Chapter 2857

Glasses man walked out of the hospital door. He was a little depressed and bowed his head. He didn't expect someone to talk to him.

He was scolded by a woman just now, but he couldn't answer back. What happened in the past few months made him confused. There is no harm without comparison. That's true.

It seems that there is white mist around, and the man with glasses can't see where the road is.

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

"Er..." the glasses man was startled. He looked back and saw director Zhou. He quickly turned around and said respectfully, "you are director Zhou of the Affiliated Hospital of Nanjing University. Hello. I've heard your name for a long time."

"Which hospital are you from?" Director Zhou asked again.

"Director Zhou, my name is Xia Yong. I'm a doctor in the general surgery department of Jintang Hospital... I used to be." The glasses man whispered dejectedly.

Jintang hospital is located in the city center. It is a class III class a public hospital in Jinhai city. The overall personnel quality is quite good. Even in the whole Jinhai City, it can rank in the top five.

"I think you're depressed. I want to talk to you. People always have to go through bumps. Don't think about it. In front of time, it's not a thing. When you look back many years later, you can't even count as a small earth bag." Director Zhou smiled and said.

"Thank you, director. I'm... Now... OK." Xia Yong sighed and said.

"When I am a doctor, there will always be something wrong, not to mention you. I have a lot of things in my life." Director Zhou said, "but who can avoid making mistakes? We are human beings, not machines. Besides, machines can do it? Machines can diagnose the film directly?"

Xia Yong sighed.

There were snowflakes falling in the sky. Director Zhou tightened his tight clothes and said with a smile, "while walking, I can't carry this old bone."

"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. I'm used to enlightening when I encounter problems with small doctors. If you don't dislike it, tell me. I also have some contacts in the medical circle of Jinmen." Director Zhou comforted Xia Yong when he saw his pity.

"Director, I am to blame." Xia Yong smiled bitterly, "three months ago, I rescued the patient and took the metal foreign body. As a result, I didn't find it all. I think it should be that a foreign body less than 1cm was missing. Later, the patient found the parenchymal lesion of the right lower lung and underwent lobectomy in your hospital."

"Er..." director Zhou was stunned for a moment. Metal foreign bodies are the most difficult thing to find. Under the radiation machine in the radiology department, I looked for things little by little. It is often 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 flesh and blood.

It's also normal to miss something. You should make it clear to the patient before surgery, and most patients will understand it. But many times, there is no way to find a metal foreign body of a few millimeters in the blood and flesh. Even director Zhou is not sure he can do it 100%.

"What happened later? How did it get to the lungs?"

"I'm unlucky. In fact, I deserve it. I can't do the work." Xia Yong said, "after the operation in your hospital, I found that the solid tumor from the pulmonary vein was a metal fragment, small, a few millimeters, resulting in the patient cutting a lung lobe."

Xia Yong's tone of voice was full of guilt and regret. He didn't go on, but director Zhou knew that his heart was full of assumptions. If you were more serious at that time, if you were lucky at that time.

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

"Tell me more about the situation. It's not common." Director Zhou's habitual spirit, no matter what Xia Yong's mental state, asked him first.

"I looked at the medical record, and the chest CT examination showed that there was residual golden foreign body in the right lower lung. There was a dotted high-density shadow in the right lower lung with clear boundary, the size was about 0.2 cm * 0.3 cm, and the CT value was about 2647 Hu."

"The preoperative diagnosis was that the metal foreign body in the right lower lung remained. Later, a thoracotomy was performed. During the operation, a induration was found in the medial basal segment of the right lower lung. The fine needle was used to detect the metal texture. The wedge resection of the right lower lung was performed, and the lung tissue was cut. A metal foreign body of about 0.4 cm * 0.2 cm * 0.2 cm was found in the right lower pulmonary vessel."

"You......" director Zhou also concluded.

Many patients with metal foreign bodies, mostly factory workers, were injured by metal chips.

"I thought later that there might be a problem with a position on the left thigh. At that time, the patient didn't say it. I thought it was just a broken skin, so I didn't care. I just took out all the foreign bodies on the belly and scanned the thigh under fluoroscopy. I was too careless and deserved it." Xia Yong sighed.

"Later, the teacher of the Affiliated Hospital of Nanjing University said that the metal debris from the left great saphenous vein, femoral vein, external iliac vein, common iliac vein, inferior vena cava, right atrium, right ventricle and pulmonary artery finally stayed in the right lower pulmonary vessel."

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

"I didn't say, but the patient's family was unwilling to let go. There was nothing to show in our hospital, so we dragged it day by day."

It's supposed to be some trouble to solve, and the relevant responsible persons should also admonish, but they won't resign.

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

"Alas..." speaking of this, Xia Yong sighed deeply and said, "I... I modified the medical record."

Director Zhou was surprised to hear the four words of modifying the medical record. Is Xia Yong stupid? If something happens, it will happen. How can he modify the medical record!

This is a big taboo. The key is that there is no way to justify the revision.

The only thing is that there are more and more problems, the more you have to explain, and the more you explain the problems, the more troublesome it will be.

Finally, it led to a direct collapse.

"You." Director Zhou also sighed.

"Our director came to me and hinted that I did it." Xia Yong smiled bitterly, "forget it, it's all in the past. Don't say it."

Director Zhou hinted to the director why he wanted to get any benefits and costs.

This is a disgusting practice of throwing the pot to the lower level doctor.

However, it is also difficult for lower level doctors to meet the director's requirements. There is a problem with saying nothing or modifying the medical record according to the director's hint.

The current medical records are all electronic medical records. If there is a problem, they can be sealed directly. If you want to modify them on the computer, it involves background data. It is difficult to leave no trace.

This little guy is unlucky enough to make such a big deal with a metal scrap.

"Let's say we have a good life as doctors. We usually wash our hands before surgery."

Director Zhou said his own experience, not a joke, but very seriously. With that, director Zhou stretched out his hand and his arms were slightly red.

"You see, this is my habit." Director Zhou smiled helplessly and said, "every time I don't brush my hands five times before going on stage, the operation is not smooth. For so many years, my skin and flesh brushed by a hard brush will be brushed off."