doctor magician

Chapter 8 Causes of Misdiagnosis

The nurse on the side also smiled and said, "That's right, if doctors have to listen to patients' families, then you won't be a doctor?"

"I said I'm responsible, you just have to perform the operation." Aunt Tian was very anxious, and her volume suddenly increased, almost screaming.

Director Zhang frowned and said, "You can't take responsibility! The patient's condition is not suitable for surgery. If the doctor performs the surgery forcefully, he will make a mistake and be liable for medical malpractice."

Seeing that she couldn't convince Dr. Zhang, Aunt Tian stomped her feet and said bluntly: "To tell you the truth, you misdiagnosed! My husband's disease can be operated on, and he must be operated on. Without the operation, he will not live!"

Several doctors in the room were busy with their own work, but when they heard the patient's family members directly believe that the doctor had misdiagnosed in front of the doctor, their faces darkened, and they gathered around to look at Aunt Tian.

A young doctor said: "Less comrades, you have to have a basis for what you say. You can't say something like a misdiagnosis. Otherwise, we have the right to sue you for ruining the reputation of our doctor."

Aunt Tian also yelled out anxiously just now. Seeing several doctors surrounding her with cold eyes, and someone even threatening to sue her, she couldn't help feeling a little flustered.He quickly put on a smile and said, "I'm not talking nonsense. Someone told me that you misdiagnosed my husband's disease, not cancer at all, but bleeding duodenal ulcer. It can be treated with surgery, but surgery is necessary. treat!"

"Oh, it's not cancer? Who said that?" Director Zhang said coldly.

"The fortune teller said it."

There was an instant burst of laughter in the room.

Director Zhang couldn't help laughing, and said: "I completely understand your feelings, you want to save your husband's life as much as possible. In fact, my doctor thinks the same as your patient's family, and we are doing our best Rescue your husband. But unfortunately, the current medical technology is still unable to save your husband from death. ——You should go back and spend more time with your husband in his last days!"

Aunt Tian gritted her teeth, took out the note written by Xiao Ying from her pocket, and handed it over, "This fortune teller is very accurate. He figured out the reason why my husband was admitted to the hospital and what kind of cancer he was diagnosed with. He also wrote this note and asked me to give it to you, saying that the reason for the misdiagnosis was written on it. If you don’t believe it, you only need to have an operation to open your stomach and you will know that you have really misdiagnosed and what to do.— - Take a look!"

Director Zhang didn't answer the note, put his hands in the pockets of his white coat, and said coldly, "I'm sorry, I'm going to make a ward round now." Then he walked around her and walked out of the doctor's office.

"Wait, Doctor Zhang, read this note!" Aunt Tian wanted to chase her out the door.

"Give it to me, I'll take a look." The young doctor who threatened to sue Aunt Tian just now also sympathized with Aunt Tian and apologized for what he said just now. Go back to the ward, and when the director finishes checking the room, I will give him the note, I promise!"

Aunt Tian nodded when she heard what he said, and told Director Zhang that she must hand it over to Director Zhang, and then went to her husband's ward in a sullen mood.

The young doctor took the note, looked at the other doctors, and said jokingly, "Come and see what our fortune teller has to say!"

Then, he shook his head and read the note in a dragged tone: "The imaging showed an error, the patient+ was not a cancer, but a small, deep and wide ulcer on the posterior wall of the duodenum, and the ulcer penetrated to the pancreas, causing chemical inflammation , which resulted in the signs of enlarged pancreatic head and structural disorder seen in imaging examinations; the patient's obstructive jaundice was caused by the edema of the pancreatic head and the compression of the common bile duct, which led to massive bleeding in the patient's digestive tract, which was caused by the corrosion and rupture of an artery in the ulcer .Patient is in a coma due to hemorrhagic shock. Patient will die of hemorrhagic shock if surgery is not performed immediately for twelve intestinal ulcer bleeding!"

When the young doctor began to read this passage, his tone was eccentric and teasing, but halfway through, his tone became solemn, and at the end, he was full of doubts and shock.

When he finished reading the note and looked up, all the doctors in the room stared at him blankly.They all had a thought in their hearts——a fortune teller, can he write such a professional pathological diagnosis?

Shocked, they were lost in thought because of the cause revealed in the note.

After a long time, the young doctor shrugged pretending to be relaxed, put the note on the table, and said, "No way, duodenal ulcer bleeding? Could it be that his fortune teller's eyes are better than B-ultrasound, gastrointestinal Do radiography, cholangiopancreatography, and CT still work? These imaging tests all prove that the patient is cancer of the head of the pancreas. Moreover, not only the diagnosis in our hospital, but also the diagnosis in other hospitals, including Capital Hospital, is cancer of the head of the pancreas!"

The other doctor also nodded with a half-smile and said, "Yeah, is it possible that the advanced instruments are blind? A fortune-teller can count by pinching his fingers, so what do we doctors need?"

A doctor stroked his chin and thought for a moment, then waved his hand and said, "It's impossible for a fortune teller to write such a professional diagnosis report. Maybe it's not a fortune teller, maybe he's really a famous doctor, but he's just using fortune telling as a cover."

At this moment, all the doctors were dumbfounded again. This possibility might not exist.Fortune-telling is nothing more than using some words to cover the other party's words and fool the other party.But no matter how foolish a fortune teller is, it is impossible to be so professional in fooling, and such an accurate description of the medical cause is not called fooling.

An old doctor with thick glasses at the bottom of a glass bottle adjusted his glasses and said, "What this man said is not unreasonable. I just thought about it carefully, and the possibility he said actually exists. ——If The duodenal ulcer penetrates to the pancreas, causing chemical inflammation, and imaging examination may show signs of enlargement and structural disorder of the pancreatic head, which may be misjudged as pancreatic head cancer.”

Several doctors were dumbfounded. They looked at each other without making a sound.

After a while, the old doctor said, "Why don't we report this matter to Director Gao?"

"But Director Gao is on vacation today, so he didn't come to work." The young doctor said.

"Call home." The old doctor said earnestly, "We want to do everything we can to save the patient's life. Now that we have discovered that there may be a misdiagnosis, we can save the patient's life. Why don't we check to see if it is really a misdiagnosis? Woolen cloth?"

The young doctor hurriedly said: "But you have to bear the responsibility for the misdiagnosis."

"What are you afraid of taking responsibility? Which doctor has never misdiagnosed? As long as you do your best and have a clear conscience. Now that we find that there may be misdiagnosis but do not correct it, then we really have to take responsibility."

The young doctor blushed a little, smiled embarrassingly and said, "I don't mean anything else, I'll just say it casually. I also agree to report to the director."

The old doctor looked around at the other doctors and saw that they were all nodding slowly, so he picked up the note on the table, walked to the desk, and dialed the phone number of the senior director of the Oncology Department of the Provincial Hospital.

As soon as he dialed, before he could speak, the old doctor hung up again, looked at several doctors and said, "How do you tell the director? It is true that the patient's family members got advice from the fortune-teller and discovered that we may have misdiagnosed. ?"

Hearing what he said, several doctors thought it was a problem. ——The doctor discovered a misdiagnosis because of the advice of a fortune teller, and it spread to the world, it really became a big joke.

Several doctors discussed it and agreed on it.The old doctor coughed and dialed the phone again.

The slightly hoarse voice of the senior director of the oncology department came from the phone: "Hello?"

"Director, it's like this. We have something to report to you: a critically ill patient with pancreatic head cancer in intensive care. After discussion, we think it may be because the twelve fingers penetrated into the pancreas, causing chemical inflammation. , leading to imaging examination showing signs of pancreatic head enlargement and structural disorder, so that it was misjudged as pancreatic head cancer. The patient is likely to be in hemorrhagic shock due to duodenal ulcer bleeding. Therefore, it is best to have a laparotomy."

"What did you say?" Director Gao's voice suddenly rose.

(End of this chapter)