Chapter 22 Tracing the Source of Infection
Wang Qiang looked at Gu Fan, he was even more ruthless in his heart, why could he be so good, but I was disgusted by all my colleagues in the department.
If the doctors hadn't seen the dean there, they would have pulled Gu Fan to talk. No matter how Gu Fan is in the hospital now, his future will definitely not be low, it is better to get closer to the relationship between the two now.
At this time, the nurse took the serum report and the results of the culture of bacteria, and looked at the examination report in her hand, Dean Xiao sighed, "As Gu Fan said, there is indeed M virus in the patient's wound. Let's pass it on to each other!"
A group of doctors held the report in their hands, looked at the spirochetal seropositive, and already understood what the real cause of the patient's infection was.
"Since it has been determined that the infection is caused by M poison, what kind of drugs should we use to treat it?" Sun Jianlin muttered.
Director Shang pondered for a while, "Our doctors here are not good at skin and STD, why don't we contact the dermatology department?"
Xiao Zhan smiled, "Why bother to seek the near and far, doesn't Gu Fan know about M poison? We might as well listen to his treatment opinion." ”
Dean Shang smiled awkwardly, thinking that Gu Fan's achievements were already so high, it was impossible to have research on skin and venereal diseases. With such an idea, he directly skipped Gu Fan.
Gu Fan thought for a while, "The M virus is divided into three stages, and the patient is now in the first stage through pathological observation. Penicillin was injected bilaterally into the butt once a week for 2 weeks. If the patient is allergic to penicillin, doxycycline 100 mg per day can be taken for fifteen days. Shrugging his shoulders, "I don't know much about skin diseases, but it's best to contact the dermatology department if I just propose the following treatment suggestions." ”
Xiao Zhan nodded, he agreed with Gu Fan's treatment plan, but he hung up the phone to the dermatology department with a cautious attitude, Xiao Zhan described the patient's situation on the phone, and also put forward the treatment plan.
The director of dermatology on the other end of the phone thought about it and gave an affirmative answer.
Hanging up the phone, Xiao Zhan nodded at Gu Fan, "Gu Fan's medical plan is feasible. ”
The surrounding doctors sighed very much in their hearts, they didn't expect that this Gu Fan would not be easy to do research in dermatology.
"Okay, now that the medication is confirmed, the treatment is confirmed. This time, Director Shang is mainly responsible for the patient's situation, and if there are any problems, communicate in a timely manner. After finalizing the treatment plan, Dean Xiao said.
Gu Fan raised an objection at this time, "But how do you explain it to the patient's family?"
Hearing Gu Fan's words, the doctor sitting there frowned again and fell into deep thought.
Wang Qiang looked at the silence of the people around him, and felt that his performance opportunity had come, "The medicine is intravenous, we can just don't tell the patient!"
Hearing Wang Qiang's words, a group of doctors looked at him like idiots.
Sun Jianlin said loudly with a look of disdain, "Isn't it on the list of drugs?
Dean Xiao Zhan sighed, "Wang Qiang, you are not suitable for this job, you should take the initiative to resign." ”
Hearing the dean's words, Wang Qiang's face turned pale, and he trembled and pleaded in a trembling voice, "Dean, I was wrong. Please give me another chance. ”
The doctors around him didn't open their mouths to help him intercede, it's not terrible for a person to make a mistake, but it would be stupid to make a mistake on the same issue, and it was a mistake of principle, and he had lost his qualification as a doctor.
Xiao Zhan shook his head, "I don't want to repeat what I said, if you don't take the initiative to resign, I can only exercise my rights as the dean." ”
Hearing Xiao Zhan's words, Wang Qiang gritted his teeth and finally chose to resign voluntarily. Although he could get a certain amount of compensation if he was fired, his career as a doctor was completely ruined.
When Wang Qiang walked out of the office, he glanced at Gu Fan with resentful eyes.
Gu Fan looked at his eyes, did not dodge, did not worry about his revenge. A doctor practitioner who does not seek truth from facts to write medical records and conceal his illness and medication is not worthy of sympathy, not to mention that Gu Fan believes that they will not have any intersection with this kind of person in the future.
A group of doctors did not go to see Wang Qiang, who was leaving, and frowned one by one, stumped everyone present about how to tell the patient about this matter. Telling the facts, the patient will not understand, and at the same time there are complaints, concealing how to treat the disease in the future, and it is a matter of smashing their own signboards.
Xiao Zhan frowned, and looked at Gu Fan again, hoping that he could put forward an effective opinion.
Gu Fan's eyes were also black, and he didn't know where to start.
Gu Yue looked at Gu Fan and frowned, "I think it's okay, first investigate the real cause of the infection and tell the truth to the patient, our teacher said that it takes a hundred lies to round out a lie." The hospital cannot afford to make mistakes again and again, which will only cause patients to lose confidence in the hospital. ”
Gu Yue's words woke everyone up, yes, the hospital has done something wrong, if it continues like this, won't it force the patient to the opposite side of the hospital?
Xiao Zhan nodded, "Gu Yue girl, what you said makes a lot of sense. Be realistic, and we tell the truth to our patients. At the same time, the source of infection is investigated. ”
Director Shang nodded, "This is the best way at the moment, but how to investigate the source?"
"First of all, it is ruled out that the practitioner did not have M poison, and secondly, the records of the surgical equipment were investigated, and the surveillance video of the operation was checked. Gu Fan hugged his arms and said.
Nowadays, in order to avoid medical disputes, hospitals are equipped with monitoring in the operating room.
Dean Xiao rubbed his eyebrows, "The hospital will conduct a comprehensive free examination of employees every year, and the possibility of practitioners suffering from M poison can basically be ruled out." ”
Director Shang frowned and told the nurse next to him to go to the archives to retrieve the report of the surgical equipment that day.
Dean Xiao turned around, opened the hospital software on the computer, and logged in to his account. I asked about the operation time of the 32-bed patient, and opened the medical record and clicked on the video image below.
Since the video image can only be viewed by the senior management of the hospital, a group of doctors stood behind President Xiao Zhan and carefully watched the video that lasted for an hour and a half. Someone in the middle couldn't hold on, so he found a stool to sit on and continue watching.
The whole procedure went very smoothly and was a successful operation.
But these are not what everyone wants to see, and the cause of infection cannot be found through monitoring.
Gu Yue watched the whole operation process in the cracks, saw the bright red flesh and blood, bared his teeth, and although he was scared, he still insisted on watching the whole process.
After looking at it, Xiao Zhan looked back at everyone, "Have you noticed?"
A group of doctors shook their heads, completely unable to find a reason.
Gu Yue pulled Gu Fan's sleeve, "Gu Fan, isn't that scalpel disposable? ”
Hearing Gu Yue say that the scalpel had water stains, everyone was shocked, the scalpel was under sterile conditions from the factory to the delivery process, how could there be water stains.
Dean Xiao Zhan looked at Gu Yue, "When did the water-stained scalpel appear?"
Gu Yue looked at Xiao Zhan in surprise, "Didn't you all notice? The doctor who held the knife had water stains on the first knife he was holding." ”
Gu Yue didn't know that the doctor holding the knife was called the chief surgeon, and everyone would not be in the mood to correct her title.
Xiao Zhan played the video again, the nurse in the video took out the scalpel from the tray and handed it to Wang Qiang, Xiao Zhan paused.
The scalpel in the video screen is not very clear, and after magnifying several times, the blade of the scalpel appears blurry, and it is impossible to determine whether it is a water stain.
Gu Yue pointed to the computer screen, "This place can't be seen clearly, if you go a little further back, you can see it when he holds the knife in his hand." ”
The video continued to play for about 10 seconds, and when I saw Wang Qiang raising the knife and asking the nurse to help with his sleeve, I saw that there were some water stains on the blade of the knife.
Looking at the scalpel in the video, the blade water stains are not very clear, but they can be seen clearly.
Xiao Zhan took the day's surgical equipment consumption from the side, and looked at the disposable large round blade lightly written everywhere on the record.
Disposable scalpel blades, there is no such thing as sterilization before use, then the problem comes, this blade is the key to the problem.
Xiao Zhan looked at the operation record report in his hand, "Contact the logistics office, ask who prepared the materials for the operation that day, and let him come here." ”
Sun Jianlin nodded, walked to the side and called the logistics office.
Gu Fan saw that there was nothing to do with himself at the scene, and looked at the time It was already more than 6 o'clock in the afternoon. Now that I am not an employee of the hospital, it seems inappropriate to continue to stay here.
Dean Xiao looked at Gu Fan and nodded, the two made an appointment to meet in the office tomorrow morning, and Gu Fan left the duty room with his sister.
"Why didn't we stay there?" asked Gu Yue as he took out a lollipop from his pocket, opened it and put it in his mouth.
"After all, we are still outsiders, and it is inevitable that the rest of the hospital will feel uncomfortable. Gu Fan replied.
As a master of psychology, since Gu Fan began to give treatment advice to patients, he has attracted some jealousy, and as the situation develops, he and Gu Yue have become the focus of the audience. Those jealous eyes gradually turned into a kind of hatred, this kind of hatred is a kind of dissatisfaction with Gu Fan, a kind of jealousy. Although they didn't say it, their faces, eyes, and movements were all seen by Gu Fan.