Chapter 21 Causes of Infection
Gu Fan didn't want to follow him into the duty room, but he couldn't screw Dean Xiao's repeated requests.
The group stood in the duty room, whether it was a director-level doctor or a professor, all of them bowed their heads. This matter is not only the responsibility of individuals, but also the responsibility of a group and a department. The individual did not really fill in the medical records and modify the medical records without permission, and the team leader did not check the medical records to understand the patient's condition. The responsibility of the department lies in the failure to do a good job of control and supervision, and this medical accident can be said to be the responsibility of the entire orthopedic surgery. Some of them are dissatisfied with Gu Fan in their hearts, but more of them feel guilty about the patients and blame themselves for their dereliction of duty.
Dean Xiao Zhan's face darkened, "What's the matter with you doctors? Ah, the patient's wound infection has reached this level, and you are still comparing between groups? and you." Xiao Zhan pointed to the attending doctor, "Still confidently thinking that it can be solved? Doctors should take every patient in their hands seriously, not feel and feel useful, then what more doctors do." The patient can feel it on his own. This is the first time since the establishment of this hospital, and I hope it will be the last. I don't want to see a second time something like this happen. Your performance bonus for this year is gone, and the whole hospital will circulate criticism at the same time. ”
The attending doctor breathed a sigh of relief, fortunately, it was only a deduction of performance bonuses, and if he was fired, his medical career would be ruined.
To illustrate, hospitals don't dismiss doctors easily. Unless there is a major medical malpractice, there is also a possibility that the doctor voluntarily resigns and transfers, or the contract expires and one party refuses to continue the renewal of the contract between the hospital and the doctor.
The attending doctor lowered his head and glared fiercely at Gu Fan, who was standing there frowning and thinking. His heart was full of ruthlessness towards Gu Fan, if it weren't for him looking through the cases, how would he be found to have been modified. But he forgot that in this case, as long as a qualified doctor or director would go and look at the case to make sure that the treatment was effective.
The attending doctor lowered his head and stood up, "It was my mistake in my work this time, which caused a major loss to the hospital, and I am willing to accept the punishment." ”
The team leader of the attending doctor also stood up, "I am also responsible, Wang Qiang is a member of my team, and I did not supervise well." ”
"I am the head of the Department of Orthopaedic Surgery, and I am also responsible for this accident. ”
Dean Xiao nodded, "I'm very satisfied to see that you can take the initiative to stand up and admit your mistakes." The two of you will deduct a month's bonus, and the evaluation at the end of this year will be cancelled. ”
The two doctors are also within the acceptable range of such punishment, if they don't take the initiative to stand up and admit their mistakes, according to the old dean's style of doing things, it will be more than a two-month bonus.
"This incident is a wake-up call for our hospital and a dereliction of duty on the part of our hospital staff. Dean Xiao sat there and knocked on the table and said.
"In fact, this matter is not only the responsibility of the orthopedic surgery, or the main responsibility is not the orthopedic surgery department. Gu Fan suddenly interrupted Dean Xiao's words.
Everyone's eyes turned to Gu Fan again, not understanding why he said that.
Dean Xiao turned his gaze to Gu Fan and asked suspiciously, "Are there other departments?"
Gu Fan nodded, "The patient's age is only thirteen years old, and the appearance of the germs on his wound and the appearance of his body are not like what a thirteen-year-old child should have. We need to do a spirochetal serology. ”
"What?spirochetal serology?" the doctors looked at each other
Dean Xiao frowned, "Why do you tell me your basis?"
"There are small erythema on the patient's body and near the wound, and there are signs of lymphatic swelling near the patient's lower leg, so it is necessary to confirm that the spirochetal serum is positive. ”
Dean Xiao closed his eyes and thought, "If the spirochete serois is positive, then we can know whether the patient is infected because of M virus, and the hospital can be excluded from responsibility?"
Gu Fan shook his head, "It can't be ruled out, but it deepens the responsibility of the hospital." ”
Dean Xiao stood up, "Why?"
"The small erythema on the patient's body is only near the wound, and the lymphatic swelling is very mild. The incubation period of M poison is 2 to 3 weeks, and the patient is in the hospital for these two to three weeks. Therefore, the infection of the patient is most likely in the hospital. Gu Fan then analyzed, "The patient's wound infection started just a week ago, and it was pushed forward two or three weeks, that is, before and after the patient underwent surgery. ”
Hearing Gu Fan's analysis, one by one the doctors and the director discussed with each other.
"The main way of transmission of M virus is sex, followed by the possibility of infection from wound contact with the virus, and it is impossible to destroy the virus with just ordinary antibiotics. The head of the department spoke. "In the early stage of M toxicity, there is only a red rash with itchy skin. Rashes can be easily overlooked in hot weather, and itching near the wound may make the patient think it's due to a scab. ”
"Director Shang, prescribe blood test tests and bacterial culture to patients, and let the laboratory focus on this case first. Dean Xiao made a decision.
"Dean, the operating rooms are all sterilized, most of the instruments are disposable, and there is very little chance of infection during the operation. Is it that the patient's family has this disease and has transmitted it to the patient? As Wang Qiang's team leader, Sun Jianlin thought about it and said.
Gu Fan shook his head, "The possibility is very small, the M poison only survives for 1 to 2 hours after leaving the human body." We stayed in the ward for almost half an hour, and the patient's mother did not scratch the itch for half an hour, proving that his mother did not have the disease, so that all the family members who were close to the patient could be excluded. ”
Sun Jianlin frowned, he was not from the infectious disease department, and asked puzzledly, "Why?"
"The chance of sexual transmission is very high, and if a woman has this disease, then her husband can be diagnosed 100 percent. The possibility of this disease among family members is very high, so it can be completely ruled out," Gu Fan replied affirmatively.
As doctors, they can already open their mouths when it comes to sexual problems. can make Gu Yue next to him red-faced, and he doesn't know how many words he scolded this group of people, can't they care about having a little girl next to them?
The head of the department looked at Gu Fan in surprise, he didn't expect this young man to know so much, no wonder the dean was so important to this young man. "This young man knows a lot, so we doctors who have been practicing for a long time sigh to ourselves. ”
Gu Fan looked at the department director, "You are humble. ”
"Introduce this Dr. Gu Fan next to me, he is a clinical doctor of orthopedic surgery at Harvard University, and it is uncertain which department he will be assigned to. You discuss any problems with each other in the future. Dean Xiao was not surprised by Gu Fan's erudition, he already knew it in his heart.
The director of the department looked at this twenty-year-old Gu Fan in surprise and shook his head with a wry smile, "Dean, aren't you joking? ”
A professor frowned, and kept muttering Gu Fan, Gu Fan. When he thought of what the dean said in the ward, he clapped his hands, "You are the Gu Fan who published bone calcification treatment at the Lancet?"
Gu Fan turned around and looked at the old man beside him, although the old man's face was full of wrinkles, his face was ruddy, and the whole person looked extraordinarily energetic. Nodding his head in acknowledgement.
Seeing Gu Fan nodding, the old professor grabbed Gu Fan's hand, "Little friend Gu Fan, I read your article on calcification treatment, it's really exciting." The old professor turned his head to look at Xiao Zhan, "With such a talent, you must leave him in the Department of Orthopedic Surgery." ”
Xiao Zhan smiled bitterly, how could he not know that Gu Fan was a talent, but because of the talent, he didn't know which department to put him in.
The doctors at the hospital didn't know who Gu Fan was, but they also knew how difficult it would be to publish an article on The Lancet. The Lancet reviews each article multiple times, each article is worth researching, and the narrative in the article has made some breakthroughs.
Most of the doctors present did not have a research topic, let alone published an article on it. Their eyes became even more strange when they looked like Gu Fan.
The old professor looked at the dean, "Dean, you have a word for you." ”
Xiao Zhan smiled bitterly, "Professor Qian, since you know that his name is Gu Fan, you should know his achievements." ”
Professor Qian turned his head to look at Gu Fan, let go of Gu Fan's hand with a long sigh. "Gu Fan's main achievements are in the Department of Cardiology and Neurology, where he proposed the theory of endocardial canal vascular dredging and the theory of cerebral cortex galosphere stimulation. He has participated in many experiments in the Department of Neurology at Harvard University, and recently successfully completed a heart transplant and broke the record for the fastest time in the past. ”
Hearing Professor Qian's introduction, a group of doctors looked at Gu Fan with a monster-like look. Such a talent stays in his own department, which makes people love and ruthless. If you stay in the department, the Department of Health and the hospital will increase the research foundation of the department. But it is precisely because of Gu Fan's existence that their limelight will be suppressed, and it may even directly affect their future promotion.