Since 1981 Health School Chapter 614

  In the conference room of Ziguang Hospital, the air inside has been so depressing that it is about to materialize.

  The main leaders of Shenzhen City and the heads of various departments in the health system are all sitting in the conference room, and at the end of the conference room are a group of "ministers waiting for crimes".

  Dean Bian Hefeng, director of emergency department Li Huacheng, director of gastroenterology department Zuo Yongxin, you look at me, I look at you, with wry smiles on their faces.

   It's just that they avoided it as soon as they made eye contact, especially Li Huacheng and Zuo Yongxin. Obviously, both of them had their own little Jiujiu in their hearts, because if one of them couldn't handle this matter well, their careers were over.

   As the saying goes, a dead fellow is not a poor one. If both of them want the other to die first, at most they will be punished. At least they can keep their jobs, right?

  The big leader knocked on the table and asked in a deep voice:

   "Let's talk about the specific situation and which link has the problem. This matter is now causing a lot of trouble in the world, and the impact is very bad. It has tarnished the image of our window city. Someone must be responsible to the end!"

  The big leader set the tone, and all the people in the health system below shrank their necks.

Responsible? Who is responsible? The people in the health system must be responsible. For example, a certain bureau chief must be finished, and the president and vice president of Ziguang Hospital must also be finished, and the department directors and attending doctors must not escape.

   This once again sounded the alarm for everyone. In the future, powerful and powerful people will go as far as they can go to see a doctor.

  Otherwise, there is no credit for being cured, and if you die, you will be held accountable. Who can stand it?

  The big leader looked around, and then fixed his eyes on the people in Ziguang Hospital in the back row:

"Ziguang Hospital's performance in this medical dispute is not up to standard. We must deal with it seriously. If there is any illegal use of drugs or illegal inspections, it is not impossible to go to jail. Then who, Comrade Bian Hefeng, you first talk about your problem !"

   Bian Hefeng stood up, without the panic that everyone expected, but with a tragic indifference:

"I am the dean and the person in charge of Ziguang Hospital, so I have leadership responsibilities. In addition, I was also on the scene when rescuing foreign guests. All rescue measures, including what tests to do and what medicine to use, are all approved by me. So I have an unshirkable responsibility, full responsibility!"

  Boom~~~~

   There was a slight exclamation in the small venue, and many people turned their heads, looking at Dean Bian with extremely complicated eyes.

  President Bian was born in the Third Hospital of Beijing Medical University. When the special zone wanted to build a top-notch hospital, he was ordered to come to Shenzhen to build Ziguang Hospital from scratch.

  The special zone back then was still a big rural area. It took a lot of courage and perseverance to run from the superior environment of the capital to the small circle city in the south, but anyone with a little selfishness would not come.

  So Dean Bian's prestige in the health system of Shenzhen is very high.

   Now listening to Dean Bian's words, he is going to take all the responsibilities on his own. Everyone present understands that this means hoping that the superiors will not hold the doctors below accountable.

  But there are some things that Dean Bian can't handle easily, such as this medical dispute involving foreigners.

  The big leader admired Dean Bian in his heart, but the person who should be dealt with had to be dealt with, otherwise he would not be able to explain to his superiors.

"Dean Bian, put your matter aside first, and let the attending doctor explain what happened. This time, a group of experts from major hospitals in Guangnan Province have come to let the experts evaluate what happened. It's the problem that kills the patient."

   Li Huacheng, director of the emergency department, hurriedly stood up:

"Dear leaders, the patient came to the emergency department of our Ziguang Hospital with the main complaint of sudden abdominal pain. I was the first doctor. At that time, the patient had no fever, diarrhea, vomiting and other clinical symptoms except severe pain in the upper and right abdomen. .

Because the patient had a history of cholecystitis, we performed related examinations for cholecystitis. After finding that there was no problem with the gallbladder, we expanded the scope of the examination. In fact, we ordered a gastroenteroscopy to see if there was any gastric bleeding or intestinal obstruction. Case.

So I think I have no problem with the standard of diagnosis and treatment. The inspection list I issued is also a targeted order, and there is no excessive treatment, or there is no indication for violation of the inspection. As for the operation in the endoscopy room, is there any problem? question, I don't know. "

  Boom, the conference room exploded again.

   Director Li of the emergency department is very clear about what he said. The blame belongs to the endoscopy room and has nothing to do with the emergency department or him personally.

  Everyone knows, and now Ziguang Hospital is in chaos.

  Dean Bian looked at Director Li, with contempt and helplessness in his eyes.

  Li Huacheng was about to throw the blame away, and Zuo Yongxin, the director of gastroenterology, was in a hurry because he was the one who did the gastroscopy.

  Director Zuo thought to himself: Good Li Huacheng, since you are the first grader, don't blame me for being the fifteenth grader. Come on, let's hurt each other.

"Leaders and experts, I have something to say. I did perform the gastroscopy of the deceased, but you can read the operation records. I used the endoscopy strictly in accordance with the diagnosis and treatment standards. Many medical staff present at the time can testify .

And everyone knows that gastroscopy is only an auxiliary examination, and it is non-invasive. During the process of gastroscopy, no drugs were used, and no complications such as perforation and bleeding occurred. Therefore, I think there is no problem in the process of gastroscopy. of. "

  As soon as Director Zuo's voice fell, discussions in the venue suddenly started again.

   Obviously Director Zuo was not going to let Director Li go, so he took the opportunity to fire:

   "And I think that if the patient died during gastroscopy, there must be some underlying disease. After all, any auxiliary examination has certain side effects. The attending doctor or the billing doctor should inquire about the condition and past history in detail.

   Then evaluate whether it is possible to have a gastroscopy based on the condition and past history, so as to avoid any accidents during the gastroscopy. Therefore, I think the main responsibility for this incident lies in the lack of detailed consultation in the emergency department.

  For example, does the patient have high blood pressure, diabetes, coronary heart disease, etc., how is the heart? What about the lungs? Whether there is old stomach disease, etc., because many basic diseases may cause the death of the patient during the gastroscopy.

   May I ask Director Li, did you ask clearly at that time? It is not reflected in the medical history. I think if you know the contraindications of the patient, then the patient can completely avoid gastrointestinal endoscopy, so that no one will die. "

  Li Huacheng was in a hurry, and the scapegoat was thrown back. This Zuo Yongxin didn't spare any sympathy, so he quickly retorted:

   "Director Zuo, you made a mistake. We are an emergency department, and the patient's condition was very critical at that time, so our first starting point was to find out the cause while saving life. It is inevitable that the consultation is not detailed.

  And the main purpose of my gastroscopy is to see if there are any lesions in the stomach or esophagus, and I only want the results. And you are a professional gastroenterologist, and you have studied abroad to learn endoscopy. You should know the contraindications of endoscopic surgery better than me, an emergency doctor.

  The patient is handed over to you. If you find that I didn't ask the doctor in detail when you look up the medical history, why don't you ask a few more questions? You clearly know that gastroscopy has contraindications, and you also know that the medical history is incomplete, but you still continue to do gastroscopy, isn't that too irresponsible?

  And what exactly do you do when you do gastroscopy? I remember that the female secretary of the deceased at that time reminded you that the patient was not in good condition, should you stop the gastroscopy, but you insisted on going your own way, so the patient died in the end, it is likely to be caused by your improper operation. "

   "You fart, it's clear that you billed blindly and didn't ask about the condition. Now it's my fault?"

   "You just fart, and the patient died at your hands. How dare you say that you have a clear conscience? I just opened a list, what is my responsibility?"

  Two great professors, great directors, and intellectuals blatantly broke their faces and quarreled in front of everyone in the conference room. Even the leaders and other medical staff were dumbfounded.

   This is really a once-in-century scandal. Everyone in Ziguang Hospital is covering their faces.

  Dean Bian closed his eyes and sighed deeply.

  Common people, to put it bluntly, have one hundred hearts, people are selfish, and at the critical moment of the end of their careers, their nature is exposed.

  Dean Bian understood, but he was still quite chilled. The scene of unity of purpose and unity that he was looking forward to did not appear, even though he was ready to help his subordinates shoulder most of the responsibilities.

  The big leaders did not stop Li Huacheng and Zuo Yongxin from quarreling.

  He is an old man, and he knows that to know the inside story and the truth, the fortress is breached from the inside, and they will only tell the truth if they are noisy and open-mouthed.

  But he is a layman after all, and he didn't understand why after listening to it for a long time.

  Anyway, the billing doctor blamed the poor quality of the examining doctor, and the examining doctor in turn blamed the billing doctor for not being particular about things and not asking clearly about contraindications.

  But how the patient died and what was the reason are not clear.

  Finally, the big leader saw that the two big directors had touched each other's faces with their fingers, and when they were about to wrestle together, they slapped the table hard!

   "Nonsense! Presumptuous! Is this the ethos of your Ziguang Hospital? I really opened my eyes today. No wonder Ziguang Hospital has such a big medical accident. The root cause is that you have no sense of responsibility and lack of unity among departments.

  You write your order, I do my examination, you don't ask clearly, and I don't want to ask too much, each takes care of his own affairs, where is the multidisciplinary joint consultation system of your Ziguang Hospital? Do you usually work like this? Why don't you take patients seriously? "

   Li Chenghua and Zuo Yongxin blushed a bit, glanced at each other, then snorted and turned their heads away.

  Dean Bian is angry, but after all, he is his own employee, so he should be protected.

   "Leader, I have something to say. First of all, I feel ashamed and saddened by the disordered management of Ziguang Hospital, but what I want to declare is that the quarrel between Director Li and Director Zuo just now did not clarify the real cause of death of the patient."

   Big leaders also have headaches:

   "No matter how the patient died, the family not only wants the doctor to go to jail, but also wants us to pay 100 million US dollars in compensation. Do you know that the problem lies here? Selling your Ziguang Hospital is not worth 100 million US dollars."

  Dean Bian sneered:

   "The family members can pay as much as they want? We are the country of China, not the country of America. Can foreigners be superior to others? Can they do whatever they want?"

   There was silence in the conference room...

  Dean Bian continued unconvinced:

"Another key point is, what is the real cause of death of the patient? If it is indeed due to complications related to gastroscopy, we are more or less responsible, then in case he did not die from the gastroscope, but he had other diseases that caused his death , so we won't be afraid even if there is a lawsuit!”

  The big leader's eyes lit up: "Go on!"

  Dean Bian is an honest person, but whoever can be the dean is not a person with a clear mind. The big leader is interested, which shows that things will turn around.

"Let me make an analogy. This patient had a myocardial infarction or a cerebrovascular accident. Then we were just unlucky. During the gastroscopy, a myocardial infarction or a stroke occurred and the patient died. What responsibility, everyone said, right?"

  Everyone in the conference room nodded repeatedly.

  Although this possibility is very small, it still exists. Most of the people in the conference room are chief experts, and they have encountered it after so many years of work.

   At this time, a professor from Yuexiu Hospital also stood up and confirmed:

   "Yes, just a few days ago, this kind of coincidence happened in our hospital. At that time, the patient had just been admitted to the hospital. When the doctor went for consultation, he found that the patient had hypoglycemia. It happened that the doctor had a hard candy in his pocket, so he kindly gave it to the patient.

  What happened? The patient died suddenly while eating this candy, and then the family members started to make trouble, saying that the candy choked the patient to death. Finally, the autopsy found that the patient happened to have a myocardial infarction at this time, and the real cause of death was not choking, but sudden myocardial infarction. "

   "Yes, yes, I have encountered such unlucky things..."

   "If we really want to do this, we can't blame our hospital for its poor level, and we don't have much responsibility..."

   "It can't be that the hospital is responsible for the death of the patient. If they pay 100 million US dollars, they can figure it out..."

   There was a lot of discussion in the conference room, all of which belonged to the same system, and they must be helping their own people at critical moments. Open internal strife like Li Huacheng and Zuo Yongxin is a minority after all.

  The big leader understood it, and sneered:

   "I don't deny that the possibility you mentioned exists, but the exact way of death needs an autopsy to determine. Come on, come on, who among you can convince the family members to do an autopsy?"

   It's not that foreigners can accept an autopsy, especially this kind of top tens of billionaires, who will leave a whole body after death instead of being cut into pieces.

  And the family members don't care how Chapman Webster died. They only care about money.

  At this time, Professor Cheng Bangwu from Nanfang Hospital suddenly thought of someone, so he raised his hand and said:

   "When it comes to endoscopy, I think there is still a great **** in China."

   "Who is it?" Everyone asked curiously.

"Who else is there? Comrade Chen Qi from Haidong Province, he is the director of the International Society of Gastroenterology and the vice president of the Digestive Endoscopy Branch. Why don't we invite him to check and see if the death was caused by gastroscopy? ?”

  The big leader's eyes lit up when he heard this: "This is fine, send the invitation immediately."

  As long as the death of the patient is not caused by gastroscopy, the responsibility of both the hospital and the local area will be much lighter, or even have no responsibility, and there is no need to pay the $100 million.

  Chen Qi obviously had high hopes. (end of this chapter)

Chapter end