Text Chapter 19 Handling Results
As the director of the Medical Management Office of the Affiliated Hospital, An Hongwen's status is only that of the president. Holding the power of life and death of the doctors in the hospital, it can be said that the wind is windy and the rain is rainy in the hospital.
However, the report in front of him made An Hongwen very entangled.
In one day, there were two violations in succession, and if this was put on the body of any in-service doctor, it would be the punishment of revocation of medical qualification certificate and cancellation of all positions. This is about the dignity of the hospital's operating standards and the reputation of the hospital.
However, the main person responsible for these two violations was an intern, and these two violations did not make things go in a bad direction, and even saved the lives of two patients because of the intern's illegal operations.
Only an accident in which a medical institution and its medical personnel violate medical and health management laws, administrative regulations, departmental rules, and norms and routines for diagnosis and treatment in the course of medical activities, misdiagnose and take improper treatment measures, resulting in varying degrees of damage to the patient's intelligence and body, or causing damage due to missed diagnosis and delayed diagnosis, can be defined as a medical accident, and the medical institutions and medical personnel involved can be punished. These two violations cannot be defined as medical malpractice.
Therefore, An Hongwen can only measure this matter from the perspective of hospital operating standards and specifications. The state has national laws, and the family has family rules, but the legal principle is nothing more than human feelings. It must be dealt with, but if it is dealt with lightly, it is tantamount to a start for all doctors, and if there are people who violate the rules every day under the pretext of saving patients' lives, the hospital will be in chaos. If the punishment is severe, it will discourage the enthusiasm of doctors to save people, and it is also inappropriate.
Although he is not from medical school, he has been in the hospital for so many years, and he knows very well what it is for a 24-year-old intern to successfully complete a neurosurgery operation independently. And according to the school's information, this intern is still the first time to have surgery.
It is not an exaggeration to call it a genius.
After thinking about it for a long time, An Hongwen decided to throw this hot potato to Nanyao Medical College to deal with it internally, as for the hospital, it was okay to issue a document to focus on criticism.
..........
After Yi Sheng woke up, he received a call from the instructor Wang Hai'an, asking him to go to the conference room on the thirteenth floor of the administrative building immediately.
After all, Yi Sheng cleaned up and came to the conference room.
Report. Yi Sheng took a deep breath outside the door, and then pushed open the door of the conference room, Yi Sheng's guide Wang Hai'an and a few unnamed leaders sat opposite the long flat table in the conference room with serious expressions, and when they saw Yi Sheng come in, Wang Haian motioned for Yi Sheng to sit down, and then said to several leaders: "Then let's start the meeting now." ”
"Yi Sheng, these leaders in front of you are Director Li of the Office of Student Engineering, Dean Su of the School of Clinical Medicine, and Secretary Liu of the Management Office of Nanyao Medical College. The main purpose of calling you here today is to investigate the situation of the two illegal operations you conducted at the Affiliated Hospital of Nanyao Medical College yesterday afternoon and early this morning, and I hope you can answer truthfully. Wang Haian introduced the leaders to Yi Sheng one by one.
After speaking, Wang Haian turned on the projector in the conference room, and the video of Yi Sheng's surgery to stop bleeding with his bare hands was displayed on the big screen.
"You let go!"
"The patient's ribs pierced the right hepatic artery, which was deep and difficult to suture......"
Secretary Liu of the hospital management office spoke first, he picked up the two surgical records in his hand and handed them to Director Li and Dean Su respectively, and said with a smile: "Due to the identity of Yi Sheng's intern, the hospital management office is not easy to handle this matter, and we have no authority to deal with this matter, so it is handed over to the school to deal with it." The hospital management office is not involved in the processing, but only hopes that the school will give me an answer, and I will be able to deal with it. ”
Director Li of the Office of Student Affairs briefly looked at Yi Shengxing's record of "epidural hematoma removal", looked at Yi Sheng's expression and said with a serious expression: "Yi Sheng, I have a few questions I want to ask. First of all, surgical techniques such as "epidural hematoma removal" were not covered during the undergraduate program, and even though you learned about the surgical procedures through self-study, I would like to know if you have any previous practice in this area of surgery.
"No, this surgery is my first time to have an epidural hematoma removal. Yi Sheng sat up slightly straight, shook his head and said.
"In that case, did you consider the risk of failure when you decided to have surgery without having done similar practice?"
"During the operation, there may be damage to large blood vessels and other major bleeding leading to intraoperative shock and death, and damage to deep arteries and veins may cause serious dysfunction, such as hemiplegia, hemisensory impairment, breathing, irregular heartbeat and even cardiac arrest, high fever, epilepsy, coma and even death. I've thought about all of these. Yi Sheng slowly opened his mouth and explained the possible complications and adverse consequences during the operation.
Director Li thought that Yi Sheng would defend himself, but he didn't expect Yi Sheng to admit it directly.
"Since you consider that these serious consequences may occur during the operation, you still dare to carry out the operation recklessly?" asked Director Li loudly as he slammed the document in his hand on the table.
"Yes," Yi Sheng said calmly: "Last night's incident happened suddenly, and the patient's condition is urgent, if the operation is not performed immediately, the patient is likely to cause intracranial hemorrhage due to acute epidural hematoma, causing brain herniation, which endangers the patient's life." I can't just watch a patient die in front of me. ”
"In other words, you admit that you caused the medical malpractice because of your reasons, right?" said Director Li lightly in a relaxed tone.
In his opinion, it is basically conclusive that an intern without a medical license can perform an operation on a patient without the authorization of a senior doctor, which may cause major accidents.
"Director Li, here I want to explain that although the patient is still lying in the intensive care unit, all physical indicators are stable at present, which means that the patient himself has not had an accident, so it is not a medical accident. Secretary Liu reminded loudly.
Director Li was speechless for a moment, although Yi Sheng's behavior did violate the rules, but the confirmation of medical accidents also needs to have real adverse consequences to be identified, not to mention that this operation can be called a scientific teaching book for neurosurgery "epidural hematoma removal" in the eyes of the hospital, if this is said to be an accident, then the "epidural hematoma removal" performed by the neurosurgery department of the affiliated hospital every day is not an accident?
"That is, what Yi Sheng did did not lead to adverse consequences, how can it be said that it is a medical accident?" Wang Haian said with a smile on the side.
Director Li glared at Wang Hai'an and said, "Teacher Wang, here is your right to speak? Don't forget that you returned to school as a counselor because of a medical accident! Look at the students you teach, and have a virtue with you!"
Wang Hai'an's smile was frozen on his face, and the expression "This baby is not happy, come and comfort the baby" was written on his face.
"Okay," Dean Su waved his hand and said, "Director Li, don't say a word, today's matter is to deal with Yi Sheng's problem, not Hai'an's problem, you have to distinguish between priorities." ”
As the dean of the School of Clinical Medicine, Wang Hai'an was one of Dean Su's most proud students, if it weren't for the fact that the chief physicians of the older generation of neurosurgery went to the forum, it would not have been Wang Hai'an's turn to do such a complicated operation.
Hearing Dean Su's words, Director Li closed his mouth. Although he is the director of the Office of Academic Affairs, he is at the level of the department, but in front of the deputy department level of the head of the clinical medical school, he is also a younger brother.
In this way, the school gave Yi Sheng a major punishment, and the issuance of the graduation certificate was suspended for two months to see the after-effects. Dean Su pondered for a while and said, "As for Yi Sheng's internship, is the affiliated hospital still willing Yi Sheng to go to the internship?"
"Of course I do!" Secretary Liu breathed a sigh of relief, on the way to the call, he was connected to Lin Guangqing, director of the nephrology department, and Wu Aimin, director of the emergency department, hoping that he would help intercede with Yi Sheng.
"Okay, let's deal with this matter like this, Secretary Liu will stay for a light meal at night. Dean Su waved his hand and closed the coffin.
"No, I have to go back and talk to Director An. Secretary Liu said with a smile.