v3 Chapter 2857： Just be more careful

The spectacled man walked out of the hospital door, he was a little depressed, his head was lowered, and no one expected to talk to himself.

He was scolded by a woman with a dog-blooded showerhead, but he couldn't repay, and what happened in the past few months left him confused. There is no harm without contrast, it really is.

As if there were white fog around, the glasses man couldn't see where the road was.

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

"Uh ..." The man in glasses was startled. He looked back at Director Zhou and turned around quickly. He said respectfully, "You are the director of the Nanda Affiliated Hospital.

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

"Director Zhou, my name is Xia Yong, and I am a doctor in the Department of General Surgery, Jintang Hospital ... it used to be." The spectacled man whispered in frustration.

Jintang Hospital is located in the center of the city. It is a Grade A public hospital in Jinhai City. The overall staff quality is quite good. Even in the entire Jinhai city, it can still rank among the top five.

"I think you are depressed and talk to you. People, you always have to experience stumbling, but don't think about it. In front of time, it doesn't matter. You look back after many years, even a small bag No. "Director Zhou said with a smile.

"Thank you Director, I ... now ... okay." Xia Yong sighed.

"When you are a doctor, you will always encounter something, let alone you. I have a lot of things in my life." Director Zhou said, "But if it ’s not good, who can not make mistakes, we are People, not machines. Besides, machines are all right? The machine can be diagnosed directly with the film? "

Xia Yong sighed.

There were snowflakes falling in the sky, and Director Zhou tightened his tight clothes and laughed. "While walking, he said, I can't carry this old bone."

"Director Zhou, thank you, I'm fine, or you should go back first." Xia Yong said.

"I used to be the director of the department, and I used to enlighten me when I had a problem with the doctor. If you don't want to give up, tell me that I am a bit connected in the medical circle in Jinmen." Director Zhou saw Xia Yong pitifully, He said comfortably.

"Director, this is my fault." Xia Yong smiled bitterly. "Rescued 3 months ago and took the patient's metal foreign body. All the results were not found. I thought that a foreign body less than 1 cm was missing. Later, the patient found the right Parenchymal lesions of the lower lung, lobectomy performed at your hospital. "

"Uh ..." Director Zhou froze for a moment. Metal foreign objects are the hardest thing to find. Wearing a lead coat under the radiology machine in the radiology department, looking for things a little bit. Many times I see it at a certain location, but open the tissue a little bit to distinguish the foreign body from the flesh and blood.

It is also normal to omit an omission. You should explain it to the patient before the operation, and most patients will understand it. However, in many cases, it is impossible to find a few millimeters of metal foreign bodies in the flesh and blood, and even Director Zhou is not sure that he can do it 100%.

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

"I'm out of luck, but I really deserve it," said Xia Yong. "After the operation in your hospital, I found that the solid mass from the pulmonary veins was a metal fragment, not large, a few millimeters, which caused The patient cut a lung lobe. "

Xia Yong's tone was full of guilt and remorse. He did not continue, but Director Zhou knew that his heart was full of hypotheses. If you were more serious at that time, if you were lucky at that time.

But it is really rare because of metal foreign bodies to remove the lung lobe.

"You talk about the situation carefully, but this is not common." Director Zhou became accustomed to the spirit, regardless of Xia Yong's mental state, first asked.

"I looked at the medical record and a CT scan of the chest showed that there was a residue of gold in the lower right lung. A punctate high-density shadow was visible in the lower right lung, with a clear border, about 0.2cm * 0.3cm in size, and a CT value of about 2647HU."

"The preoperative diagnosis was the retention of metal foreign bodies in the right lower lung. Later, a thoracotomy was performed. During the operation, a sclerosis was found in the medial basal segment of the right lower lung. Fine needle exploration was used as a metallic texture, and a wedge resection of the right lower lung was performed. Lung tissue, see a metal object about 0.4cm * 0.2cm * 0.2cm located in the right lower pulmonary blood vessel. "

"You ..." Director Zhou also concluded.

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

"I later thought that there might be a problem with the position of the left thigh. At the time, the patient didn't say that I felt it was just broken skin, so I didn't care. I just took out all the foreign matter on the belly, and the thigh was only swept under the perspective. It's done over and over again. My heart is too thick, it's all worth it. "Xia Yong sighed.

"Later, the teacher of the Affiliated Hospital of Nanda University said that the metal shavings were considered to stay in the right lower pulmonary blood vessel from the left great saphenous vein, femoral vein, external iliac vein, common iliac vein, inferior vena cava, right atrium, right ventricle, and pulmonary artery. "

"What do you say in your hospital?" Director Zhou asked.

"Did not say, but the patient's family did not spare it, and there was nothing to show in our hospital, so I dragged it every day."

It is said that the solution is a bit troublesome, and the responsible person should also admonish it, but not resign.

"How did you get here today?"

"Hmm ..." With that said, Xia Yong sighed deeply, and said, "I ... I have revised my medical records."

Hearing 4 words of revising the medical record, Director Zhou was shocked. This Xia Yong is not stupid, what happens is what happened, how can you modify the medical record!

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

It can only be that there are more and more problems, and the more you have to explain, the more trouble you have to explain the problem.

The result was a direct crash.

"You." Director Zhou also sighed.

"Our director was looking for me at the time, suggesting that I did it." Xia Yong smiled bitterly. "Forget it, it's a thing of the past, let alone say."

Director Zhou suggested to the director why www.novelhall.com ~ what benefits can be gained from it and what the price is.

This is a shameful practice of throwing the pan to the lower doctor.

However, when the lower doctors face such demands from the director, it is also difficult to do. Hard to say nothing or modify the medical records as suggested by the director, no matter what.

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

This little guy is really unlucky, a metal chip can cause such a big thing.

"Otherwise, we have a good life as a doctor. We usually wash our hands before surgery."

Director Zhou expressed his own experience, not a joke, but said it very seriously. Speaking, Director Zhou extended his hand, his arms slightly reddish.

"Look, this is my habit." Director Zhou said with a helpless smile and said, "Every time I do n’t brush my hand 5 times before going to the stage, the operation is not smooth. For so many years, my flesh with a hard-bristled brush has It was brushed off. "