Chapter 45: Medical Malpractice (I)
Dr. Cao is a wonderful person. This isn't a compliment to his exposed ass, so please don't over-read it.
Dr. Cao's personality is wonderful. He is different from other doctors and even others, and his greatest hobby is to take care of his younger students. Yes, he is a person who "helps others" in the true sense of the word.
Cao Xin is as his name suggests, and he is naturally worried. And this heart basically does not have a stable time. Even if he met a friend who studied medicine like himself on the Internet, he couldn't hide his heart that was about to break, "Have you been a doctor?" "Has the article been sent?", "How can you test it if you don't review?" Then he left behind three teammates with black question marks on their faces, and Dr. Cao himself, who was chased all over the map by the opposite jungler.
Dr. Cao Xin, who was worried, suddenly started a new round of worries after seeing that his little grandson, who lived in the same dormitory as him, also had a girlfriend. And the object of concern this time is Shen Xi, a junior brother from the same research institute.
"Xiao Shen, what are you doing?" Seeing Sun Lien enter the room, Dr. Cao returned to his room and made a phone call directly.
"Brother Cao, I just have something to look for you. Shen Xi on the other end of the phone was overjoyed, "My mother is hospitalized, it is a kidney stone, I want to ask my boss to do this operation......"
"No problem, I'll go talk to the boss. Dr. Cao agreed, as if it were a trivial problem. "I'm looking for you on business. ”
Subsequently, Dr. Cao painstakingly educated Shen Xi for twenty minutes. From urging him to find a girlfriend as soon as possible, to "society does not discriminate against minority sexual orientation people now", to "your experimental data should be fast, the experimental data you set before will have problems at a glance", and finally to "read more books, read more cutting-edge papers in your research direction, otherwise how will you get a doctorate in the future?"
Then, Dr. Cao fell asleep in bed.
Shen Xi knew his senior brother well, and he also knew that there was no malice in Dr. Cao's chatter. However, what surprised him was that the doctor who was in charge of treating his mother actually won the little nurse of this hospital. And the two of them are progressing quite quickly.
Later, he told the little nurses in the urology department about this interesting story.
A few hours later, Dr. Cao was kicked out of bed by Sun Lien.
"You told someone else, right?" Sun Lien clenched his fists and sneered, "Brother Cao, what are the consequences of saying such unfounded words everywhere, you know, right?"
"Afraid of death, not the Communist Party!" Although Brother Cao was kicked awake without warning, he quickly understood what he was doing wrong. But he knew that he was at fault, but he couldn't express it with the slightest cowardice. "I just chatted with others, and I didn't ignore the facts!"
Sun Lien sneered, "Okay, you're tough." Then he picked up his phone and began to press the screen desperately.
"You two live together, and you're still afraid of what others say?" Cao Xin got up from the ground, patted the non-existent dust on his buttocks, and then complained, "You don't know how to close the door when you come in, the cold air comes in and freezes to death." ”
"Brother Cao, if you are the first year of junior high school, don't blame my brother for being fifteen. Sun Lien turned his phone around and showed Cao Xin a picture of Sun Lien's circle of friends on the screen, as well as a photo that was blocked by the door frame - Dr. Cao's girlfriend was twisting his ears and reprimanding him harshly. The caption reads, "The unbearable weight of life is sometimes manifested in the twisted angle of the ear. ”
“...... You!" Cao Xin's face suddenly changed several times, and then suddenly put on a look of indifference, "I'm going to get married soon, are you still afraid of this?"
After a pleasant mutual injury, Sun Lien received a call from Zhou Jun. The content is simple, "You don't have to go to work tomorrow, you can just go to the lab with me." ”
As for whether Brother Cao will be smashed on the head by two big winter melons in the future, Sun Lien is not very worried. Hu Jia, this girl's character, he probably knows in his heart. Anyway, the main content of the rumors means that Hu Jia and himself are making rapid progress, and there are no bad speculations attached. Therefore, the countermeasures should be mainly reflected in Hu Jia's complaint to the "reserve" Mrs. Cao. Then Dr. Cao had another "unbearable weight of life" on his ears. That's all.
At the same time, Sun Lien also got another news, and this news ...... It's very bad. The middle-aged man with third-degree frostbite he had seen the night before was pronounced dead after resuscitation failed.
"It was confirmed to be a marine Vibrio infection. Zhou Jun's tone was also a little heavy. "We'd rather stay away than the sea, so we didn't think about it in this direction at first. ”
Ma Guoqun is unlucky, he is an electrician. He works in a huge self-service food city in Ningyuan, and on the night of the incident, after finishing work, he chose to eat and drink in the food city with a few colleagues. This meal took a long time, and the three of them really didn't pay much attention, and they were all covered in some soup and water. It wasn't until he was finally about to leave that he noticed that he might not be fit to walk through the gate - his body of oil was almost like someone had been splashed on the front.
The usual gate for guests is impassable, but Ma Guoqun has a back door key for employees. It's not really an insurmountable difficulty for them. So, he successfully opened the back door and sent a few colleagues away, then turned around and locked the door himself.
Ma Guoqun, who had drunk too much, walked in the alley behind the food city, one foot deep and one foot shallow, and then he accidentally stepped into a small ditch next to the road.
The gutter was covered with a thin layer of ice, and it was around this time that the foot on his foot was cut - many oysters are consumed every day in the food city, and some of the oyster shells that are used as garbage fall into the small gutter during the discarded transportation.
These oyster shells, which contain Vibrio vulnificus bacteria, become sharp knives that cut Equestrian's toes and bring in the deadly Vibrio vulnificus.
After Dr. Cao Yanhua treated Ma Guoqun for initial treatment, he was transferred to the Burn Department of the Fourth Central Hospital for further treatment. But Ma Guoqun soon began to develop symptoms such as high fever and pain and swelling in his lower limbs. At the same time, I also had diarrhea that could not be dealt with frostbite.
Doctors from the burn department quickly summoned experts from departments including emergency, hematology, critical care medicine, laboratory, internal medicine, and infectious diseases to consult Ma Guoqun. In the end, everyone was woken up by Yuan Ping'an's words, "Isn't this performance a bit like Marine Vibrio vulnificus?"
No wonder the doctors in the Fourth Central Hospital are not knowledgeable, Ning is more than 200 kilometers away from the nearest ocean. There have never been reports of marine Vibrio infections before. What's more, it's December, and the peak infection period of Vibrio vulnificus is from March to October every year, and it is basically in coastal areas. If it weren't for Yuan Ping'an's enough information, he might have to rely on an autopsy in the end, and the doctors would be able to know what kind of disease Ma Guoqun had.
Although the cause was diagnosed, Ma Guoqun was not rescued in the end. Perennial alcohol consumption is a high risk factor for marine Vulnificus infection, and despite incision and drainage and continued use of VSD, as well as a combination of ceftazidime, tetracycline and norfloxacin, Ma Guoqun's disease progressed rapidly and frighteningly. On the night of the diagnosis, Ma Guoqun developed severe manifestations of sepsis. Even with the support of the intensive care department, he was given dialysis and other life support therapies. But he still couldn't get through it. At around 10 o'clock this morning, Ma Guoqun's heart completely stopped working.
After Sun Lien answered the phone, he was silent for a long time.
He was pretty sure that the status bar on his head didn't indicate that he had a Vibrio vulnificus infection when he saw E. But at the same time, he didn't really see Ma Guoqun's wounds. If he saw the shape of the wound on his foot, Sun Lien would never have directly transferred the person to the burn department for treatment.
You can't go wrong with the status bar, that's what Sun has been saying for a long time. But at the same time, the status bar isn't perfect. Sometimes it will prompt certain index changes to guide Sun Lien's diagnosis, and sometimes it will directly prompt the name of the disease, directly telling Sun Lien what kind of disease the patient in front of him has. But this kind of hint is not complete, at least Yang Jianqiang and Ma Guoqun's illness has directly told Sun Lien this.
Continuing to think along these lines, Sun made a creepy inference - when he was admitted to the hospital, Ma Guoqun was probably not infected with Vibrio vulnificus. The wounds on his feet may have been contaminated, but due to third-degree frostbite, the bacteria had not yet been able to enter his bloodstream.
What led to the outbreak of infection was the basin of warm saline.
After thawing, local circulation begins to resume. In addition to the circulatory system on his feet, he was awakened by the warm saline, and I am afraid that there were bacteria living in the salt water. And after the bacteria resuscitated by saline immersion invade the body, the subsequent debridement is certainly not as thorough as that of ordinary trauma - third-degree frostbite does not theoretically require too deep debridement. At the same time, in order to prevent severe pain during the rewarming of frozen limbs, Ma Guoqun was injected with analgesics in addition to ordinary antibiotics.
And these painkillers prevented him from directly experiencing the pain of infection after being infected.
Sun Lien sighed, he was even a little afraid. Even if he continued to deal with it at the beginning, I am afraid that he will not have any good way. Marine Vulnificus infection is a rare event, and the management of third-degree frostbite should be a normal treatment for doctors. If it doesn't regain immediately, it will be necessary to amputate Ma Guoqun's toe directly afterwards - that is the real medical malpractice.
Either risk being treated as medical malpractice and amputating Ma Guoqun's toes at the risk of being suspended. Or watch the Equestrian herd get infected to death.
Sun Lien was even a little shamefully glad that he didn't need to make this choice.