The system takes me for surgery

Xie Tianmu was seriously reading the heart surgery book, and when he saw Liang Yi, he closed the book and asked with a smile, "Liang Yi, what's the matter?"

Liang Yi told Xie Tianmu about the safety of the pacemaker. His statement was so detailed that Xie Tianmu had to believe that what Liang Yi said was not watered down, and Liang Yi could not gain any benefit from this matter. , he couldn't find any flaws in Liang Yi's statement.

Xie Tianmu nodded and said, "I will take a closer look at the question you mentioned. After all, we are all outsiders."

"Yes, you still have to ask the manufacturer to find out." Liang Yi nodded, and he still hoped that the source power pacemaker company would fix this loophole in time.

At this time, there was a noise outside.

Xie Tianmu hurried out to look, and found that a woman in her fifties had quarreled with Tan Aizhu.

Recently, she has had a wave of ups and downs. She had a cold war with Li Zhengping before, and after Li Zhengping negotiated with Xie Tianmu, she transferred Tan Aizhu to Xie Tianmu's group.

As soon as Tan Aizhu came to his group, he quarreled with this woman. This woman is the daughter-in-law of a patient with jaundice. The reason for the two people's quarrel was that the woman wanted to take a disposable paper cup from Tan Aizhu, and she was not willing to give it to the woman. Then the two quarreled for a few words.

Because this kind of trifle quarrels are very common in hospitals, and everyone is not surprised to make a few noises. Today, the woman and Tan Aizhu quarreled because when she was discharged from the hospital, she explained that the family members and patients had to bring copies of their certificates. Forget it, and blame Tan Aizhu for deliberately making things difficult for her.

At first, I thought the woman would quarrel, and after she was discharged from the hospital, the matter should be over. Unexpectedly, the woman killed a carbine in the afternoon. The woman brought her daughter over. Her daughter was in her thirties, wearing glasses, The powder on her face was very white. She asked to see her father's medical records, and then sealed the medical records.

Seeing the patient's daughter doing this, Tan Aizhu panicked.

And this matter is far from as simple as she imagined.

The woman's husband was hospitalized in a hospital for jaundice. After ultrasound, CT and other examinations, the preliminary diagnosis was: obstructive jaundice, intrahepatic and extrahepatic bile duct stones, space-occupying lesions in the head of common bile duct and pancreas, and suspicious cholangiocarcinoma.

After the patient's family members signed the operation consent form, they agreed to the operation.

However, the patient's daughter found that in the surgical consent form, the preoperative diagnosis did not write "pancreatic head space-occupying lesions; pancreaticoduodenectomy."

But it was only added in the surgical risk that pancreaticoduodenectomy was required for the diagnosis of pancreaticoduodenal space occupying during the operation.

You may be a little confused when you see this, but it is easy to understand. The family members of the patient thought that there was no space-occupying lesion in the head of the pancreas diagnosed before the operation, and the surgeon did not inform the family members of the pancreaticoduodenectomy, so the hospital violated it. The right to know, postoperative pathology confirmed no cancer.

Afterwards, the family members of the patient found a professional lawyer to represent them and brought Xie Tianmu and Tan Aizhu to court. They sued the court of first instance for a huge compensation of 60 yuan on the grounds that the hospital misdiagnosed and removed their important organs and constituted a medical accident.

Hospital leaders were furious, and Xie Tianmu and Tan Aizhu were called up to criticize many times.

A medical dispute was enough to bring the atmosphere of a department to a freezing point. After Tan Aizhu had the necessary communication with the patient, she hardly chatted with her colleagues, and the colleagues didn't know whether they were afraid of offending her or what. They seemed to be intentionally or unintentionally Deliberately avoiding her, she has a sensitive personality and encountered such a thing, which made her feel even more tormented.

One night, when Liang Yi came back to make up the medical records, he saw Tan Aizhu sitting in front of the computer wiping tears.

Liang Yi brought a bottle of milk tea and put it on her table, and said, "Sister Tan, let's have a cup of milk tea."

Tan Aizhu looked up, with tears in her eyes, showing a little embarrassed expression, and said in a panic: "Thank you."

The two didn't say anything, Liang Yi opened the operation record written by Tan Aizhu: 1x1cm space-occupying lesion was touched on the glandular segment of the common bile duct, and the quality of the space-occupying lesion was hard, and the head of the pancreas showed infiltrating inflammatory changes; probing the pancreatic segment of the common bile duct showed hyperplasia in the lumen Occlusion, decision row pancreatoduodenectomy.Postoperative pathological results showed fibrous hyperplasia in the wall of the common bile duct, mucosal epithelial hyperplasia, chronic cell infiltration, and focal cell infiltration in the pancreatic interstitium. No tumor was seen.The patient was discharged from the hospital, and the final diagnosis was: obstructive jaundice, secondary common bile duct stones, chronic pancreatitis and fibrous hyperplasia of the common bile duct and pancreatic segment. "

This pathology is to remove the benign, but it is reasonable from the medical theory.

Liang Yi said: "Sister Tan, don't think too much, shouldn't this case be a medical malpractice?"

These words made Tan Aizhu's eyes brighten, and asked: "Is this not a medical accident?"

Liang Yi nodded cautiously and said: "The patient had repeated abdominal pain, persistent high fever, and yellow skin all over the body before the operation. After examination, it was found that the lower end of the common bile duct was obstructed. The bile duct cancer was only suspected. It was made under the condition of surgical indications in accordance with medical norms."

"Yes, that's right." Tan Aizhu replied.

Liang Yi continued: "The sclerosis on the head is relatively large. Whether it is malignant or not must be tested pathologically. However, if the nodule is malignant, the puncture will cause spread. This is supported by relevant medical theories. You and the director Pancreaticoduodenectomy was a responsible medical action at that time, so it was not a medical malpractice."

"If it's true as you said, I haven't had a good night's sleep in the past half month." Tan Aizhu finally started to drink milk tea.

"However, there are shortcomings when we inform the patient's family members and communicate before the operation. We don't care about this." Liang Yi said objectively.

Although Tan Aizhu didn't like to hear the latter sentence, it was the truth. She nodded and said, "It's true that I haven't done well in this area. I need to communicate more with patients in the future. I'm going to die. If I treat that woman with a better attitude , there will be no such trouble.”

This is due to her personality, and partly due to her arrogance and fluke psychology. She used to think that patients are just soldiers, and hospitals are iron-clad camps. Anyway, patients will always come and go, and it is useless to be patient with them. , and the lesson this time is enough for her to remember for a lifetime.

In the next few days, both Xie Tianmu and Tan Aizhu had their appraisal results at the Medical Association, which was too important for the two of them.

The result of this appraisal will also be directly related to the future career direction of the two, and even the length of their careers.

In the afternoon, at 04:30, Long Xiang came to the emergency department in a dark blue suit, with his head held high, and he was walking forward with high spirits.

Xie Tianmu saw him and immediately greeted him.