Chapter 6 Do your parents know that you are holding it like this?
Blessings are incomparable, and disasters are not singular. When Sun Xiaoqing was dismissed for the trivial matter of Yunkai's dismissal, the hospital was panicked and panicked, and the second hospital of the city had an accident again, and something big happened.
Autumn is the season for infectious diseases, and the inpatient unit has recently admitted more than 20 children with influenza. More than a week has passed, and the patient's symptoms have not improved at all, nasal congestion and runny nose, headache and cough, vomiting and diarrhea...... A group of poor children were crying in the hospital room. With years of clinical nursing experience, Guo Minmin, the head nurse, believes that there is a problem with the diagnosis and medication, and questions the treatment plan of the attending physician.
Vice President Wu Guohua, who is in charge of the daily affairs of the hospital, did not take it seriously at first, and kept the attending physician under his command treating it as an ordinary flu, until some patients began to be swollen and even delirious, and he began to pay serious attention to the matter.
Among the patients was a child named Huang Xiaoming, whose father, Huang Bo, was a reporter for Yudu TV. After Huang Bo became suspicious of the hospital's treatment plan, he conducted an unannounced visit to the hospital and sent the children's symptoms, clinical diagnosis reports and treatment plans to several well-known medical experts. Experts suspect that the children are most likely suffering from H9N2 avian influenza and need to be tested for etiology to confirm the diagnosis. According to the relevant report of the World Health Organization, H9N2 has caused the death of patients, and if it is not controlled in time, it is easy to cause large-scale infection.
The treatment plan of the Second Municipal Hospital has been treated according to ordinary influenza and pneumonia, which is obviously ineffective. Huang Bo, who was worried about the deterioration of his son's condition, poked out the incident in the TV column "First Scene", and after the program was broadcast, the second hospital of the city was blocked by the anxious and angry patient's family and asked the hospital to give an explanation. The head of the Ministry of Health could not sit still, and strictly demanded that the hospital must quickly come up with a proper treatment plan and carry out isolation and treatment as soon as possible.
Wu Guohua couldn't bear this responsibility, so he pushed the matter to Qin Ruhai, the hospital's technical expert and president. Qin Ruhai didn't have time to worry about Wu Guohua, so he urgently convened an expert consultation, invited well-known clinical experts and medical professors from Yudu to attend the meeting, and notified the heads of relevant departments to attend the meeting.
Also attending the meeting was a representative of the patient's family, the reporter Huang Bo. Wu Guohua originally disagreed with Huang Bo's observation, saying that this was a serious technical plan discussion, what did he do as a reporter?
"He is not only a journalist, but also a family member of a patient, and he has the right to participate in the consultation according to the procedure." Qin Ruhai glanced at Wu Guohua and said, "Just let him avoid it in the concentrated discussion stage-do you have any concerns?" ”
Wu Guohua has nothing to say. He had some bad premonitions in his heart, but he couldn't express them. He didn't know about a psychological effect called "Murphy's Law" -- if you fear something bad happening, then it will happen.
What Wu Guohua feared soon happened when he least wanted it to happen.
When Sun Xiaoqing received the consultation notice, she was very busy, waved her hand and said to Yun Kai: "Xiaoyun, you go and listen to this expert consultation, I have to finish the list of these medicinal materials in the evening, and I will use ...... tomorrow."
"I've been fired, and you're still sending me a job?" Yun Kai said with a roll of his eyes.
"Cut, it's impossible to say who will be fired!" Sun Xiaoqing threw the notice in front of Yunkai and said, "Don't talk nonsense, if your sister tells you to go, you will go!" ”
Yun Kai took the notice and glanced at it twice, and said with a bitter face: "Sister Xiaoqing, the notice requires department heads or intermediate titles or above to participate in ......."
"Your potion level is worse than that of me, the pharmacist in charge?" Sun Xiaoqing looked up at him and said, "Isn't it just an audit, you just bring back the meeting minutes." ”
Yun Kai had no choice but to scratch the back of his head and obediently went out. He went to the inpatient department first, asked Guo Minmin for some patient information, and looked at the information all the way to the consultation room.
The expert consultation was held in the largest consultation room of the Second Municipal Hospital. Yun Kai found a side position at the front and sat down, spread out his notebook and waited for the meeting to start, he understood what Sun Xiaoqing meant by asking him to come to audit, and there was also a layer of deliberate opportunity to give him, after all, all the people present were Taishan Beidou in the medical field, and it was also a rare learning opportunity for him.
Of course, such an important consultation is also an opportunity for Wu Guohua to show his face, so he arranged for himself to be the host of the meeting. After the consultation experts arrived, Wu Guohua first made a personnel introduction, and then announced the start of the consultation. The two attending physicians reported on the patient's symptoms and the diagnostic process, and then asked the nurse from the inpatient department to bring several sick children, accompanied by their parents, to the scene to be questioned and examined by the experts attending the meeting.
Subsequently, Wu Guohua asked the patients and their families to recuse themselves and began the core agenda of the meeting - concentrated discussion.
To be honest, Yunkai didn't have the slightest affection for Wu Guohua, the vice president. Dragons give birth to dragons, phoenixes give birth to phoenixes, the son of a mouse will make a hole, looking at the virtue of Wu Haiqing's bastard, you know that his son is no better. In this unpleasant state of mind, Yunkai found that Wu Guohua consciously guided the direction of the discussion, and even concealed some important details, and did not disclose them to the participating experts.
Since so many experts and scholars were invited to discuss, why did he conceal it, or rather, cover it up?
This suspicion made Yun Kai restless, and he had long lost the mind to make meeting minutes for Sun Xiaoqing. He buried his head in reading the patient information that Guo Minmin gave him, and carefully compared what Wu Guohua demonstrated on the projection screen, his face became more and more ugly.
Based on the diagnosis process of the first physician and the analysis of the symptoms demonstrated by Wu Guohua on the projection, the consulting experts gradually leaned towards the judgment of H9N2 avian influenza, and the conclusion seems to be obvious. Towards the end of the discussion, Professor Shen Yan, an academician of the Chinese Academy of Sciences from the School of Medicine of Yuzhou University, raised a different opinion.
"Don't jump to conclusions. I have two doubts that I would like to discuss with you. First, are the symptoms of the more than 20 children exactly the same? We only conducted on-site examinations for a few of the patients, and the others only had medical records, which we asked the hospital to confirm; Second, the results of routine blood and biochemical tests do match the clinical manifestations of H9N2, but don't forget that the most accurate way to confirm the diagnosis is PCR testing of the pathogen......
Shen Yan's words are quite euphemistic, and all the expressions revolve around technical issues, but the implicit meaning of the words is that the hospital has not fulfilled its responsibility to each patient, otherwise it should have been diagnosed by PCR testing a long time ago, and there is no need to call so many experts for consultation - since it is necessary to consult now, it is necessary to be more rigorous.
Wu Guohua said in a round game: "Professor Shen said well, as the executive vice president of the Second Municipal Hospital, I will do a review first, and we will immediately prepare the specimens to be sent to Yuzhou University, and ask Shen Lao to coordinate the ...... of Yuzhou University on his behalf."
Yun Kai, who was listening, couldn't listen anymore, got up from his seat and said loudly, "Dean Wu, can I ask questions?" ”
Wu Guohua's speech was suddenly interrupted by the auditorium, and he asked with a stiff smile: "Which department are you from?" ”
"Pharmacy Pharmacy Pharmacy Room."
"Chinese medicine room? Why didn't Sun Xiaoqing come? ”
"There is an excellent employee in the Chinese medicine room who has been dismissed, and our team leader is too busy, so let me make meeting minutes for her......" Yun Kai replied in a serious tone, but the reason was very spoofed.
Is there anything more bizarre than the fact that a dismissed employee holds a meeting on behalf of his boss and claims to be a good employee? Some of the colleagues in the auditorium couldn't help but laugh and showed weird smiles.
"In that case, you just take notes and sit down!" In front of many external experts, Wu Guohua was not easy to attack, and pretended to wave his hand casually, meaning that you are not qualified to ask questions, so shut up quickly.
Yunkai was very uninteresting, and said aggrievedly: "But I still have questions to ask......
"Let's talk about it if you have a question, this is not the place to ask questions......" Wu Guohua's face sank. There are too many young doctors in the hospital, and it is impossible for the vice president to know every staff member, but as soon as he heard the words "pharmacy Chinese medicine room", he realized that it might be related to the email incident during the day.
The two people with completely unequal identities started a dumb riddle, which made Shen Yan and these external experts unable to understand. Qin Ruhai's gaze swept over the faces of the two of them, and he said calmly, "Vice Dean Wu, let him ask." Young people are creative and may be able to bring us some new ideas......"
"Thank you, Dean Qin!" Yun Kai carried the patient information he took from the inpatient department and walked to the front desk with a curious gaze.
"Leaders, experts, my name is Yunkai. None of the leaders here know me, but they should have heard of me or seen my name in an email. Yun Kai took the microphone by himself, looked around, and then looked at Wu Guohua mockingly and said, "Yes, I am the intern pharmacist who was dismissed today." To the regret of some people, I have not yet completed the resignation procedures, and I am still an employee of the hospital for the time being, thank you for giving me this opportunity to speak......"
"I have some supplementary information here, and I would like to invite Professor Shen and the experts to take a look at it." Yunkai put the information in front of several external experts and said: "I am a pharmacist and not a doctor, so I only understand the problem of medicine. My question is very simple, that is, I want to ask Dean Wu, what is the inevitable relationship between drug poisoning and H9N2? ”
"Drug poisoning?!"
These four words were like a high-powered bomb thrown into the crowd, shaking a room of medical experts to the bottom.
The experts in the front row looked at each other in confusion. The doctors in the auditorium gasped and stared at Yunkai in amazement, and then erupted into a whisper like a buzzing mosquito. The hat of drug poisoning, it will crush people, if what Yunkai said is true, the second hospital in the city will also usher in an earthquake!
The two first-time doctors were also so frightened that their faces turned pale. Wu Guohua's face was pale, and he asked in a fierce voice: "Boy, what kind of occasion is this?" What do you know as a little pharmacist? Do you know what you're talking about?! ”
Yun Kai ignored Wu Guohua's questioning, turned his head and continued: "Experts, please take a closer look at the patient's medical records, these 26 patients have been hospitalized for more than a week, and the average number of diagnoses is more than five times. With so many attending physicians, isn't it strange that no one has noticed such a typical symptom as H9N2 avian influenza? ”
"Also, please note the latest medical records of these five patients." Yun Kai pulled up the data from the computer and projected it on the screen, pointed to the last line of records and said, "Here, and here." These patients began to experience frequent urination and urgency the day before yesterday. One of the things you may have overlooked is that our patients are children, and the urgency of urinary needs can be easily ignored by careless parents, and I suspect that these children all have similar symptoms, but they were ignored by their families when asked by the physician and were not recorded in the medical records. ”
"Looking at the medical records of these two critically ill patients, frequent urination and urgency, swelling all over the body, and delirium," Yun Kai paused, and said pointedly: "I'm sorry, there is no such thing in the computer data, experts, please look at ......the information I brought." All of you here are experienced physicians and pharmacists, what do these symptoms mean? ”
"Kidney failure!"
"Yes, kidney failure, or cluster acute kidney failure. So I suspect it's not H9N2 at all, but drug poisoning! ”
"What nonsense are you talking about?" Wu Guohua reprimanded rhetorically: "Even if it is kidney failure, H9N2 can cause complications of kidney failure, how can it be drug poisoning?" ”
"Really?" Yun Kai stared at Wu Guohua and sneered: "Then why do you have to hide the latest medical records of the two critically ill patients in the information you gave to the experts?" Why not arrange the PCR test in a timely manner, as Professor Shen said, and why? ”
"The medical records are not updated, and the hospital is not equipped with adequate testing, what does this have to do with me?" Wu Guohua flatly denied it, and at the same time said with a rake: "You, the dismissed employee, came to the consultation to make trouble, and opened your mouth, are you holding a grudge, deliberately disrupting the work of the hospital, and ruining the reputation of the hospital?" Believe it or not, I told the security guards to blast you out? ”
"Yo, the vice president is full of authority, I'm so afraid!" Yun Kai rolled his eyes, and came up with an Internet buzzword: "Vice President Wu, you are so shy, do your parents know?" ”
There was a burst of irrepressible laughter from the auditorium. This thing is cheap, but so many people laugh at it, it can be seen that although the vice president is in power, he is indeed unpopular.
Qin Ruhai raised his hand to interrupt the dispute between the two, and said coldly: "Okay, okay!" What kind of system is it to be noisy in front of so many experts? Who is right and who is wrong, and it is not clear that the PCR test and drug test will be arranged immediately? ”
After reading the information in his hand, Professor Shen Yan handed it to Qin Ruhai quietly, shook his head and said, "Take a look for yourself, this is the hospital you manage!" ”
As soon as Qin Ruhai heard Shen Yan's tone, he knew that something was wrong. He leaned back in his chair expressionlessly, sad and happy in his heart. Sadly, the hospital under his management has eroded like this, but fortunately, this tumor can finally be pulled out, and he can retire with peace of mind.
The consultation has reached this point where it is no longer possible to continue, and we can only wait for the results of the PCR test.
When Yunkai left the consultation room, he was stopped. Professor Shen Yan caught up from behind, patted him on the shoulder, and said with a smile: "Young man, I heard that you are unemployed, are you interested in coming to our Chongqing University Medical College?" I'm the most advanced pharmaceutical laboratory in China, and no one will drive you away......"