Chapter 2858 Just Be More Careful

The man with glasses walked out of the hospital gate. He was a little depressed and lowered his head. He didn't expect anyone to talk to him.

He was scolded by a woman just now, but he had no way to retaliate. In addition, what happened in the past few months made him feel confused. There is no harm without contrast, and it is true.

As if surrounded by white mist, the man with glasses couldn't see where the road was at all.

"What's your name?" Director Zhou chased after him and asked.

"Uh..." The man with glasses was taken aback. He turned around and saw Director Zhou, turned around quickly, and said respectfully, "You are Director Zhou of the Affiliated Hospital of Nantah University, hello, hello. I have heard the name for a long time, and it is like thunder."

"Which hospital did you come from?" Director Zhou asked again.

"Director Zhou, my name is Xia Yong, and I am a doctor in the General Surgery Department of Jintang Hospital... I used to be." The man with glasses said in a low voice frustrated.

Jintang Hospital is located in the center of the city. It is a third-class public hospital in Jinhai City. The overall quality of its personnel is quite good. Even in the entire Jinhai City, it can be ranked among the top five.

"I see you are depressed, let me talk to you. People, there are always bumps and bumps, so don't worry about it. In the face of time, this is not a big deal. When you look back after many years, even a small bumpkin is nothing. No." Director Zhou said with a smile.

"Thank you, Director, I...now...well." Xia Yong said with a sigh.

"When you are a doctor, you will always encounter problems, not to mention you, I have a lot of things in my life." Director Zhou said, "But to put it bluntly, who can not make mistakes, we are Humans are not machines. Besides, can a machine do it? Can the machine diagnose the film directly?”

Xia Yong sighed.

There were snowflakes falling from the sky, Director Zhou tightened his clothes and said with a smile, "While walking, I said, my old bones can't bear it."

"Director Zhou, thank you, I'm fine, why don't you go back first." Xia Yong said.

"I used to be the director of the department. When I encountered problems with young doctors, I was used to enlightening them. If you don't mind, please tell me. I have some contacts in the entire medical circle in Jinmen." Director Zhou saw that Xia Yong was pitiful, He said comfortingly.

"Director, I'm taking the blame for this." Xia Yong smiled wryly. "Three months ago, the patient was rescued and the metal foreign body was taken out. But they didn't find all of them. I thought it was a foreign body less than 1cm missing. Later, the patient found the right Substantial lesions of the lower lung, lobectomy performed in your hospital."

"Uh..." Director Zhou was stunned for a moment, metal foreign objects, this thing is the most difficult to find. Wearing a lead coat, I was under the radiation machine in the radiology department, looking for things bit by bit. Most of the time, it is seen in a certain position, but it is necessary to open the tissue a little bit to distinguish where the foreign body is from the bloody flesh.

It is normal to omit one thing. Before the operation, you must explain it clearly to the patient, and most patients will understand. But in many cases, it is impossible to find metal foreign objects with a size of a few millimeters in the blood and blood. Even Director Zhou is not sure that he can do it 100%.

"What happened later? Why did it involve lung problems?"

"I'm unlucky, and I deserve it. I can't do the job well." Xia Yong said, "After the operation in your hospital, it was found that the substantial tumor originating from the pulmonary vein was a metal fragment, not big, a few millimeters, which caused The patient had a lobe removed."

Xia Yong's tone of voice was full of guilt and remorse. He didn't continue talking, but Director Zhou knew that his heart was full of assumptions. If you were more serious at that time, if you were more lucky then.

However, it is really rare to remove the lung lobes because of metallic foreign bodies.

"Tell me about the situation in detail. This is not a common thing." Director Zhou got up habitually, regardless of Xia Yong's mental state, and asked first.

"I read the medical records, and the chest CT examination showed that there was a residual foreign body in the lower right lung. There were high-density punctate shadows in the lower right lung with clear borders. The size was about 0.2 cm*0.3 cm, and the CT value was about 2 647 HU."

"The preoperative diagnosis was the presence of metal foreign bodies in the right lower lung. Later, a thoracotomy was performed. During the operation, a sclerosis in the medial basal segment of the right lower lung was seen. A fine needle was used to detect the metallic texture. Wedge resection of the right lower lung was performed. Lung tissue, see a metal foreign body about 0.4 cm*0.2 cm*0.2 cm located in the right lower pulmonary blood vessel."

"You..." Director Zhou also concluded.

There are many patients with metal foreign bodies, most of whom are factory workers who were injured by metal shavings.

"I later thought that there might be a problem with the position on the left thigh. The patient didn't say anything at the time. I thought it was just a broken skin, so I didn't care. I only took out all the foreign objects on the belly, and the thigh was only scanned under fluoroscopy. It's over once. My heart is too rough, and I deserve it." Xia Yong sighed.

"Later, the teacher at the Affiliated Hospital of Nantah University said that it was considered that the metal filings would travel from the left great saphenous vein, femoral vein, external iliac vein, common iliac vein, inferior vena cava, right atrium, right ventricle, and pulmonary artery, and finally stay in the right lower pulmonary vessel. "

"What do you say in the courtyard?" Director Zhou asked.

"I didn't say anything, but the patient's family was not forgiving, and our hospital didn't say anything, just dragging it every day."

Ordinarily, it would be a bit troublesome to solve it, and the relevant responsible person would have to be admonished, but it wouldn't be enough to resign.

"How did you get to where you are today?"

"Alas..." At this point, Xia Yong sighed deeply, and said, "I... I have revised the medical records."

Director Zhou was shocked when he heard the four words of revising the medical record. Is this Xia Yong stupid? If something goes wrong, something goes wrong. How can he revise the medical record!

This is a big taboo, and the key point is that there is no way to justify the modification.

It can only be that there are more and more problems, and the more they have, the more they have to explain, and the more they explain, the more troublesome they are.

In the end it led to a direct crash.

"You." Director Zhou also sighed.

"Our director came to me at the time and hinted that I did it." Xia Yong smiled wryly, "Forget it, it's all in the past, so don't worry about it."

Director Zhou was very clear about why the director wanted to hint, what benefits could be gained from it, and what the price would be.

This is a disgraceful way of throwing the blame and throwing the blame to the subordinate doctors.

But it is also very difficult for junior doctors to deal with the director's request. Resisting to say nothing or modifying the medical records according to the director's suggestion, no matter what point there is a problem.

The current medical records are all electronic medical records. If there is a problem, it is directly sealed. If you want to modify it on the computer, it involves background data. It is difficult to do it without leaving traces.

It's unlucky for the little guy that a piece of metal can make such a big deal out of it.

"Why don't we have a good life as doctors, and wash our hands more often before surgery."

Director Zhou talked about his experience, not joking, but very serious. As he spoke, Director Zhou stretched out his hand, his arms were slightly red.

"You see, this is my habit." Director Zhou said with a helpless smile, "If I don't brush my hands 5 times before going on stage, the operation will not go smoothly. For so many years, my skin and flesh have been brushed with hard brushes. Got brushed off."