This doctor has a system

Chapter 406 471. Whenever I frown, I...
However, the drainage of pleural effusion is not very smooth. I have been injecting 1000ml every day for a week, but the patient's pleural effusion still has no tendency to decrease.

Li Huizhen’s superior physician decided to inject the patient with intrathoracic injection of Diendu, which is recombinant human endostatin injection.

This drug is an angiogenesis-inhibiting biological product. It can inhibit the formation of new blood vessels in tumors by inhibiting the migration of endothelial cells that form blood vessels, thereby blocking the nutrient supply to tumor cells, and ultimately inhibiting tumor proliferation or metastasis.

This drug is not a first-line drug, and it is relatively expensive. Few people use it. Every time you use it, you have to fill out a temporary purchase form. Only after approval is passed, the pharmacy can distribute the drug.

Li Huizhen was working the night shift that day. She made a special call to the pharmacy to confirm the diagnosis. She was told that she would not be able to get it back until tomorrow, so she left with peace of mind.

The result was not as expected. The pharmacy underestimated its efficiency and got the medicine back that afternoon.

The nurse went to the office and said it. After a doctor in the same team knew about it, he didn't confirm it with Li Huizhen and just gave it to the patient.

"He uses it intravenously for patients." Dong Qianqian said.

In fact, recombinant human endostatin injection is originally intended for intravenous use, otherwise it would not be called an injection. However, intravenous injection has certain risks. Some patients may experience digestive system reactions and allergic reactions of the skin and accessories. In severe cases, Lead to adverse cardiac events.

This patient was unlucky. He felt palpitation and chest tightness after using it. Before the doctor on duty came to him, the patient's heart stopped.
After struggling for a long time, the person left.

"He's not allowed to talk about this." A girl said hesitantly.

Dr. Han is another doctor who is currently working with Li Huizhen.

"She's a woman, so she should be hired later. It's better to be wronged alone than to have three people suffer together." Han Mingxue said nonchalantly, "Women still have to put their family first. She is not in a hurry."

"Doctor Li seems to be promoted to deputy senior officer, right?" Director He said, "I don't think it's appropriate to do this."

"Is that what Dr. Han is looking for you?"

But now this Han Mingxue put all the problems on her.

So Director Shen now wants to calm down the matter quickly. As for who is responsible, she doesn't really want to figure out who is responsible. Anyway, as long as someone takes responsibility, it will be fine.

"Where is Director Li? Didn't Sister Huizhen always follow him?" Gao Feng asked. Director Li was Li Huizhen's superior doctor before.

Li Huizhen felt very aggrieved. During the ward rounds, the superior doctors Director He, Han Mingxue, and she were all present, as well as several students. They all said it was intrathoracic injection.

"Okay, since Dr. Han won't let me talk, I won't ask." Li Youliang said in a good-natured manner.

It's urgent, okay?

The death of a patient is a blow to the doctor in charge. If he is wronged again, he will probably feel even worse.

"That's what happened. What Sister Qianqian said is basically the truth." Li Youliang said, "That Dr. Han is indeed unkind. What's the responsibility? Let's all shoulder it together."

"I was told that I would be punished later."

The three trainees were all a little embarrassed. Li Youliang understood immediately. Someone must have told them something in advance.

At noon, Li Youliang also learned about this matter. He thought about it and soon knew what to do.

"No." The three students answered quickly.

Understanding this, he went to work non-stop. First, he had to figure out the whole story.

"He was in poor health and left early." Dong Qianqian said that Li Huizhen was transferred and is now not on the same floor as them.

"Teacher Li Huizhen is looking for you?" he asked.

The key is that the attitude of the superior doctor, Director He, is very intriguing. He has never expressed an opinion.

Didn't Dong Qianqian say that there were several graduate students present during the ward rounds, and it became clear after asking.

"It's not that Han Mingxue has been following him, and the two of them are working together." Dong Qianqian said angrily, "Now Sister Huizhen has asked for leave."

But now that the patient has suddenly disappeared, the grief in the family's heart can be imagined.

Gao Feng frowned, this was really a bit difficult to handle.

He suddenly remembered who this Director He was. They had dined at the same table with Director Shen before. The other party was the kind of person who didn't talk much.

Strictly speaking, before using this recombinant human endostatin injection, you need to sign an informed consent form, and the patient's family is now taking this issue to discuss.

Otherwise, I will be hired late in the future, and I will not be able to catch up with you step by step.

At the same time, Director He was also exchanging opinions with Han Mingxue.

"What did Director Shen say?" Gao Feng asked.

If Li Huizhen were here, he would definitely slap him in the face. How the hell do you know I'm not in a hurry?

"But now is the optimal solution." Han Mingxue said quickly, "I want to be promoted to a professional title next year, and you also want to be promoted to a full-level position. We can't have any problems on this critical point."

It's a bit unconscionable to push out an innocent female doctor to be accused like this.

"That's the key." Dong Qianqian said to him, "Director He has always followed Director Shen, and Director Shen has always followed his lead."

The patient's family members are definitely unacceptable. Their purpose of coming to the Provincial Medical Center is for better treatment and to extend the patient's survival period.

"I know about this, please go back first." Gao Feng said to Dong Qianqian.

He went back and reported to Gao Feng.

"They came to the office to ask for an explanation," Dong Qianqian said. "The doctor Han said that Sister Huizhen asked her to use it and asked the family members to find her."

The boss must want to help this teacher Li Huizhen, otherwise he would not talk to him about this matter.

"Xiao Han, I don't think this is good." Director He frowned and said, "Girls have poor endurance. I'm afraid it will be a big blow to her if I rashly push Dr. Li to the front like this."

As long as the brain is not kicked by a donkey, who wants to go to the front line and directly take care of patients?
"It's up to you to handle this matter. It's best to communicate with Dr. Li again." Director He finally said.

Han Mingxue promised, but he didn't want to go to Li Huizhen at all. How to communicate about this?

Is it possible to say: We know you are innocent, but we just want to push you out to take the blame.

This is too hurtful, so the kind-hearted Han Mingxue will not do such a thing.

After understanding the situation, Gao Feng went to find Director Shen, who was showing a movie to someone in the office and was very happy to see him.

"I was looking for you." Director Shen quickly asked him to sit down. "Let me show Director Yao this film. I feel that this nodule is most likely malignant."

Gao Feng took a look and agreed with her opinion. Director Yao next to him looked solemn.

"This is a good thing. You discovered it earlier. It would be better to cut it off now." Director Shen said to him, "Go directly to the thoracic surgery department and don't delay things."

The film belongs to Director Yao's wife. During her physical examination 3 months ago, a ground glass nodule with a diameter of about 3mm was found on her lungs. She felt something was wrong at that time.

After a reexamination after 3 months, it turned out that it had indeed become a lot bigger, and it looked more and more malignant. Director Yao couldn't sit still now and hurried to the respiratory department to find Director Shen.

After receiving the other party's confirmation, he decided to take his wife to the hospital tomorrow and undergo surgery as soon as possible.

Director Yao's wife is obviously lucky. Their unit organizes physical examinations every year, and chest CT and gastrointestinal endoscopy are properly arranged every time. However, most people in China do not enjoy this treatment. Since there are no symptoms in the early stage, most people have advanced lung cancer once discovered.

"You are doing well in Beijing, right? I see you have come up with some kind of CAR-T treatment." Director Shen chatted with Gao Feng with great interest, "I sometimes wonder what your brain is like. It’s amazing how long it is.”

Gao Feng cooperated with humility.

"Director Shen, is there a medical dispute in the department?" He asked directly, "I heard that Sister Huizhen was beaten by her family members."

"That's what happened." Director Shen's face lost his smile when he mentioned this. "The family members made a lot of noise some time ago. They even called the police and the media and complained everywhere."

However, after a lot of trouble, it has now calmed down a lot, at least the demand to shoot the doctor in charge is no longer mentioned.

"Now we are asking for compensation, 500 million."

Gao Feng frowned, the asking price was too high.

"How much responsibility do we have here?" he asked. If the responsibility is really very big, then we must try our best to meet the requirements of the patient's family. If the responsibility is very small, then it is a different matter.

"The family is unwilling to do an autopsy," Director Shen said. "Now we have done a three-party appraisal and the results are out, but they don't approve it."

The appraisal report from a third-party organization indicates that the hospital is slightly responsible because this is an adverse reaction of the drug and is related to the individual's constitution. The medication is in compliance with the standards, and the defect occurs in the rescue process.

The family members believed that the doctor on duty did not intervene promptly enough.

"I heard that Sister Huizhen is going to be punished." Gao Feng said.

"When a patient dies, someone must take responsibility." Director Shen said, "She is the doctor in charge, so she will be promoted to the title at least two years later."

In addition, when it comes to compensation, individuals also have to pay part of it, which is clearly stipulated.

"But I heard that the responsibility for this matter did not seem to be on her." Gao Feng said, "Sister Huizhen was working the night shift at the time, and the method of administration should have been a chest injection, but it was given to the patient as an intravenous drip."

"Well, I didn't ask about the specific situation carefully." Director Shen said to Gao Feng, "In the end, it mainly depends on what Director He says about their treatment team."

In fact, it is not that Director Shen is partial to Director He, but it has always been the case. Generally speaking, the final decision must be to respect the opinions of the professor who leads the team.

Lower-level doctors are only responsible for doing the work and taking the blame when appropriate.

This has to be said how important it is to have the right person.

"Dr. Li is looking for you?" Director Shen asked, "I think you should leave this matter alone. At most, it will be a matter of being promoted to a professional title two years later, and she will not be allowed to give out the money."

This is not a big problem in her eyes.

"Female doctors are still relatively fragile mentally." Gao Feng said tactfully, "If you can't, please invite Director He over to discuss it again and see what he says."

"Okay, I'll call him now." Director Shen said simply. Gao Feng was her heartthrob now, and whatever she said made sense to her.

When the director summoned him, Director He naturally didn't dare to be careless and came at a trot.

"How are you going to handle that matter?" Director Shen asked, "Gao Feng is also very concerned about this matter."

"Li Huizhen took charge of Gao Feng before." She said to Director He.

"When I first came to our hospital for regular training, the teaching teacher in the first department was the consultation sister. Thinking about it now, it seems like yesterday." Gao Feng said to Director He with a smile, "She is very patient and a good doctor. "

Director He suddenly didn't know what to say.

"This matter," he hesitated, "actually has little to do with Dr. Li."

"Xiao Han was still careless. I said intrathoracic administration. He probably had a leak in his ear."

As soon as he said this, Director Shen was a little unhappy. This was not what Lao He said last time.

"If it's not their responsibility, then you didn't tell me earlier!" she said dissatisfied.

"I just found out too." Director He said quickly, "The main thing is that Xiao Han made his own decision. He said everything. From my side."

"Xiao Han has been following me for more than five years, so..."

"I think you are really stupid." Director Shen lectured, "You are already leading a team of doctors, so you have to treat the people below with a bowl of water!"

After listening to her words, Gao Feng couldn't help but smile on his face.

What makes a bowl of water flat? You usually don't do it either.

But leaders are leaders. Leaders can have double standards, but the people below cannot. Director He quickly responded.

"Then let Dr. Han take responsibility." Director Shen made a decision directly, "It is indeed inappropriate for a female doctor to be wronged."

"Since Dr. Han is so decisive, he must be someone who has the courage to take responsibility."

"Yes, Xiao Han definitely has no objection." Director He agreed.

Han Mingxue was downstairs at Li Huizhen's house at this time. After much thought, he decided to come over and comfort the latter.

"Everyone has a responsibility for this matter, but the responsibility is not big." He said to Li Huizhen, "Director He still wants you to take on this responsibility for the time being."

"I also want to take on this responsibility, but I will be promoted to a professional title next year, and I am almost ready."

"You are different, you are still young."

"You seem to be one year older than me." Li Huizhen suppressed her anger and said, "You sound like someone who is too fast."

Han Mingxue was a little unhappy now. This Dr. Li is a little disrespectful. I am here to help you step down. Why am I so ignorant?

"This is Director He's intention. He is the professor leading the group. I have no objection to his decision." Han Mingxue said in a stiff tone, "If Director He asked me to take this responsibility, then I would just frown and I..."

Before he could finish his words, the phone rang, it was Director He calling.

"Director, I'm with Dr. Li."

"what?"

"How could this be possible?!"

"Director, is this inappropriate?"

"Xiao Han, you are a man and you must be brave enough to take responsibility." Director He said on the phone, "I have thought about it. After all, Dr. Li is a girl and was slapped by her family."

"We have to consider her feelings."

Who cares about my feelings? Han Mingxue was furious. The promotion of professional title was a carrot and a pitfall. He said he was promoted two years later, but that didn't mean he would definitely be promoted in two years.

"It is better for one person to be wronged than for three people to suffer." Director He continued, "You can take this responsibility for the time being."

Korean Mingxue

(End of this chapter)