Chapter 16: The Doctor-Patient Turmoil

Today, as soon as Qin Xiao finished checking the room, he heard the nurse He Jing call him, saying that the director was looking for him to tell him something, and asked him to go to the director's office. In the past, Qin Xiao always handed over the case and the doctor's order to the nurse's station, and then entered the day's doctor's order into the computer with the nurse, and instructed the nurse on specific precautions, so as not to cause medical accidents by not following the rules and regulations, but when he heard the dean call him, he had no choice but to say to He Jing, the little nurse on duty today:

"I'll go to the director right away, it's just today's doctor's order, you have to trouble you to enter it yourself, I don't understand anything when I come back, ask me again, I invite you for lunch today, thank you!"

He Jing has always had a good relationship with Qin Xiao, but he was very cheerful, and said with a smile:

"It's safe to have a treat, but I have to add medicine to a patient first, and I can enter it after a while, you can put it there first, and I'll record it when I come back."

Qin Xiao put his hands together, made a thank-for tidy-up, thanked him, and then turned around and ran to the director's office.

It turned out that the director was going to go to the field to attend a seminar in the past few days, so he handed over several of his patient numbers to Qin Xiao, and explained the patients' conditions and work tasks in the past few days one by one. In about a quarter of an hour, he returned to the doctor's office in the ward area, and when he saw He Jing, he went back to the lounge to rest without any doubt. Since he had just been on a night shift, and in the early hours of the morning, there was a sudden arrhythmia, and he was exhausted after nearly two hours of first aid, so he fell asleep with a pillow.

This sleep was really sweet, but in the haze, he heard a noise outside, Qin Xiao scolded secretly in his heart, and he didn't know who disturbed Lao Tzu's sleep so noisily. At this time, He Jing suddenly pushed open the door and called Qin Xiao in a panic.

When Qin Xiao heard the shout, he immediately woke up for the most part. I only heard He Jing say breathlessly:

"Doctor Qin...... You go and see...... One of your patients is now unconscious and has an irregular heartbeat! ”

Qin Xiao hurriedly got up when he heard this, and he didn't have time to put on his shoes, so he rushed to the ward directly wearing slippers. This is a patient in 68 beds.

In fact, the ward number and bed number of the hospital are a science. No. 68 does not mean that there are so many beds in the hospital department of a county, but when the hospital arranges the ward number and bed number, because of the psychology of taking care of patients and their families, all the numbers with four are not used, so that there are many fewer bed numbers in the middle, and there are many good numbers even if they are not arranged in order to deliberately use them to the special care single room, Ward 68 is a single room, there is only one bed in it, and the bathroom toilet, bonsai flowers are readily available, it is a star ward, It is specially designed for the hospitalization of wealthy people and superior leaders.

Therefore, the person who was treated in Ward 68 must be a person with a lot of background, and it was precisely because of this that the director assigned him to Qin Xiao and asked him to be the responsible physician for this patient.

After Qin Xiao arrived, he immediately commanded several nurses to give oxygen inhalation, ECG monitoring, and fluid rebirth to correct heart failure. Then he asked the nurse about the specific situation, and the nurse told him that according to his doctor's instructions, he would be given an infusion at 12 o'clock at noon today, but the patient had not been infused for 10 minutes, and this situation occurred.

Qin Xiao clearly remembered that there was no doctor's order for infusion at twelve o'clock? He hurriedly took out Case No. 68 from the case cart to check.

Sure enough, there was the last doctor's order of the day, and it was clearly urgent to rehydrate 500 ml and 10%**15 ml at 12 o'clock at noon.

At that time, Qin Xiao's mind was in a mess, because on a doctor's order at nine o'clock, he obviously remembered and did write on it, 500 ml of rehydration at nine o'clock, 10%**15 ml, but he did not remember that he had given a second bottle of potassium supplementation.

This is a patient with hypertensive heart disease, who was already in hypertensive crisis when he was first admitted to the hospital, and after diuretic and blood pressure reduction, he urgently needed potassium supplementation, and has been receiving regular and quantitative potassium supplementation every day for the past few days. But there is such an additional potassium supplement medical order on today's medical order, but I don't remember it, but the handwriting is indeed my own.

Qin Xiao didn't have time to think about it, so he immediately carried out rescue, performed chest compressions and a ventilator to assist breathing, and injected calcium gluconate and sodium bicarbonate to fight high blood potassium.

The entire department also seemed to have exploded all of a sudden, and there was a rush in and out. Qin Xiao didn't have time to think about the strangeness of the doctor's order, and went all out to carry out the rescue, because he knew that he couldn't wash it away even if he jumped into the Yellow River in black and white, and if there was another patient who died due to potassium supplementation, his medical career would be over.

Qin Xiao observed the indicators of the ECG monitor, and commanded the nurses to implement corresponding measures at any time, and he also responded calmly and actively rescued. Fortunately, Qin Xiao has not panicked since he was a child, and he is calm and calm, plus He Jing also tried his best to help, and his hard work paid off, after more than an hour of rescue, the patient finally turned the corner and regained consciousness.

Qin Xiao breathed a long sigh of relief, and then took corresponding measures to stabilize the patient, although he didn't realize it when he was rescued, but at this time he felt sore, so tired that he almost collapsed in front of the bed.

When the patient's family learned of the situation, they were so angry that they had to find the doctor in charge of the theory, but fortunately, the director canceled the seminar in time and rushed back, so that the patient's family could be comforted.

Qin Xiao lay in front of his desk, carefully recalled the experience of the ward rounds in the morning, and thought about it, he did not prescribe this medical order for potassium supplementation, and he supplemented potassium twice on a person! But the handwriting is indeed its own!

In the afternoon of the same day, the family members of the 68-bed patient went to the dean Wang Jun, who also called Qin Xiao to the office and asked him what the situation was in person.

Wang Jun is Qin Yuhan's old friend, the two are close friends, and Wang Jun also knows that Qin Yuhan is such a grandson, and he wants to help Qin Xiao from the bottom of his heart, so he is not very strict with Qin Xiao, but asks like a father full of comfort:

"Qin Xiao, don't worry, what the hell is going on, you tell me carefully, don't miss a link."

Qin Xiao heard this, there was a long-lost father's love like milk through his throat, he felt extremely cordial and moved, although Qin Xiao was accompanied by his grandfather, but he almost cried out without the love of his father and mother, and almost threw himself into Wang Jun's arms. He settled down and told Dean Wang Jun what happened in the morning.

Wang Jun listened and said thoughtfully:

"I know you've been cautious since childhood. Oh, you may not have known me as a child, but I've known you since I was a child, but when you were a baby, I was transferred to the branch by the organization, but he always mentioned you when I was with your grandfather. Wang Jun then said kindly:

"This second doctor's order is probably not written by you, it was deliberately done by someone, and it is not leaky, he can imitate your handwriting, it seems that he has been paying attention to you for a long time. Have you recently encountered -- don't be embarrassed -- that is jealousy among you young people? ”

"No...... Dean Wang, "Qin Xiao actually wants to be called Uncle Wang, because Wang Jun really doesn't look like his grandfather's, but more like his father's, but he knows his grandfather, so it's not suitable, so he has to be called Dean Wang." He continued:

"I don't really have any emotional entanglements." At this time, he remembered that a few days ago, when he mentioned "Seven Spirit Flowers" to his grandfather, his grandfather seemed to have said to himself, "Something happened", could it be related to the Seven Spirits Flowers? But grandpa had told him not to talk to anyone about it again, so he didn't tell Wang Jun about it.

"But the doctor's order is written in black and white, and the handwriting is also yours, you can't rely on this matter, I mean, I know it wasn't your doctor's order, but this time it's a disaster." Dean Wang Jun continued:

"However, things are not so strict, isn't it just 3 grams of potassium? Patients with severe potassium deficiency also have 6 grams a day, so don't panic, on the contrary, you have to admit that the doctor's order was made by yourself, and don't say that someone tampered with the case, because then outsiders will think that you are really a thief, but you can't find evidence. So, you admit that it was your doctor's order, but if you want to explain its reasonableness, I believe it will be fine. ”

Wang Jun's words woke up Qin Xiao at once, and also made him see life, immediately stood up, bowed deeply to Wang Jun, and went back to the department.

In the evening, Xu Shaoqing, Zhai Congying and Zhang Haojian called Qin Xiao out to eat together, comforted him about this matter, and said that the hospital would consider it for him, please rest assured that he should not carry any baggage. Xu Shaoqing couldn't help but ask Qin Xiaodao:

"And the second bottle was really ordered by you?"

Qin Xiao looked dazed and said:

"I was on the night shift, in a daze, I don't remember, I wrote it right, it should be me, alas, blame me for always thinking about going to bed after checking the room quickly, I didn't carefully consider the potassium supplement plan, it should be safety first."

After the meal, Qin Xiao asked Xu Shaoqing to stay and said that he wanted to ask about his grandfather's physical condition after Xu Shaoqing went home last time, so Zhang Haojian and Zhai Congying also went back separately.

Together, the two came to an artificial lake not far away, where the water was open, the weeping willows were surrounded by the wind, and the night was peaceful and pleasant. Qin Xiao didn't ask about his grandfather's situation, but asked:

"Shaoqing, you are my good buddy, I want to ask you a few things, but you have to promise me, don't ask why, don't mention anything to others including Zhai Congying tonight, okay?"

Xu Shaoqing looked at Qin Xiao's mysterious appearance, and didn't ask why, he knew that he wouldn't say anything if he asked, and he couldn't guess Qin Xiao's mind since he was a child, so he agreed.

Qin Xiao lowered his voice and asked:

"How did you find out about this so quickly? It stands to reason that it wouldn't have spread so quickly. ”

"Oh, it's Zhang Haojian who came to tell us in the afternoon, and asked us to invite you to dinner together in the evening, he has a treat, comfort you, don't let you carry the burden, I think he is still very attentive to people." Xu Shaoqing replied.

Qin Xiao lowered his voice again and asked:

"Then do you think my doctor's order for the second bottle of potassium supplement is wrong?"

"There's nothing wrong with that." Xu Shaoqing touched his head and said.

"Then why did you ask this at dinner today?"

"I don't know, it's just that when I heard Zhang Haojian say it today, it was said that after you placed a bottle, you added another bottle ......"

Before Xu Shaoqing could finish speaking, Qin Xiao immediately interrupted Xu Shaoqing's speech and asked solemnly:

"Did he really mean I added another bottle? Is that what you say? ”

"yes, he just came and said, 'You added another bottle.'" Xu Shaoqing truthfully told Qin Xiaodao.

Qin Xiao stood up and said to himself:

"That's ...... so"

Xu Shaoqing was puzzled and asked:

"What was it?"

Qin Xiao hurriedly lied:

"It's nothing, I mean you knew so early, it turned out that he sued you, and invited me out to eat to comfort me, it's hard enough for him."

Back in the dormitory, he closed the door, and carefully thought about the whole process of the dinner of the four people and the conversation with Shaoqing in the evening, as well as everyone's expressions, he felt that this matter must be related to Zhang Haojian, because he said that he "added another bottle", obviously there is an obvious flaw, this "again" word, shows that Zhang Haojian knows such a premise in his heart, that is-I added a bottle first! And I didn't bring an intern with me when I added the medicine, so everyone would think that I had given two bottles of potassium supplementation at one time, and I would not add one bottle and "again" one bottle at all.

Qin Xiao also suspected He Jing of making trouble at first, but now it seems that Shaoqing will not lie to him, and He Jing has no motive, so this matter has a lot to do with Zhang Haojian, could it really be related to "Seven Spirits Scattering"? Qin Xiao didn't know.

The next day, Qin Xiao calmly came to the department, and during the ward rounds, he met with the family of No. 68. Although the family members have been stabilized by the leaders of the hospital, they are still unforgiving, and Qin Xiao did not argue with them and worked as usual.

Dean Wang Jun also came to the Department of Cardiology in person, talked with the family, and frankly told the patient's family that this matter was an accident, and the hospital has invited many experts, including national experts to evaluate, and agreed that the responsible physician himself was not wrong in this matter, and in terms of the patient's situation at the time, the amount of potassium supplementation of 3 grams a day was reasonable, and the sense of responsibility I also intended to divide the amount of potassium supplementation into two inputs, and the corresponding preventive measures have been taken.

Wang Jun also told them that neither of them wanted this kind of accident to happen, and if the family was not satisfied with the doctor, they could ask the hospital to transfer another doctor. When there is a conflict in the doctor-patient relationship, it is also recommended to change the physician for the sake of the patient's treatment effect.

The other party seems to have done a lot of homework, knowing that this matter cannot be sued for medical malpractice in law, so he can only propose to transfer other doctors to be responsible first, and the director of the department immediately replaced Zhang Haojian to be the responsible physician for the 68th bed.

When he got off work at noon, Qin Xiao felt that the matter was almost done, and he was in a much better mood. But as soon as he walked a few steps out of the door of the ward, he heard a crisp voice say:

"Yo, I said big doctor, when you encounter such a big thing, looking at it doesn't affect your old mood and amount of food, you live so freely!"

Qin Xiao turned around and saw that it was Su Xiaoman calling him beside him, so he smiled bitterly and laughed at himself:

"What's this? Someone poured footwater on you, and since you didn't avoid it, you had to change your attitude. What is Freedom and Ease? Qin Xiao then explained very proudly:

"Freedom means that others have sprinkled your feet with washing water, and you must dare to take off your clothes in front of the public to avoid this filthy and damp atmosphere! -- It's called free and easy! ”

Su Xiaoman admired Qin Xiao's temperament of not being surprised when encountering things and playing life. Qin Xiao then asked:

"What are you doing in our hospital?" Qin Xiao deliberately attached himself to Su Xiaoman's ear and said, "Are you secretly doing abortions?" ”

"How can I have an abortion?" Su Xiaoman shouted angrily at Qin Xiao.

At this time, nurse He Jing happened to be passing by, and happened to hear Qin Xiao talking to Su Xiaoman, and clearly heard Su Xiaoman say "human flow", she couldn't help but turn around and glance at Su Xiaoman, then looked at Qin Xiao again, and said:

"Doctor Qin, you are really a great resource!" Saying that, He Jing turned around and went upstairs with the food he had called.

"Inexplicable......" Qin Xiao touched the back of his head and muttered to himself.

Although Qin Xiao can sometimes see other people's thoughts, this time Su Xiaoman completely understood, so he said to Qin Xiao:

"It seems that you are not shallow, such a beautiful and virtuous little nurse is very fond of you, I heard the strong vinegar of the sentence just now!" After speaking, Su Xiaomang laughed loudly.

Qin Xiao didn't want to talk about men and women when he had nothing to do, so he diverted the topic and said:

"Since Miss Su has time to come to me, let's go, please go to the cafeteria for a light meal." So he led Su Xiaoman to the hospital cafeteria.

Qin Xiao asked Su Xiaoman's purpose for coming to the hospital, and Su Xiaoman replied:

"I worked in the radio station for a period of time to compete for the TV station, I don't want to succeed, now is the internship period, I have to follow the teachers everywhere, yesterday the director said that someone reported your hospital, said irresponsible, potassium supplementation is too high and the patient almost died, I look at the specific content, it is actually a good thing done by your famous doctor Qin!"

Su Xiaoman took a mouthful of food and put it in his mouth, and continued:

"Do you know that people are terrible?"

Qin Xiao smiled and asked, "Have you ever seen me afraid of people's words?" ”

"That's what I'm worried about, I know you've never taken anything to heart, but there are some things that can stir up the feelings of citizens as soon as they are reported by the media, and then you will be at a loss for words, and besides, the doctor-patient relationship is so tense now, and the social trust of your doctors is not very high." Su Xiaoman said with concern:

"Moreover, the person who reported you is very promising, and it is said that the family members are local CPPCC members, so I was afraid that this matter would be indiscriminately talked about by the reporters of the TV station, and they would kill you, so I told the reporter teacher who took me, let them go to other places for interviews, and I came to understand the situation for them first, but I didn't expect to meet you."

"Then don't you avoid eating with me?" Qin Xiao continued.

"What are you afraid of? I won't shield you, just report objectively. Su Xiaoman said again.

"Since you are here, I will be saved, I didn't expect to see the truth in adversity, if something happens, so many people care, Wei Xiaobao is nothing more than that!" Qin Xiao sighed informally.

"You don't come, I'll come and see that first of all, it's an objective report, and I won't bend the law for personal gain, and secondly, you helped me out of the siege last time I was in college, and this time it's a favor, let's see what help I can make, but don't make yourself stinky." Su Xiaoman also smiled evilly:

"But seriously, that little nurse is really interesting to you, you have to trust me, after all, we are all women!"

Qin Xiao also pretended not to know, and deliberately said:

"That's true, but which little nurse are you talking about?"

Su Xiaoman looked at his stinky strength, slapped him lightly on the back of the head, and said with a smile:

"Can you keep a low profile, and then be so 'don't let the one-headed garlic and kill the little pepper', be careful that I let you choke you to death with dinner like last time."

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