Rebirth in the medical world

Chapter 207 There is a problem with the diagnosis

Qi Jianshe never dreamed that such a thing would suddenly appear in the hospital. Any hospital has medical disputes. As the dean, he is not entangled. A series of strange things, he vaguely felt that there must be some secrets hidden behind it, which he didn't know, and these secrets might be done by one of them!
In addition to the doctors who participated in the treatment team that day, Zhang Renkuan, the director of the respiratory department, must be indispensable at this time!Of course, Chen Wu is also among them!

Zhang Renkuan was very calm. He was really glad that Ouyang Chenhui had kept everyone isolated, otherwise, he would not be able to get rid of the responsibility if the patient died.

"Okay, Dean Xia, now tell me what you think about this patient's death!" Although Qi Jianshe was furious, he couldn't let it go at this time. The investigation team of the Provincial Health Department is still concentrating on researching the cause of the patient's death. , taking advantage of this opportunity, he must first understand the situation!If there is any problem at that time, it is better to make plans as soon as possible!

"Dean Qi, I'm just in charge of the work. The main work is done by the doctors of the respiratory department. You know, I'm not from the respiratory department. As for the treatment, I think I should listen to the doctors of the respiratory department The meaning of the director!" At the critical moment, Xia Zhijian still protected himself firmly!He is the leader, at most he is jointly and severally responsible!As for the technical issues, he didn't intervene, so naturally he didn't need to make any reports!
Qi Jianshe knew that Xia Zhijian was already looking for a way out for himself. When things happened, everyone pushed each other, and no one was willing to take responsibility. This is the usual custom after medical disputes arise!Although he was helpless, this was not the time to pursue these things, so he held back and asked Zhang Renkuan: "Director Zhang, please tell me about the patient's condition after admission!"

Zhang Renkuan knew that he had done nothing wrong, so he was very confident. He reported every detail of the transfer of the patient from the emergency room to the respiratory department. He specifically emphasized: "At that time, the patient's condition The progress is rapid, and we have never seen such a ferocious patient in clinical practice, so we have not dared to make a diagnosis before the test results come out! Later, we invited Professor Bruce to come for consultation, considering that it might be a kind of It is a rare mutant disease. Therefore, while treating patients with symptomatic support, we adopted Ouyang Chenhui’s opinion and strengthened isolation to prevent the patient from being highly contagious and affecting other patients! After that, the patient will no longer return to the hospital. I took care of it, but handed it over to Comrade Chen Wu, the deputy director, and let him talk to everyone about the follow-up treatment!" Zhang Renkuan said, looking at Chen Wu seriously, with an imperceptible smug expression on the corner of his mouth!

Chen Wu's mind was still a little confused. To be precise, he also felt a little strange about the follow-up treatment of patients, because not long after he took over, the experts from the Health Bureau came down. At that time, the expert group proposed to do a culture of sputum bacteria, which he approved, and when the result came out, he was infected with Streptococcus pneumoniae. He used a large dose of antibiotics without hesitation at all, and after that , the patient did have a relatively stable period from time to time. In his opinion, when the work was about to be completed, the patient's condition deteriorated sharply, and clinical death symptoms such as respiratory and cardiac arrest appeared in a short period of time!

Wu Chen told the story, and no one found anything suspicious!
Qi Jianshe also felt confused at this time, did the provincial government come prepared?Did you deliberately cause trouble for the hospital?What is the origin of this patient?
As for the origin of the patient, Qi Jianshe immediately asked someone to find out. The deceased was an overseas Chinese, and he didn't have many relationships in China other than his family, and he didn't have any friendship with government officials!
Qi Jianshe was puzzled: Could it be that someone deliberately tried to use this incident to frame him?

He thought for a long time, but he couldn't figure out who would do this!
Instead, it was Xia Zhijian who made him suspicious. After the patient's accident, he kept showing up, as if he was trying to avoid something. Could it be that he knew something inside?
"Dean Xia, you are in business, do you think our hospital doctors are responsible for this matter?" Qi Jianshe asked tentatively.

"From my point of view, all of our behaviors are in line with the norms of diagnosis and treatment, and the condition changes a lot, which is not what we could have expected..." Xia Zhijian said, but he obviously didn't have enough confidence.

"By the way, which doctor saw the patient first when he was sent to the consultation room?" No abnormalities were found in the respiratory department, and Qi Jianshe thought about the situation when he was admitted to the hospital.

"It's Dr. Sun Hongming from the Department of Respiratory Medicine. He was on duty that night. When the patient arrived in the emergency room, the nurse on duty called the Department of Respiratory Medicine. He was the one who went to see it!" Another resident doctor in the Respiratory Department said, looking around. After a while, I realized that Sun Hongming was not there!
Qi Jianshe also glanced around but didn't see Sun Hongming, so he asked, "Why didn't Dr. Sun come? Is he on duty? Call him to come up!" Qi Jianshe said, and a doctor next to him He took out his phone and prepared to dial.

"President Qi, Dr. Sun, he, it's like this, the Respiratory Society has a short notice for a meeting, and everyone is busy, so I let him go! I guess he will come back in a few days!" Xia Zhijian said quickly.His eyes didn't dare to look directly at Qi Jianshe.

"Is there such a thing?" Qi Jianshe muttered in his heart. In the past, if someone was sent out to a meeting or study, he would go to him to sign in advance to receive the travel allowance. Why didn't he sign this time?

However, since Xia Zhijian said that he was not in the courtyard, he did not continue to ask. The most important thing right now is how to deal with the investigation team in the province!

"This kind of thing happened in the hospital. As the director, I am also very sad and helpless. We are a hospital, we are doctors, and when patients die here, we have to assist them in the investigation. Fortunately, we No operating procedures were violated, and no major mistakes were made. In this way, even if they come to investigate, we have nothing to fear. From now on, no matter which of you the expert team asks for information, everyone must answer truthfully! Cooperate with their work!" Qi Jianshe explained a few words to everyone, and then he was relieved!
Now that the investigation team is here, all Jingdu Hospital can do is cooperate!Fortunately, the death of the patient is not directly related to the doctor!Qi Jianshe thought so.

As for the diagnosis, he didn't have any worries. Since it was an expert group sent by the Health Bureau, they would naturally be responsible for this responsibility!

At this time, his heart calmed down, and he thought of asking how the autopsy was going.

He really couldn't figure out such a big fuss this time!
A phone call was made to the anatomy laboratory, saying that the anatomy has been completed, and now the section observation is in full swing!

Qi Jianshe had seen Ouyang Chenhui's dissection speed before, so he was not surprised that the dissection was completed so quickly.

About another hour later, Qi Jianshe got the news: the patient was definitely not infected with Streptococcus pneumoniae!Because Streptococcus pneumoniae was not found in the patient's body at all!
This news surprised Qi Jianshe greatly. How is this possible?

At the beginning, the experts from the Health Bureau took samples and cultured them, and the results of the cultures were obviously pneumonia caused by Streptococcus pneumoniae!How could such a result come out suddenly?
Since the patient's pathogenic bacteria was not Streptococcus pneumoniae, the previous diagnosis was wrong. If the diagnosis was wrong, of course there was a problem with the treatment. In this way, the hospital will bear a lot of responsibility for the death of the patient!

At this time, Qi Jianshe was facing the leaders of the province, so he naturally did not dare to neglect, and quickly reported to his superiors that the Health Bureau sent a team of experts to come over to supervise in person!

Hearing what Qi Jianshe said, Li Yisu frowned tightly.It seems that this investigation is not only aimed at the doctors of the Kyoto Hospital, but also the so-called experts of the Health Bureau!
"Minister Li, I have a question." Ouyang Chenhui, who had been listening quietly, suddenly thought of a question at this moment.

"What question, tell me!" Li Yisu turned around and looked at Ouyang Chenhui.

"It's like this. At that time, the experts of the Health Bureau collected the patient's sputum samples for culture. Since the culture was found to be Streptococcus pneumoniae infection, there is basically no mistake. If it is really wrong, it seems that there is only one A possibility!" Ouyang Chenhui frowned, as if thinking about something.

"What's possible?" Li Yisu asked.

"The results of the culture can't be wrong. Now that there are so many discrepancies, the only possibility is that the specimens were wrong, that is, the sputum specimens collected by the bureau were wrong! Therefore, I think it is necessary to collect all the sputum cultures done that day. Please re-confirm the specimens of all the patients!" Ouyang Chenhui said, indeed, there may be errors in medical treatment, but such a large error is absolutely impossible!

"Well, this is a big problem. If the specimen is wrong, then it's not just a patient who was misdiagnosed!" Li Yisu pondered for a while, and then explained to a staff member in the laboratory: "Take everything done that day. Make a list of the patients who have undergone sputum culture, and bring all the specimens here, we need to do further research!"

The specimens in the laboratory have to be stored for a period of time before being discarded, so this problem is not difficult!
However, after a while, the laboratory staff rushed over and brought them an even more unexpected result.

The staff of the laboratory said that only one patient was doing sputum culture that day, and it was a rapid culture, so it is absolutely impossible for the specimen to be confused with other patients!

(End of this chapter)