The emergency department of the central hospital is still busy, the day shift has not yet clocked in, and the night shift is on track.

In the doctor's office, Jing Dong had just put on a white coat, and suddenly saw Zhou Yi enter the door, paused for a moment, and then said: "Oh, good boy, it will be a week as soon as he disappears." ”

"I was sick and something happened at home, so I asked Director Jiang for leave. ”

Jing Dong didn't ask much, and patted him on the shoulder: "Okay, you still follow me, I'll go to the ward first, you change your clothes and come over quickly." ”

Zhou Zhou was saying that he wanted to go to Jiang Jiancheng to sell the leave first, Jing Dong smiled bitterly: "This matter is not in a hurry, the director just went to the operating room, you can go again when he comes out, busy with our ...... first"

Hearing that Jiang Jiancheng was in the operating room, Zhou Zhou was not in a hurry, hurriedly changed his coat, washed his hands and went out.

On the way to the ward, I met a familiar nurse and was about to say hello on Monday, but the nurse just smiled and nodded, with a cramped smile, and took two steps before turning her head and sticking out her tongue, and hurriedly went to get busy.

This is the case with several in a row.

The atmosphere is not right.

Compared to before, there is a clear indifference......

Specifically, in fact, it can't be regarded as indifference, as if everyone is afraid of something, just like the dean of instruction when I was in junior high school, the monthly exam in high school, and the end of the semester in college may face failure, and everyone is in danger.

After going to the ward and Jing Dong for rounds, Jing Dong said on the way back to the clinic: "Do you feel that the atmosphere is wrong?"

"Hmm. Zhou Zhou nodded continuously.

"You have had an accident in the emergency department in the past few days on vacation, and the hospital has criticized you by name, and Cheng Yuan has not resisted, and Principal Tang is still suspended for investigation. ”

I'm Nima.

Zhou Yi was directly shocked, Tang Aiyun was suspended?

At the beginning of the first month of the emergency department, Monday had already figured out the interpersonal relationship of the emergency department, and there were three groups of people in the emergency department, one group was the group that was now on the day shift, one was an internal medicine attendor, two were hospitalized, and one was a resident, one of which was a surgical rotation quota, which was changed every month.

Group 2 is Tang Aiyun taking the lead, plus Jing Dong, Yu Jian, and Dr. Chen.

The 3 groups are doctors in the intensive care ward and ICU, a total of three people, two are in the hospital for full-time care, and one is with the ambulance, but the ICU is on the third floor, although the emergency department is under the jurisdiction, but in fact it has its own set of small systems and independent management.

Not to mention the 3 groups, from the 1 and 2 groups, which group is stronger?

The layman must feel that group 1 is stronger, and the total amount of one attending and two hospitalizations is better than that of three residents in group 2.

Everyone in the Keke room knows that the second group is their own people.

Why?

Because the chief doctor Tang is taking the surgical route, and the attending officer of the first group is the internal medicine route, most of the people who are in charge of emergency surgery are surgeons from other departments who are rotated, so the situation is very clear, the first group is more like a place for other doctors to brush up experience, and the attending is also an old man specially hired from the internal medicine department of other hospitals, 45 years old this year, and he has no competitive heart.

It's a very simple logic, one day Dean Cheng resigns from the position of director, Jiang Jiancheng takes the main position, and the vacant deputy director will most likely be Tang Aiyun, because only he has this qualification.

The boss in the emergency department can't hold a scalpel, but he can't hold a job.

Tang Aiyun has also been preparing for the evaluation of deputy senior professional titles.

The small department divides the route, the 1st and 3rd groups of branch lines are not mentioned, and the 2 groups of main lines, the big boss is Cheng Huimin, the small boss is Cheng Yuan's Aitu Jiang Jiancheng, and the number one thug Tang Aiyun is obviously Jiang Jiancheng's person.

Tang Aiyun's location can be seen from one thing......

After Jiang Jiancheng was discharged from the hospital, he was going to travel abroad, and there were so many doctors and nurses in the entire emergency department, only two of them dared to ask him to help bring things from abroad.

One is the milk powder that the eldest nurse asked her to bring to her niece, and the other is the cosmetics that Tang Aiyun asked her daughter-in-law to bring.

In short, Tang Aiyun is Jiang Jiancheng's own person.

In a sense, it can be regarded as Cheng Huimin's apprentice.

Cheng Yuan is the person who protects the calves, whether it is from the platform of Jiang Jiancheng, who he helped to hospitalize, or in the matter of Jingdong and Zhou Sheng, he will protect his subordinates very well.

Tang Aiyun has an accident, can Cheng Huimin help protect him?

The answer is definitely no.

Jing Dong made it clear in one sentence, and Cheng Yuan didn't protect it!

What does that mean?

It's a big deal!!

"Brother Jing, what's going on?" For Tang Aiyun, Zhou Sheng has a great affection, he is a good big brother, he has no leadership frame, and he is also mediating in the middle of the dispute with Jing Dong.

Not to mention, there is actually no open and secret fighting in the entire emergency department, everyone is their own person.

Tang Aiyun had an accident, and it sounded very unpleasant on Monday.

Jing Dong didn't say anything in a hurry, and entered the consultation room with Zhou Yisheng, and muttered quietly when he saw that there was no talent......

Five days ago.

A 53-year-old female patient with acute abdominal pain was presented to her family with abdominal pain for three days and fever for two days, with the pain in the left lower abdomen.

Tang Aiyun received the consultation, after ultrasound judgment was acute appendicitis, it was recommended to operate immediately, and the family members signed and went directly into the operating room.

The appendectomy went smoothly, although Tang Aiyun was the chief surgeon, the work was given to Yu Jian, the resident doctor, purely relying on the appendix to increase the experience value, a surgical experience is not long, a total of more than 40 minutes, it is not bad, because the patient's condition is more serious, if Tang Aiyun gets started, it will definitely shorten the time.

After the incision is cleaned, prepare to close the abdomen.

But before the abdomen was closed, the problem came out, pus appeared in the cleaned place, Yu Jian saw it and immediately asked Tang Aiyun, Tang Aiyun was dumbfounded when he saw it again, and found that granuloma abscess was formed in the rectum and sigmoid colon, complicated by perforation and bleeding, and colosteritis was diagnosed, and the abscess blocked the intestinal passage and could only be removed.

The first consciousness of the general surgeon is the judgment of appendicitis, and after the laparotomy, the appearance of appendiceal inflammation is indeed determined, and now the second problem is found after the appendix surgery, which is a headache.

Tang Aiyun took over the position of the chief surgeon as soon as possible, and asked Yu Jian to temporarily go to seek the opinions of his family and temporarily change the surgical plan.

The family members were dumbfounded for a while, not knowing what to do, how to get good appendicitis, and how to become colo-occulitis? Yu Jian explained for a long time, but he could not get any results, and the family members were also in a dilemma.

Temporarily changed the plan during the operation, they were directly confused, and then considered that if they didn't do it this time, they would have to do it next time, and they were afraid that the old man would be guilty, so they were entangled and entangled......

Something happened in the operating room.

Perhaps it was that when the appendix was cleaned, there was too much movement, which caused heavy bleeding at the colon perforation.

The nurse immediately came out to report the situation, and if the operation was not done at this time, the problem would be big, and finally the family was forced to sign helplessly, and the contact desk also urgently called three surgeons to help.

The plan was finalized on the spot, with first-stage excision + sigmoid stoma, and the defecation was excreted from the stoma after the stoma, without contaminating the resection anastomosis.

The operation lasted for more than four hours, and the operation went extremely smoothly, but when he passed the bed, he went into cardiac arrest, but fortunately, CPR was successful.

Hearing this, Zhou Zhou's mentality was full of ups and downs, ups and downs, and his heart was about to hang in his throat.

But then came the problem......

"So, why the suspension? Wasn't the operation a success?"

Jing Dong sighed and said bitterly: "On the morning of the third day after surgery, the patient died. ”

As soon as these words came out.

Zhou Zhou was like someone knocked on a stick, his mind was buzzing, his head was a mess, and he unconsciously asked, "Why? How could it be ......?"

I don't know when, Dr. Chen took Su Quan and came in a long time ago, Dr. Chen said-

"The patient's condition was not taken into account during the operation, and the cardiac arrest occurred when the postoperative bed was already a problem, the operation took too long, the appendectomy took 40 minutes, and the abscess ulcer was removed in the first stage, plus the colostomy, a total of almost six hours. ”

"The patient was fifty-three years old, old, had a history of high blood pressure, had an irregular heart rate, and finally had cardiac arrest!"

"It stands to reason that with the signature of the family, the risk of surgery is inherently there, and the key is that the family has a relationship, and the first time it went to the health bureau and caught the problem...... Why didn't I find out my colo compartmentitis during the pre-operative examination?"

"In addition, the two surgeries are combined, and the operation time is too long, why not consider the whole operation and do a one-stage resection? The colostomy only takes one hour, and as long as the perforation is not contaminated, it can be followed by drug treatment, or a second operation can be performed after the state is stable. ”

That's it.

The air pressure in the clinic dropped suddenly, and Zhou Zhou looked at Jingdong in disbelief, and said in a trembling voice: "But this is not a medical accident?!"

After all, the operation was successful, and after heavy bleeding from the wound, only surgery could be performed.

Jing Dong sighed and shook his head: "Of course it's not a ......"

"However, the medical department determined that the treatment Tang had an error in intraoperative judgment. ”

After listening to it on Monday, he finally understood.

There is a signature before the operation, and there is also a signature for the intraoperative change plan, even if you find a relationship and get into trouble with the health bureau, it can still stand.

However, if the patient dies and is caught with a minor problem, the hospital will have to give an explanation to the patient's family, and they will have to find someone to take the blame.

The person who took the blame could not be the assistant Yu Jian, nor could it be the surgeon who came to participate in the operation later.

Who could that be?

Tang Aiyun.