Chapter 8 Causes of Misdiagnosis

The nurse on the side also smiled and said, "That's right, if doctors have to listen to the patient's family, then you won't become a doctor?" โ€

"I said I'm responsible, you just have to operate." Aunt Tian was very anxious, and her volume suddenly increased, almost shouting in a sharp voice.

Director Zhang frowned and said, "You can't take responsibility!" The patient's condition is not suitable for surgery, and if the doctor forcibly performs the operation, he will make a mistake and will be liable for medical malpractice. โ€

Seeing that she couldn't convince Dr. Zhang, Aunt Tian stomped her foot and said bluntly: "Let me tell you the truth, you misdiagnosed!" My husband's illness can be operated on, and he must have surgery, and he won't survive without surgery! โ€

Several doctors in the room were busy with their own work, but when they heard that the patient's family directly believed that the doctor had misdiagnosed in front of the doctor, their faces were clouded, and they gathered around to take a look at Aunt Tian.

A young doctor said, "I say, this comrade, you must have a basis for what you say, and you must not misdiagnose such things as nonsense, otherwise, we have the right to sue you for ruining the reputation of our doctors." โ€

Aunt Tian also shouted anxiously just now, and when she saw several doctors surrounding her, their eyes were cold, and some people even threatened to sue her, she couldn't help but panic. Quickly said with a smile: "I'm not talking nonsense, someone sued me, saying that you misdiagnosed, saying that my husband's illness is not cancer at all, but duodenal ulcer bleeding." It can be surgically treated, it must be surgically treated! โ€

"Oh, not cancer? Says who? Director Zhang said coldly.

"The fortune teller said it."

The room immediately erupted in laughter.

Director Zhang couldn't help laughing out loud and said, "I fully understand your feelings, you want to save your husband's life as much as possible." Actually, my doctor thinks the same thing as your patient's family, and we are doing everything we can to save your husband. But unfortunately, current medical technology is not yet able to save your husband from death. -- Go back and spend more time with your husband in his last days! โ€

Aunt Tian gritted her teeth, took out the note written by Xiao Ying from her pocket, handed it over and said, "This fortune teller is very accurate, he calculated what caused my husband to be admitted to the hospital and what kind of cancer he diagnosed. He also wrote this note for me to give to you, saying that it wrote the reason for the misdiagnosis. If you don't believe it, as long as you open your stomach and take a look at it, you will know that you have really misdiagnosed, and you know what to do. - Take a look! โ€

Director Zhang didn't answer the note, put his hand in the pocket of his white coat, and said coldly: "I'm sorry, I'm going to check the ward now." He walked around her and out of the doctor's office.

"Wait, Dr. Zhang, look at this note!" Aunt Tian wants to chase out the door.

"Give it to me, I'll see." The young doctor who threatened to sue Aunt Tian just now also sympathized with Aunt Tian, apologized for his words just now, reached out and took this from her hand, and said with a pleasant face, "You go back to the ward first, and when the director finishes checking the room, I will hand him the note, I promise!" โ€

When Aunt Tian heard him say this, she nodded, and told her a few more words to be handed over to Director Zhang, and then went to her husband's ward sullenly.

The young doctor took the note, looked at the other doctors, and said teasingly, "Let's all take a look at our fortune teller's opinion!" โ€

Then, he shook his head and read the note in a tone of voice: "The imaging showed that the error was that the patient+ was not cancer, but a deep and wide ulcer on the posterior wall of the duodenum, which penetrated into the pancreas and caused chemical inflammation, which produced the signs of pancreatic head enlargement and structural disorder seen in imaging examination; Obstructive jaundice is caused by edema of the pancreatic head compressing the common bile duct, causing massive bleeding in the patient's digestive tract, and is caused by the corrosion and rupture of an artery in the ulcer. The patient is in a coma because of hemorrhagic shock. If surgery is not taken immediately to treat twelve bleeding intestinal ulcers, the patient will die of hemorrhagic shock! โ€

When the young doctor began to read this paragraph, it was in a strange and mocking tone, but halfway through the reading, the tone became solemn, and at the end, it was full of doubts and shock.

When he finished reading the note and looked up, all the doctors in the room were staring blankly at him. A thought came to their minds, - a fortune teller, can write such a professional pathological diagnosis?

Shocked, they fell into thought because of the cause revealed by the note.

After a long time, the young doctor shrugged his shoulders with pretense of ease, put the note on the table, and said, "No, duodenal ulcer bleeding?" Could it be that his fortune teller's eyes are more effective than B-ultrasound, gastroenterography, pancreatiocholangiogram, and CT? These imaging tests have confirmed that the patient has pancreatic head cancer. Moreover, not only our hospital diagnoses this way, but other hospitals, including the Capital Hospital, are also pancreatic head cancer! โ€

The other doctor also nodded with a smile and said, "Yes, is it possible that the advanced instruments are all blind?" The fortune teller has counted it accurately, so what do you need us doctors to do? โ€

A doctor touched his chin and thought for a moment, then waved his hand and said, "It is impossible for a fortune teller to write such a professional diagnosis report." Maybe it's not a fortune teller, maybe it's really a famous doctor, just using fortune telling as a cover. โ€

At this moment, all the doctors were dumbfounded again, and this possibility did not exist. Fortune telling, it's nothing more than using some words to trick the other party's words and fool the other party. But no matter how foolish a fortune teller is, it is impossible to fool so professionally, and such an accurate description of the medical cause is not called fooling.

An old doctor with thick eyes under a glass bottle lifted his glasses and said, "What this man said is not unreasonable. I just thought about it for a while, and the possibility he said is actually zร i. โ€•โ€•If the duodenal ulcer penetrates to the pancreas and causes chemical inflammation, imaging examination may show signs of pancreatic head enlargement and structural disorder, and it may be mistaken for pancreatic head cancer. โ€

Several doctors were dumbfounded, one looking at the other, silent.

After a while, the old doctor said, "Why don't we report this matter to Director Gao?" โ€

"But Director Gao took turns off today and didn't come to work." Said the young doctor.

"Call home." The old doctor said earnestly, "We want to do everything we can to save the patient's life, and now that we have found that there may be a misdiagnosis, so as to save the patient's life, why not go and test whether it is really a misdiagnosis?" โ€

The young doctor hurriedly said, "But the responsibility for the misdiagnosis is to be meted out." โ€

"What are you afraid of taking responsibility? Which doctor has not misdiagnosed? As long as you do your best and have a clear conscience. Now that we have discovered that it is possible to misdiagnose and not correct it, then we really have to take responsibility. โ€

The young doctor's face flushed a little, and he smiled wryly and said, "I don't mean anything else, I'll just say it casually." I also agree to report to the Director. โ€

The old doctor glanced around at the other doctors, and saw that they were all nodding slowly, so he picked up the note on the table, walked to the desk, and dialed the phone number of the director of the oncology department of the provincial hospital.

As soon as he dialed up, before he could speak, the old doctor hung up again, looked at a few doctors and said, "How do you tell the director?" Is it really that the patient's family received the guidance of the fortune teller before discovering that we may have misdiagnosed? โ€

Hearing him say this, several doctors thought it was a problem. -- The doctor discovered a misdiagnosis because of the fortune teller's guidance, and it spread to the rivers and lakes, which really became a big joke.

Several doctors discussed it and agreed on it. The old doctor coughed and redialed the phone.

On the other side of the phone, the slightly hoarse voice of the director of the oncology department came: "Hey? โ€

"Director, that's right, there is something we want to report to you: a critically ill pancreatic head cancer patient in intensive care, after discussion, we think that it may be because the twelve fingers penetrate into the pancreas, causing chemical inflammation, and the imaging examination shows signs of pancreatic head enlargement and structural disorder, so that it is misjudged as pancreatic head cancer. The patient is most likely in hemorrhagic shock due to bleeding from duodenal ulcers. So, it's best to have a laparotomy done. โ€

"What did you say?" Director Gao's voice suddenly raised. For mobile phone users, please visit wรจnhttp://mnet

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