for a few words. Young doctors like them stayed in the hospital almost 24 hours a day throughout the year.
Xiao Wu is Ou Lianfeng's doctor in charge. The young doctors at the surgical institute all take turns to go to the outpatient clinic to accompany the elderly experts for consultations. This way they can learn from the old experts and assist them in their consultations, such as typing on the computer and typing.
Every old expert can type Wubi very smoothly like Professor Zhang Zongshun. He can type seven to eight words a minute without any pressure. He can play mobile games such as King of Kings and Chicken Dinner just like young people.
Some old experts are just one-finger meditation when typing. If they can't see many patients in a day by themselves, with a young doctor as an assistant, they can focus their time on consultation without having to worry about the computer, which can improve work efficiency.
Therefore, Xiao Wu also worked as an assistant to a senior expert in the clinic one day a week, and spent the rest of the time working in the ward of the surgical institute. Ou Lianfeng was hired by him when he was a follow-up clinic, so he was in charge.
Freshly graduated doctors are all passionate and compassionate, and will be deeply moved by everything they see. This is a common trait among young people. Xiao Wu is very sympathetic to Ou Lianfeng's experience, and for the factory and local area where he used to work,
He was filled with indignation at the way the Occupational Disease Prevention and Control Center handled the matter.
How come there are such shameless people in this world who can do such things? Doesn’t your conscience hurt?
"Are you writing a medical record?"
Zhang Lin asked, looking at the series of shameless people typed by Xiao Wu on the computer.
Xiao Wu immediately came back to his senses and deleted the typo. Maybe he had just been thinking randomly and couldn't control his hands. Conscience? Some people don't have it at all.
