This doctor has a system

Chapter 481 545. The hit was too light!

But the fact now is that the patient himself concealed the true situation.

According to the attending physician, he specifically asked twice, but the patient said that she had no boyfriend and no sexual history.

"When the parent heard me ask this, he was very dissatisfied." The attending physician was somewhat indignant when he talked about this. He was afraid of exacerbating the conflict, so he did not pursue the matter further.

But now the patient is dead.

The family members are now very dissatisfied and believe that the patient's death was caused by the hospital.

One family member had a classic statement: Although we wanted to deceive you on purpose, we refused to do an abdominal B-ultrasound and refused to check for pregnancy indicators. If you did, it would be over-medicalization. You are a medical scum with no medical ethics who is only trying to make money. We will file a complaint against your unscrupulous behavior with the National Health Commission.

But the person is dead now, and the dead are the most important. We have a low level of education and don’t understand anything. Although we don’t cooperate with the examination, don’t you doctors have any responsibility at all?
Putting aside the facts
The family members clicked three buttons at once: reporting the case to the Public Security Bureau, filing a complaint with the National Health Commission, and seeking help from the media.

The Public Security Bureau is very cautious about filing a case for investigation. When it comes to medical disputes, they will definitely not listen to one side's words.

Moreover, the standards for filing a medical accident case are relatively high. It must be due to the serious irresponsibility of medical personnel, resulting in the death of the patient or serious damage to the patient's health.

The patient concealed his medical condition. After learning about this situation, the police believed that the doctor in charge was not seriously irresponsible, so they decided not to file a case for the time being.

As an adult, it is impossible for the patient to be unaware of the fact that she was seven months pregnant, after all, she stopped menstruating after becoming pregnant.

As for why she lied to the doctor, she might have been afraid that her parents would know about it and wanted to hide it, but she didn't expect the doctor to believe her.

The doctor involved is definitely responsible. Since the patient had abdominal pain, why didn't he do an ultrasound or abdominal CT scan?

The patient conceals the truth, the doctor makes mistakes, one wrong step leads to another, and the result is harmful to both others and himself!
It is not difficult to judge from the medical records written by the City Central Hospital that Lili should have died of severe pregnancy-induced hypertension, also known as gestational hypertension.

Gestational hypertension is a common pregnancy-specific disease that usually occurs after 20 weeks of pregnancy. It is characterized by hypertension, proteinuria and other systemic dysfunctions. The incidence rate is 2.5% to 3%, and it can lead to the risk of death of the mother and fetus.

After Lili became pregnant, she developed severe gestational hypertension, which caused damage to many organs including the kidneys, severe systemic edema, and hematuria and proteinuria.

Because the patient was a college student and concealed the fact that she was pregnant from the doctor, the initial attending physician did not consider gestational hypertension, nor did he conduct targeted B-ultrasound and other examinations to rule out the patient's pregnancy. Instead, he diagnosed her with "nephrotic syndrome" based on the symptoms of edema, proteinuria, hypertension, hypoproteinemia, etc.

Some people on the Internet criticized: She is 7 months pregnant, shouldn’t the doctor be able to see it at a glance?

Unfortunately, due to obesity and severe edema, the patient's abdominal manifestations of pregnancy will be masked to some extent.

The patient was seven months pregnant, but not only the doctors but also her parents failed to detect it.

If the patient is not pregnant, her condition is very consistent with the symptoms of "nephrotic syndrome".

The doctor's initial diagnosis of "nephrotic syndrome" was not without basis, nor was it, as the media described, that the patient was inexplicably diagnosed with kidney disease simply because he "gained weight."

Obviously, the treatment plan for pregnancy-induced hypertension is different from that for nephrotic syndrome.

Treating gestational hypertension as nephrotic syndrome, although the treatment itself may not necessarily lead to the patient's death, it will undoubtedly cause patients whose conditions are already extremely critical to miss the crucial treatment opportunity, resulting in the condition worsening and ultimately death.

Lili's father also came to the meeting room. He actually had no objection to the division of responsibilities among the experts.

The family members' attitude has changed. They are no longer obsessed with holding the doctor responsible, but are demanding compensation.

The hospital also wanted to calm the impact of this incident as soon as possible, and the two parties hit it off.

Gao Feng also expressed his opinion in writing. He believed that the doctor in charge was definitely responsible for the accident, but the punishment should not be too severe.

Appropriate economic penalties or delay in professional title promotion would be more appropriate.

What is said online about sentencing or revoking medical license is obviously nonsense. As for those who advocate that the attending physician should pay with his life, they are definitely idiots.

The summary of this medical accident is: the patient was stupid and the doctor was careless.

Both parties should be punished, but it is clear that the patient was punished too severely, and his best years were over.

Gao Feng also has some other insights, which is the difference in the level of doctors in hospitals of different levels.

After the patient was transferred to the First People's Hospital of the city, although her family denied the pregnancy, the hospital still performed a bedside ultrasound examination on the patient and discovered that she was pregnant, thus confirming the diagnosis.

At the beginning, the attending physician of a certain People's Hospital did not consider the possibility of renal damage caused by gestational hypertension because the patient concealed the fact of her pregnancy. He did not conduct relevant targeted examinations and did not perform a serious abdominal examination, which led to misdiagnosis and incorrect treatment.

This is due to both lack of experience and lack of carefulness.

Doctors and hospitals need to seriously reflect on and learn lessons from all of the above.

"Director Liu, do you encounter such things often?" Gao Feng asked.

"A lot. You know there are many patients who like to hide their medical history." Director Liu said casually, "There was a patient with an ectopic pregnancy before, and she swore that her menstruation was normal."

"There was also a patient whose belly suddenly grew bigger. She said she had no sexual history, but when she did a color ultrasound, it turned out that the baby was already in the pelvis!"

The key point is that the patient has an A4 waist, who could have thought of getting pregnant all of a sudden?

However, for women of childbearing age, many old doctors like to check a urine HCG or gynecological color ultrasound. After all, they cannot believe the patient's words without reservation.

And sometimes patients do not deliberately conceal the truth, there are indeed some coincidences.

"Do you know Head Nurse Fan from our Department of Cardiology?" Director Liu said to Gao Feng, "Something happened to her at that time."

Head Nurse Fan had been feeling unwell during that period. She always felt nauseous when she woke up in the morning and had no appetite.

She has chronic gastritis, and that was what she thought of at first.

After a gastroscopy, the doctor diagnosed me with gastric mucosal erosion. The gastroenterologist prescribed acid-suppressing and gastrointestinal motility-promoting drugs, but after taking them for a while, the symptoms did not improve.

The doctor who treated her didn't consider the possibility of pregnancy at all. Firstly, according to Head Nurse Fan, she had her period in the middle of last month, and secondly, she had an IUD inserted in her body.

How was it discovered later? It was just a coincidence.

There is a young nurse in the department who always sweats a lot at night. She felt much better after drinking Chinese medicine for a period of time.

She suggested that the head nurse see a Chinese medicine doctor to regulate her vital energy and strengthen her body.

Head Nurse Fan thought what she said made sense, so she asked someone to find a famous master of traditional Chinese medicine. The master felt the patient's pulse and there was a hint of doubt in his eyes.

Q: Are you pregnant?

"No way, I'm wearing an IUD and I even had my period last month."

The Chinese medicine master apologized and said that the pulse of head nurse Fan was consistent with the pulse of pregnancy. The pulse of pregnancy is a slippery pulse. The characteristic of the pulse of pregnancy is that the pulse is smooth and round, like a pearl rolling on a jade plate. This pulse can be used to determine whether the pregnancy is confirmed.

"The pulse of happiness is not very accurate, and no one is researching this anymore." The master sighed, "It's been eliminated."

This is natural. After all, urine pregnancy tests, blood HCG tests, or B-ultrasound examinations are much better than Chinese medicine pulse diagnosis in determining whether a woman is pregnant.

The master prescribed some Chinese medicine and asked her to drink it and observe the results.

After returning, Head Nurse Fan inexplicably remembered that sentence: Are you pregnant?

She lay in bed and thought carefully, and the current symptoms seemed to be very similar to those during her previous pregnancy.

"How is that possible?" my husband said casually.

But Head Nurse Fan was still concerned. She checked her blood HCG level in the morning and was shocked by the result.

I went to the color ultrasound room and found the director, who said that the gestational sac could be seen.

"You are like an old clam holding a pearl." The director said to her with a smile, "What's the matter? Do you still want to have a daughter?"

"I'm just trying to make a fool of myself!" Nurse Fan said speechlessly, "I'm wearing an IUD, how can I get pregnant?"

The director was also stunned for a moment. Yes, he just saw the contraceptive ring.
Later it was speculated that the reason for the pregnancy was that the contraceptive ring did not work. After all, the success rate of this thing in preventing pregnancy is not 100%.

As for last month's menstruation, it was probably mucosal bleeding caused by the irritation of the contraceptive ring.

The result of this incident was that Head Nurse Fan's husband had a sterilization.
"So missed diagnosis and misdiagnosis are inevitable." Director Liu said leisurely, "But it's such a pity for this girl."

When Gao Feng returned to the department, the head nurse was also there, mediating the conflict between the family members and the patient.

"Hey, Mr. Wu Jingchun in bed 8 just had an argument with his wife and even broke a cup."

Mr. Wu Jingchun is an old patient in the department. He comes to stay here every few months and devotes his light and heat to the sustainable development of general medicine.

He has a smoking history of more than 50 years. He used to smoke 2 packs a day, but now he is said to smoke much less.

His family has been trying to get him to quit smoking, but the old man just treats them as nonsense and refuses to change, and his family can't do anything about it.

Now my wife is coughing all day long. A chest CT scan showed that she also has emphysema, which should be caused by secondhand smoke.

The day before yesterday, Mr. Wu was hospitalized again. His chronic obstructive pulmonary disease, which was induced by respiratory tract infection, had an acute exacerbation. Just as he felt a little better after taking the medicine, he took out a cigarette from his pocket.

When the nurse went in to change the fluid, she found the old man smoking while receiving oxygen.

The old lady went to buy him some fruit. When she came back and knew about this, she was very angry and slapped him twice in the face.

If this happened at home, it would be fine and Mr. Wu would just bear with it.

But there were other patients and their families in the ward. The old man was embarrassed and felt that he had suffered a great humiliation.

In a rage, he smashed the cup and threw all the fruits he bought on the ground. The angry old lady slapped him twice.
"Four big bastards!" the old man burst into tears. "Your mother is going to make a scene!" he said to his son.

"Don't cry, Dad." The son didn't care. "Didn't I beat you often before? What's wrong? Are you not used to it yet?"

Everyone
"Are you talking like a human being?!" Old Master Wu was almost mad to death, "That was at home, how could you do that outside?"

"Then why don't you just stop smoking and drinking?" the son advised, "Isn't that why I beat you every time?"

"I can't quit!" Mr. Wu was very determined. "Who still smokes? Who still drinks? They can still live to be 88 years old!"

"Why can't I, Old Wu?"

Gao Feng, who had just come in, happened to hear these words, and he couldn't help but frowned.

Mr. Wu must have kicked himself in the head. How can one person be compared with another?

Is that cigarette that they are smoking?
What people draw is decision-making, what they draw is wisdom, and what they draw is the future.

What did you smoke? The guy spit out a few mouthfuls of phlegm after smoking, it was so disgusting!
I like to drink, and no matter what I say, everyone else will drink too.

Is that alcohol they were drinking?

It is the people’s responsibility to drink!

You vomited a few times after drinking, how can you have the nerve to compare with others?

The key point is that nothing happens to other people after smoking and drinking, can you?
"Director Gao, you have to make the decision for me!" Old Master Wu shouted as soon as he saw Gao Feng, "Someone is beating the patient!"

"You hit him too lightly." Gao Feng didn't even look at him, "Slap him a few more times next time. It would be best if you could make his mouth crooked! He won't have the energy to howl here!" He said to the old lady.

He was smoking while breathing oxygen. What if there was an explosion?
He was simply playing with his own life and the lives of the patients in the same room. Gao Feng wanted to slap him in the face.

Mr. Wu suddenly lost his temper and kept silent with his lips pursed.

"Your words are still effective. This old man Wu doesn't dare to say a word now." The head nurse said to him with a smile. She had just tried to persuade him for a long time but it didn't work at all.

Most patients do not listen to their family members or nurses, but subconsciously are willing to listen to their doctors.

"Why do you look so haggard?" Gao Feng noticed that she had dark circles under her eyes and couldn't help but ask.

"It's okay, maybe I didn't get enough rest these days."

Gao Feng didn't pay much attention to it at first, but soon Li Youliang came over and said a few words to him.

"Is hospitalised?"

"Yes, her son has been complaining of abdominal pain these days and is hospitalized in the Department of Gastroenterology," said Li Youliang.

"Why didn't you tell me?" Gao Feng frowned. "Go and call Bu Zhengyang over."

When a family member of a department employee is hospitalized, it is reasonable for him, as the director, to go and see him, not to mention that he is the son of the head nurse. He did not tell him what was going on with Bu Zhengyang.

"I don't know." Bu Zhengyang was confused. No one told him.

The head nurse must be afraid of troubling everyone, but now that we know, we might as well go right away.

(End of this chapter)