The emergency department of the Central Hospital is still busy as usual. The day shift has not yet clocked out and the night shift is on track.
In the doctor's office, Jing Dong had just put on his white coat when he suddenly saw Zhou Yisheng entering the door. He was stunned for a moment and then said: "Oh, what a good boy, it's been a week since he disappeared."
"I was sick and something happened at home, so I asked Director Jiang for leave."
Jing Dong didn't ask any more questions and patted him on the shoulder: "Okay, you'd better follow me. I'll go to the ward first. You change your clothes and come over quickly."
Zhou Shengzheng said that he wanted to go to Jiang Jiancheng to cancel his leave first. Jing Dong smiled bitterly: "This matter is not urgent. The director has just gone to the operating room. You can go after he comes out. We are busy with our work first..."
Hearing that Jiang Jiancheng was in the operating room, Zhou Sheng was no longer in a hurry and hurriedly changed into his own gown, washed his hands and went out.
On the way to the ward, he met a familiar nurse. Zhou Yisheng was about to say hello, but the nurse just smiled and nodded, with a shy smile. After taking two steps, she turned around, stuck out her tongue, and hurriedly went to work.
.
I encountered several situations like this in a row.
The atmosphere is not right.
Compared with before, there is obvious indifference...
To be specific, it can't be considered indifferent. It seems that everyone is worried about something. Just like the dean's inspection in junior high school, the monthly exam in high school, or the possibility of failing the course at the end of the semester in college, everyone is in danger.
After going to the ward for rounds with Jingdong, Jingdong said on the way back to the consulting room: "Do you feel that something is wrong with the atmosphere?"
"Yeah." Zhou Sheng nodded continuously.
"There was an accident in the emergency department during your vacation during the past few days. The hospital named and criticized it, but Cheng Yuan didn't resist. Chief Tang is still suspended for investigation."
I'm crazy.
Zhou Sheng was immediately shocked. Tang Aiyun was suspended?
In the early months of his stay in the emergency department, Zhou Yisheng had already figured out the interpersonal relationships in the emergency department. There are three groups of people in the emergency department. Group 1 is the group that works the day shift, one is the internal medicine attending, two are the general residents, one is the resident doctor, and one of them is the resident.
The quota is always for surgical rotation and changes every month.
Group 2 is led by Tang Aiyun, the attending physician, plus three resident doctors, Jing Dong, Yu Jian, and Dr. Chen.
Group 3 consists of doctors from the special care unit and ICU. There are three people in total. Two stay in the hospital for full-time care and one is with the ambulance. However, the ICU is on the third floor. Although it is under the jurisdiction of the emergency department, it actually has its own small system and independent management.
.
Not mentioning the 3 groups, from the perspective of groups 1 and 2, which group is stronger?
A layman would definitely think that Group 1 is stronger, with one attending and two general residents. The weight is higher than that of Group 2 with three residents.
But everyone in the department knows that the second group is their own.
Why?
Because Dr. Tang is on the surgical route, while Group 1 is on the internal medicine route. Most of the people who perform emergency surgeries are surgeons from other departments who come on rotation. From this point of view, the situation is very clear. Group 1 is more like giving surgery to other doctors.
I came here to gain experience, and the attending physician was an old man hired from the internal medicine department of another hospital. He was forty-five years old and had no competitive spirit.
It's a very simple logic. When Dean Cheng steps down as director and Jiang Jiancheng takes up the full-time position, the vacant deputy director will most likely be Tang Aiyun, because he is the only one with this qualification.
The boss of the emergency department cannot hold a scalpel, but he cannot hold a job.
Tang Aiyun has also been preparing for the competition for the deputy senior professional title.
The small department divides the routes, not to mention the 1st and 3rd groups of branch lines, and the 2nd group of main lines. The big boss is Cheng Huimin, the small boss is Cheng Yuan's disciple Jiang Jiancheng, and the top thug Tang Aiyun is obviously Jiang Jiancheng's person.
Tang Aiyun's position can be seen from one thing...
After Jiang Jiancheng was discharged from the hospital, he was planning to travel abroad. There were so many doctors and nurses in the emergency department, but only two of them dared to ask him to help bring things from abroad.
One is the milk powder that the head nurse asked to bring for her niece, and the other is the cosmetics that Tang Aiyun asked her to bring for her daughter-in-law.
In short, Tang Aiyun is Jiang Jiancheng's own person.
In a sense, he can be regarded as Cheng Huimin's disciple.
Cheng Yuan is a person who protects his subordinates. No matter from the perspective of Jiang Jiancheng, who he helped hospitalize, or Jingdong, Zhou Yisheng, he protected his subordinates very well.
If something happens to Tang Aiyun, can Cheng Huimin help protect him?
The answer is definitely no.
Jing Dong made it clear in one sentence, but Cheng Yuan didn't even protect him!
What does that mean?
Things are getting serious!!
"Brother Jing, what's going on?" Zhou Yisheng had a great impression of Tang Aiyun. He was a good big brother and didn't have much leadership airs. He was also the mediator in the dispute with Jing Dong.
Not to mention, there is actually no overt and covert fighting in the entire emergency department, everyone is on their own.
Something happened to Tang Aiyun, which made Zhou Sheng feel very uncomfortable.
Jing Dong didn't rush to say anything, and entered the consulting room with Zhou Sheng. When he saw no one there, he muttered in a low voice...
five days ago.
A 53-year-old female patient was diagnosed with acute abdominal pain. Her family members reported abdominal pain for three days and fever for two days. The pain was in the left lower abdomen.
Tang Aiyun received the diagnosis. After ultrasound diagnosis, it was acute appendicitis, and he recommended immediate surgery. After the family members signed, they went directly into the operating room. Naturally, Tang Aiyun was the surgeon, with Yu Jian as an assistant, and the two of them took care of it.
The appendectomy went smoothly. Although Tang Aiyun was the chief surgeon, the job was left to Yu Jian. As a resident doctor, the appendix was purely used to increase experience points. An operation experience is not long, a total of more than forty minutes, which is not bad, because of the patient's condition.
It's more serious. If Tang Aiyun gets started, the time will definitely be shortened.
After cleaning the incision, prepare to close the abdomen.
But before closing the abdomen, a problem arose. Pus appeared in the cleaned area. When Yu Jian saw it, he immediately asked Tang Aiyun. Tang Aiyun was dumbfounded when he saw it again. Taking advantage of the situation, he found granuloma abscess formation in the rectum and sigmoid colon, which was complicated by perforation and bleeding.
When colonic colonitis is diagnosed, the abscess blocks the intestinal passage and can only be removed.
The complication of two inflammations was never expected. The general surgeon's first instinct was to judge appendicitis, and he did confirm the occurrence of appendicitis after the laparotomy. Only now did he discover the second problem after the appendectomy.
Headache.
Tang Aiyun immediately took over the position of surgeon and asked Yu Jian to temporarily seek opinions from family members and temporarily change the surgical plan.
The family members were dumbfounded for a while, not knowing what to do. How could a good appendicitis turn into colonitis? Yu Jian explained for a long time, but could not get the result, and the family members were also in a dilemma.
They were confused when the plan was temporarily changed during the operation, and then they considered not having to do laparotomy this time and would have to do it next time, and they were afraid that the old man would suffer, so they struggled over and over again...
Something happened in the operating room.
Perhaps there was too much movement during the appendix cleaning, which caused massive bleeding from the colon perforation.
The nurse immediately came out to report the situation. If the operation was not performed at this time, the problem would be serious. In the end, the family was forced to sign reluctantly, and the liaison desk also urgently called three surgeons to come to help.
The plan was finalized on the spot, with one-stage resection of the sigmoid colostomy. After the stoma, defecation would be discharged through the stoma without contaminating the resection anastomosis.
The five-person operation lasted for more than four hours. The operation went extremely smoothly. However, when the patient was passing the bed, his heart stopped. Fortunately, CPR was successful.
After hearing this, Zhou Yisheng's mentality went up and down, and his heart almost reached his throat.
But problems also arise...
"Then, why the suspension? Wasn't the operation successful?"
Jing Dong sighed and said bitterly: "On the morning of the third day after the operation, the patient died."
As soon as these words came out.
Zhou Shengsheng felt as if someone had hit him with a sap, his head was buzzing, and his head was filled with mush. He unconsciously asked: "Why? How could it be..."
I don't know when Dr. Chen came in with Su Quan. Dr. Chen said -
"The patient's condition was not taken into consideration during the operation. The cardiac arrest when passing the bed after the operation was already a problem. The operation time was too long. The appendectomy took 40 minutes. The abscess and ulceration was removed in one stage, and a colostomy was added.
, which adds up to almost six hours.”
"The patient is fifty-three years old, older, has a history of hypertension, irregular heartbeat, and finally suffered a cardiac arrest!"
"It stands to reason that with the signature of the family members, the risk of surgery is already there. The key is that the family members are related and they immediately contacted the health bureau and caught the problem... Why was colon colonitis not found during the pre-operative inspection?
"
"Besides, the combination of the two surgeries takes too long. Why not consider a comprehensive resection and perform a one-stage resection? The colostomy only takes an hour. As long as the perforation is not continued to be contaminated, follow-up drug treatment can be carried out, or other conditions can be maintained.
A second operation will be performed after stabilization."
The words end here.
The air pressure in the clinic suddenly dropped. Zhou Yisheng looked at Jing Dong in disbelief and said in a trembling voice: "But this is not considered a medical accident?!"
After all, the operation was successful, and the only option was surgery after the injury was bleeding heavily.
Jing Dong sighed and shook his head: "Of course not..."
"But the medical office determined that Chief Tang made an error in judgment during the operation."
After hearing this on Monday, I finally understood.
There is a signature before the operation, and there is also a signature on the changes in the plan during the operation. Even if you find connections and go to the health bureau, it will still be tenable.
However, if the patient dies and is caught with a minor ailment, the hospital will have to give an explanation to the patient's family and find someone to take the blame.
The person who took the blame could not be the assistant Yu Jian, nor could it be the surgeon who came to participate in the operation at a later stage.