"Sister Zhan Ting, don't have any burden in your heart, in the final analysis, they are to blame for this matter, and it has nothing to do with you. You are the real victim. But there was no winner in this fight. Qin Chuan said.

Gao Zhanting nodded, glanced at the hospital bed, sighed and walked out. Qin Chuan also took a look at it, and then walked out of the ward. No one noticed that from the corner of Luo Meifen's eyes, a crystal teardrop rolled down and disappeared on the white sheets.

Qin Chuan stopped by to see Wang Yuezhen again, Wang Yuezhen was in a good mood today.

"My eldest daughter came to see me yesterday." Although it seemed to be a simple sentence, Qin Chuan could hear the joy in Wang Yuezhen's heart. She's something to focus on. Children may have all kinds of excuses, but the elderly only need care. This kind of care can be extremely cheap, a phone call, a greeting.

"Really? Great, it seems, they have realized their mistake. Why don't we forgive them? Qin Chuan said with a smile.

Wang Yuezhen curled her mouth and said with a smile: "They don't plan to take me home yet." ”

Wang Yuezhen was worried that she would die in the hospital, because she was afraid that after she died, she would be sent to a cold morgue. Wang Yuezhen hopes that when she dies, she will be able to lie on the bed at home, and her descendants will surround her and send her to heaven. But Wang Yuezhen's children were all worried about taking over her burden.

"What did your daughter bring you to eat?" Qin Chuan asked.

"Brought a lot of delicious food, Doctor Qin, do you want to taste it?" Wang Yuezhen said.

"Don't, I'd better leave it to your old man's house." Qin Chuan said.

"Actually, it's not easy for my children. In the past, there were many children and they didn't read much, but now the three sons live on strength. The income is also not very much. If I add an old woman, life will be even more difficult. When you get old, you still have to cause trouble for your children. Wang Yuezhen sighed, helpless and disappointed.

"Wang Xiaoyu, you said this, who doesn't have an old age? If you don't care about the elderly, then who will care when you are old in the future? Qin Chuan also thought of his parents, who were already getting old, and secretly reminded himself in his heart to care more about the elderly at home.

Wang Yuezhen's body seems to be a little worse than before, she is old, and she has been living in such an environment, which is also helpless.

When Cheng Guanhua came to work, he saw Qin Chuan arrive at the hospital so early, and he was also very strange: "Qin Chuan, it was very good to be in Xingsha yesterday morning." Dean Ye specially called me to ask about your situation. I heard that the leaders of the Department of Health have praised you by name. Young people must be willing to work, be bold and careful, which is the most important element of our emergency doctors. ”

"Actually, I arrived in time. At that time, a lot of enthusiastic people were also helping, otherwise I wouldn't be able to do anything alone. Qin Chuan said.

"Your organization on site is very good. Drive so many ordinary people who do not have emergency skills to rescue the wounded in a timely manner. If you hadn't organized it well, I'm afraid the casualties would have been much greater. By the way, when did you study obstetrics? ”

This is a question that Qin Chuan is not easy to answer, and Cheng Guanhua is also obviously teasing Qin Chuan's young man.

"I saw it by chance on TV. Yesterday, I really had no choice, so I took the risk. Fortunately, the mother and child were safe. Qin Chuan said vaguely.

"Hey, hey. You go get busy. Cheng Guanhua said with a smile.

Due to the National Day holiday, emergency doctors are basically on rotation, although routine rounds are carried out in the morning, but there are not many doctors participating, He Xiaokang because of injuries, open wounds, can only take a few days off, Gao Zhanting's family has such a big thing, naturally it is impossible to stay in the hospital. Wu Xiaoming worked overtime yesterday and took turns off today, let him come over to work overtime, Cheng Guanhua also felt that he didn't have such a big face. I had to call the old men He Xuedong and Yang Yaoqing over.

During the ward rounds, I came to the bedside of a new patient that Wu Xiaoming picked up yesterday. Since Wu Xiaoming was not there, only the nurse in charge could read out the patient's medical record. The patient, Rong Fugui, is 77 years old. Vomiting, right lower quadrant pain, physical examination showed blood pressure 14o/9ommHg McLec's point tenderness, mild rebound tenderness, blood like white blood cells 11*1o9 neutral normal, electrocardiogram is basically normal, and surgical consultation is suspected of "appendicitis", and cephalosporin antibiotic therapy is given.

"How are you feeling now, old man?" Cheng Guanhua leaned over and asked.

"My stomach hurts, it hurts terribly. It hurts even more than yesterday. The old man spoke intermittently, without much strength.

Guarding Rong Fugui's side was Rong Fugui's daughter Rong Yueying, and Rong Yueying hurriedly said: "My father kept crying out in pain last night. The potion doesn't seem to have any effect at all. ”

Cheng Guanhua turned around and asked Qin Chuan: "Qin Chuan, tell me, how to deal with this situation now?" ”

"Let's take my blood pressure first." Qin Chuan said.

The nurse immediately measured the blood pressure of the old man, and the result showed 9o/6ommhg. The front and back changes very much.

"And now?" Cheng Guanhua asked.

Qin Chuan asked Rong Fugui's daughter Rong Yueying: "Has your father had any illness before?" ”

"My dad used to be in good health. I've never had any serious illness. There are colds and coughs. Rong Yueying thought for a while and said.

"Nurse Fang, check the patient's cardiac enzymes and recheck the electrocardiogram. See how it goes. Qin Chuan said.

"My dad has a stomachache, how can I check these things?" Rong Yueying asked. She was a little worried about the hospital's random examination.

"Although your dad has a stomachache, considering that he is older, it is not very accurate. The possibility of other diseases is not excluded. So it's better to do a checkup. Qin Chuan said.

Cheng Guanhua also said: "Doctor Qin is right. Abdominal pain is a complex symptom that cannot be diagnosed based solely on the patient's description. Again, a guò test is needed to determine the true cause. Who was in charge of this patient before? ”

Although Cheng Guanhua's last sentence was very casual, it showed that he was not satisfied with the handling of this case. Of course, this sentence was said by avoiding the patient's family.

"It was Dr. Wu Xiaoming's consultation when he was on duty at night the night before yesterday." Fang Ping flipped through the medical record book and was relieved to see the name on it. She was a little worried that it was He Xiaokang. Listening to the tone of the director, this time it should be a misdiagnosis. However, there was a surgical consultation at that time, and the misdiagnosis was not Wu Xiaoming's responsibility alone.

After the results of cardiac enzyme test came out, Qin Chuan's concern was confirmed, and the increase in cardiac enzyme CK was 3~4 times that of the normal high value, and the CKMB was more than 2 times of the normal high value. There was no significant change in ECG results compared with before.

Qin Chuan asked Fang Ping to check troponin, and the result showed that it was 2~3 times the normal value, considering "acute myocardial infarction". The patient is an elderly patient, no chest tightness, chest pain and other typical symptoms, no obvious abnormalities in the ECG examination, and no dynamic ECG changes, mainly gastrointestinal symptoms, it is easy for people to ignore the "myocardial infarction". Therefore, Wu Xiaoming's misdiagnosis is actually reasonable. However, if he had been able to check the enzymatic indicators at that time, and pay attention to the elderly patients complaining of abdominal pain or gastrointestinal symptoms, and to investigate the emergency of cardiology, perhaps there would have been no misdiagnosis.

Qin Chuan compared his heart to heart, if he had examined the patient by himself the night before, would there be a misdiagnosis? Of course, with the current level of Qin Chuan, what can be seen is no longer comparable to Qin Chuan before he got the [Genius Famous Doctor System], let alone Wu Xiaoming, who is in Cao Ying's heart and in Han. Some details that Qin Chuan would not ignore, Wu Xiaoming completely ignored. Finally, the misdiagnosis was corrected.

This is also a wake-up call for Qin Chuan.

Since the patient's myocardial infarction has been investigated, the patient can only be transferred to the heart. The task of the emergency department has been completed.

After Fang Ping sent the patient away, he took a long breath: "If this is a well-off encounter, I'm afraid it will be the same result." ”

"Nurse Fang, don't underestimate your well-off. In fact, Dr. He is usually arrogant, but when he sees a doctor, he is very careful. This disease is in the hands of Dr. He, and it should not go wrong. Dr. Wu's heart is not here. Qin Chuan said.

"yes. That night, after listening to the patient's complaints, he directly prescribed medicine. A surgical consultation was then contacted. The surgeon came to Gu Junjie. It was also under the influence of Wu Xiaoming that he made a diagnosis decision lightly. Wu Xiaoming had been rushing to his papers in the emergency department that night. I heard that he has been compiling some papers lately. Judging by his posture, he doesn't intend to let go of any medical publication. Fang Ping said.

Qin Chuan naturally knew what kind of virtue Wu Xiaoming was. But such disregard for the lives of patients is unforgivable. Since you are a doctor, you should first do your job well. Because the doctor is the one who controls the patient's life. If someone else puts their lives in your hands, if you can't take it seriously, it is tantamount to killing people for money.

But no one can do anything about people like Wu Xiaoming. Cheng Guanhua also had no way to take him. Because there is also a Zheng Yuanmeng behind him. Unless there is really a medical accident in Yan Zhan, otherwise, Vice President Zheng can still be saved.

Rong Fugui's father and daughter are honest people. He didn't say anything, but went to his heart. In fact, they are not without complaints in their hearts. In fact, the deterioration of the doctor-patient relationship is slowly accumulating bit by bit. In the end, it was such an uncontrollable situation. The bad behavior of a very small number of people ends up harming the entire industry.

Qin Chuan was full of emotion, and wrote down today's experience in a notebook. For a small doctor to grow into a famous doctor, he must start accumulating little by little. The system can give Qin Chuan a lot of medical knowledge, but it can't make Qin Chuan directly become a famous doctor. The road needs to be walked step by step by Qin Chuan himself.

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