Doctor Peerless

Chapter 63 Tang Aiyun's Suspension

The emergency department of the central hospital is still busy, the day shift has not yet clocked out, and the night shift is on track.

In the doctor's office, Jing Dong had just put on his white coat when he suddenly saw Zhou Yisheng coming in, he was taken aback for a moment, and then said: "Oh, good boy, it will be a week as soon as he disappears."

"I was sick, and something happened at home, so I asked Director Jiang for leave."

Jing Dong didn't ask much, and patted him on the shoulder: "Okay, you still follow me, I'll go to the ward first, you change your clothes and come here quickly."

Zhou Sheng was just saying that he wanted to sell Jiang Jiancheng’s vacation first, Jing Dong smiled wryly: "There is no rush, the director just went to the operating room, you can go after he comes out, and we will do our work first..."

Hearing that Jiang Jiancheng was in the operating room, Zhou Sheng was not in a hurry. He hurriedly changed his gown, washed his hands and went out.

On the way to the ward, I met a familiar nurse, Zhou Sheng was about to say hello, but the nurse just nodded with a smile, the smile was cramped, she walked two steps before turning her head and sticking out her tongue, hurrying to work up.

This happened to a few in a row.

The atmosphere is wrong.

Compared with before, there is obvious indifference...

To be more specific, it can't be considered indifferent, as if everyone is afraid of something, just like the dean's inspections in junior high school, the monthly exam in high school, and the possibility of failing a class at the end of the semester in college, everyone is in danger.

After going to the ward and Jing Dong's ward rounds, Jing Dong said on the way back to the consultation room: "Do you feel that the atmosphere is not right?"

"En." Zhou Sheng nodded continuously.

"There was an accident in the emergency department in the past few days of your holiday. The hospital called and criticized, but Cheng Yuan didn't resist. Tang Zhizhi is still suspended for investigation."

I am Nima.

Zhou Sheng was shocked immediately, Tang Aiyun was suspended?

In the first month of the emergency department, Zhou Yisheng has already figured out the interpersonal relationship in the emergency department. There are three teams in the emergency department. The first group is the group that is currently working on the day shift. There is always a rotation quota for surgery, which changes every month.

Group 2 is led by Tang Aiyun, plus three residents, Jing Dong, Yu Jian, and Dr. Chen.

Group 3 consists of doctors from the intensive care unit and the ICU. There are three people in total. Two are hospitalized as full-time nurses, and one is with an ambulance. However, the ICU is on the third floor. Although it is under the jurisdiction of the emergency department, it actually has its own small system and is managed independently. .

Not to mention the 3 groups, from the perspective of the 1 and 2 groups, which group is stronger?

A layman must think that group 1 is stronger, with one attending plus two inpatients, the weight is better than group 2 with three inpatients.

But everyone in the department knows that the second group is their own.

why?
Because Tang’s attending is on the surgical route, while Group 1’s attending is on the internal medicine route. Most of the emergency surgeons are surgeons from other departments on a rotation basis. From this point of view, the situation is very clear. Group 1 is more like giving to other doctors. The place where I came to gain experience, and the attending doctor was also an old man specially hired from the internal medicine department of another hospital. He is 45 years old this year and has no desire to compete.

The logic is very simple, one day Dean Cheng resigns from the position of director, and Jiang Jiancheng takes up the full-time position, and the vacated deputy director will most likely be Tang Aiyun, because he is the only one with this qualification.

The boss of the emergency department can't hold a scalpel, but he can't hold a job.

Tang Aiyun has also been preparing for the selection of deputy senior professional titles.

Small departments are divided into routes, 1st and 3rd groups of branch lines are not mentioned, 2 groups of main lines, the big boss is Cheng Huimin, the small boss is Chengyuan Aitu Jiang Jiancheng, and the number one thug Tang Aiyun is obviously Jiang Jiancheng's person.

Tang Aiyun's position can be seen from one incident...

After Jiang Jiancheng was discharged from the hospital, he planned to travel abroad. There were so many doctors and nurses in the emergency department, only two of them dared to ask him to bring things from abroad.

One is the milk powder that the head nurse asked her to bring to her niece, and the other is the cosmetics that Tang Aiyun asked her to bring to her daughter-in-law.

In short, Tang Aiyun is Jiang Jiancheng's own.

In a sense, he can be regarded as Cheng Huimin's disciple.

Cheng Yuan is the one who protects the calf, no matter from the platform of Jiang Jiancheng who he helped hospitalize, or the matter of Jing Dong and Zhou Sheng, he protects his subordinates very well.

An accident happened to Tang Aiyun, can Cheng Huimin help protect her?

The answer is definitely no.

Jing Dong made it clear, but Cheng Yuan didn't protect him!

What does that mean?
Things are getting bigger! !

"Brother Jing, what's going on?" To Tang Aiyun, Zhou Sheng had a good impression of him, he was a good big brother, he didn't have any airs of leadership, and he was also in the middle of mediating the dispute with Jing Dong.

Not to mention, there is actually no open and secret fighting in the entire emergency department, and everyone is on their own.

What happened to Tang Aiyun made Zhou Sheng feel very uncomfortable.

Jing Dong said in no hurry, he entered the consulting room with Zhou Yisheng, and muttered quietly when he saw that no one was there...

five days ago.

A 53-year-old female patient was consulted for acute abdominal pain. The family member said that she had abdominal pain for three days and had a fever for two days. The pain was in the lower left abdomen.

Tang Aiyun was diagnosed with acute appendicitis by ultrasound. Immediate surgery was recommended. After the family members signed it, they went directly to the operating room. Naturally, Tang Aiyun was the chief surgeon and Yu Jian helped the assistant.

The appendix was removed smoothly. Although Tang Aiyun was the main surgeon, Yu Jian took over the job. As a resident doctor, the experience value gained purely by relying on the appendix. The experience of an operation is not too long, a total of more than 40 minutes, which is not bad, because the patient's condition is relatively poor. Seriously, if Tang Aiyun got started, it would definitely shorten the time.

After the incision is cleaned, prepare for laparotomy.

But before closing the abdomen, the problem came out. Pus appeared in the cleaned place. Yu Jian immediately asked Tang Aiyun when he saw it. Tang Aiyun was dumbfounded when he saw it again. With the diagnosis of colonic chondritis, an abscess blocking the bowel passage can only be resected.

The combination of the two inflammations was never expected. The first consciousness of the general surgeon was to judge appendicitis, and the appearance of appendicitis was confirmed after the laparotomy. The second problem was discovered only after the appendectomy. Headache.

Tang Aiyun immediately took over the position of chief surgeon, and asked Yu Jian to temporarily change the surgical plan temporarily to seek the opinions of his family members.

The family members were dumbfounded for a moment, not knowing what to do, how could it turn into colonic cholicitis after a good appendicitis?Yu Jian explained for a long time, but couldn't get any results, and the family members were also in a dilemma.

Temporarily changing the plan during the operation, they were directly confused, and then considered that they would not do the laparotomy this time, but they would have to do it next time, and they were afraid that the old man would suffer, so they struggled and struggled...

Something happened in the operating room.

It may be that the appendix moved too much during cleaning, which led to massive bleeding at the perforation of the colon.

The nurse immediately came out to report the situation. If there is no operation at this time, the problem will be serious. In the end, the family members were forced to sign, and the contact desk urgently called three surgeons to come to help.

The plan was finalized on the spot, one-stage resection + sigmoid colostomy, after the stoma, defecation will be excreted from the stoma, without polluting the resection and anastomosis.

The five-person operation lasted for more than four hours. The operation was extremely smooth, but when they passed the bed, their cardiac arrest occurred. Fortunately, CPR was successful.

Hearing this, Zhou Sheng's mentality was ups and downs, ups and downs, and his heart was almost hanging in his throat just now.

But problems also followed...

"Then, why the suspension? Isn't the operation a success?"

Jing Dong sighed and said bitterly, "On the morning of the third day after the operation, the patient died."

As soon as the words came out.

Zhou Sheng felt as if someone had hit him with a sap, his head was buzzing, his head was a mess, and he asked unconsciously, "Why? How could it be..."

At some point, Dr. Chen came in with Su Quan, and Dr. Chen said——

"The patient's state was not considered during the operation. Cardiac arrest occurred when passing the bed after the operation. The operation time was too long. The appendectomy took four to 10 minutes. The abscess and ulceration were removed in one stage, and a colostomy was added. , adding up to almost six hours."

"The patient is 53 years old, old, has a history of hypertension, arrhythmia, and finally suffered a cardiac arrest!"

"It is reasonable to say that with the signature of the family members, the risk of surgery already exists. The key lies in the relationship between the family members. They immediately went to the health bureau and caught the problem... Why didn't they find out colonic cystitis in the pre-operative examination? "

"In addition, the two operations were combined, and the operation time was too long. Why didn't you consider a comprehensive one-stage resection? The colostomy only takes an hour. As long as the perforation is not continued to be contaminated, follow-up drug treatment can be performed, or other conditions After stabilization, a second operation will be performed."

Talk to here.

The air pressure in the clinic suddenly dropped, Zhou Sheng looked at Jing Dong in disbelief, and said in a trembling voice, "But this is not considered a medical accident?!"

After all, the operation was successful, and the only option was surgery after the wound was bleeding profusely.

Jing Dong sighed and shook his head: "Of course not..."

"It can be determined by the Medical Affairs Office that there was an error in judgment during the operation by Tang attending the operation."

After Zhou Sheng heard this, he finally understood.

There is a signature before the operation, and there is also a signature to change the plan during the operation. Even if you find a relationship and make trouble with the Health Bureau, it will still be tenable.

However, if the patient died and was caught with a minor problem, the hospital had to give the patient's family an explanation and find someone to take the blame.

The person who is responsible cannot be the assistant Yu Jian, nor can it be the surgeon who came to participate in the operation later.

Who could that be?

Tang Aiyun.

　Thank you for the rewards of Shishanguan 100 starting coins, addais 200 starting coins, and Jiang Jian's novel library 100 starting coins.

　　
　
(End of this chapter)