It was a sad night.After the first death was reported in the ICU in the afternoon, Director Qin, as the chief on duty, received nearly ten death reports that night.In shock, he went to check one by one the departments that had reported the deaths, and the dozen or so departments walked down, making his steps vain.Just looking at any one case does not mean that the clinical doctor has made a mistake.For example, the patient who had the meningioma surgery that Dean Chen had during the day.He carefully looked through the medical records in the ICU, which not only included Dean Chen's ward rounds and Li Min's preoperative discussions; There are records of intraoperative medication by Director Zhou and Director Liu of the Department of Anesthesiology; There are surgical records written by Dean Chen himself, Li Min's postoperative course records, and ICU Director Hong's rescue records.The back of the medical record is also the medical record of the Affiliated Hospital of the Medical University, the examination results of the visit to Beijing Tiantan Hospital, and the discharge summary.With a more than 95% chance of dying on the operating table, Dean Chen would dare to operate on such a patient?
Isn't he afraid of another family member who died on the operating table and then came to the hospital to "make trouble"?
The researchers from above and below actually visited this operation?
Director Qin's heart was full of questions, incomprehension, and worries.He felt the need to talk to Dean Chen about choosing indications for surgery.The medical office is too busy to put out fires.Although, under the joint rescue of Director Zhou and Director Liu, this patient did not die on the operating table and the operation was completed.But he died in the ICU within a few hours of getting off the operating table.He didn't know what to say about it.The deep sense of powerlessness that he could cure the disease and not save his life made him feel sorry for this patient.However, there was another thought that grabbed his mind: What if the patient's family did not accept death?
Isn't the liver cancer patient's risky surgery enough to alert all surgeons?
In this regard, Director Qin decided to submit a report to the hospital council for discussion.It is important to clarify the selection of indications for surgery.Another example: the daughter of Dr.
Wang of General Surgery.The night before yesterday, it was Director Wu of the Department of Pediatrics, and yesterday during the day, it was the assistant to the dean and the director of the Department of Respiratory Medicine, Guan Lan, who was guarded, and the director of the Department of Pediatrics was changed during the night shift......
In order to rescue this child, the provincial hospital has the strongest lineup.Director Qin flipped through the medical records and looked at the medication, and then he sighed in his heart - this kid is simply here to collect debts from his parents.And also: the patient who died in the thoracic surgeon.Asbestosis eventually developed into pulmonary heart disease and died, and he Qin Guoqing stepped into the first clinical lesson.If the patient's diagnosis is diffuse alveolar hemorrhage, he is relatively easy to accept.But Li Min's discussion in this medical record, some of them didn't go so far, and they actually suspected that it was pulmonary lymphangiocarcinoma!
The primary lesion is gallbladder cancer.Although the patient's family did not agree to the bronchoscopy, Director Qin decided to persuade the family to do an autopsy.If necessary, use the power in his hands to reduce part of the medical expenses, and also do this autopsy.The reason is to promote the scientific research of the provincial institute.Only a pathological diagnosis can prove what disease the deceased really was.Isn't it?
Death is also a clear death, isn't it?
is the most deserved.That little girl pulled out such a rare disease, Director Qin didn't say that he threw away all the internal medicine, he just subconsciously hated Li Min for saying so much that he didn't know.Again: General surgery has died of liver cancer after surgery, why are there so many liver cancers!
The orthopedics, to be exact, the orthopedic side of the emergency department, died with a fractured cervical vertebrae.Endocrine death was a ketoacidosis, a comatose patient transferred from the district hospital, who was admitted for more than 24 hours but less than 36 hours.Nephrology died of a late uremia.Dialysis does not save the lives of all uremia patients.Death is inevitable in the end.…… It seems that the clinical doctor is not to blame for any death, but how can so many people die in 24 hours?!
*When Director Qin came out of the internal medicine building, a faint gray line had just been revealed in the east.He looked at his watch, and it was only five o'clock.Although it was almost dawn, there were basically no people moving around at this point in time in the silent hospital.He stood in front of the internal medicine building, looking back at the building where most of the windows were dark, and repeated in his heart the sentence just now: Why did so many people die!
Back in the office of the medical department, Director Qin was about to write a summary of the class book.He looked enviously at the "24-hour nothing" shift a few days ago, and looked at the last shift on duty: "The pediatric admission is suspected to be a case of children with infectious diseases in the nursery." ”Look at his own 24 hours, he has to count them well, don't count the total number of deaths wrongly.One two three......
After 24 hours, the phone rang, interrupting Director Qin's simplest finger check."
Hey.Qin Guoqing, the chief duty of our medical office. ”I don't know who called, but it was a request of the provincial court to report to my home like this first."
Where are you?
Who to look for?
”"Director Qin, I am a night nurse in the cardiology department, and we just died of a heart attack.Stayed in CCU for three days. ”"yes, I see.You fill out the form normally and report it immediately. ”"Yes."
Putting down the phone, Director Qin took a deep breath.I can't write a summary in this shift book, what if there are still deaths before 8 o'clock......
He paced around the room irritably, and finally decided to take another look at the internal medicine building.He first called the cardiologist and told them that he was going to see the medical records and get the death report along the way.Then I called the registration room and went to the cardiology department by myself.Although Director Qin has been out of clinical practice for many years and still admits that he is not a clinical doctor, this does not prevent him from understanding the medication and rescue of patients with myocardial infarction.He looked at the ward rounds of Dean Shu in front of him, and compared with the medical records in his hand, he exhaled deeply again - it was not the fault of the clinical doctors!
When the day dawned, Director Qin returned to his office, picked up the pen and added the capital number "pickup" to the death cases on duty 24 hours a day, and then added the latest series of information on myocardial infarction cases under the column of time of death and cause of death.I was just about to draw a few large "S's" in two lines and sign them again, when the phone rang again.The ringing of the phone made his heart tremble.He hesitated for a moment, and said in his heart, "Don't report the death record again, don't, don't." ”"Hey, Qin Guoqing, the chief duty of my medical office.""
Lao Qin, I'm Yang Weiguo, and another one died on the eleventh floor.It's—" "I'll go over and take a look." ”Before Yang Weiguo could say the patient's diagnosis and name, Director Qin interrupted him.Again, again, dead again!
Director Qin smashed the microphone on the telephone, can this still be good?
*Director Qin was full of resentment and complained, but Dr.
Yang on the twelfth floor was more breathless than him.This night shift starts with a dead man, phew, crow's mouth, starts with a rescue, and ends with a rescue.But even a different word cannot hide the fact that it begins with a dead man and ends with a dead man.Director Qin walked quickly to the eleventh floor, and Yang Weiguo was waiting for him in the nurse's duty room in the eleventh."
Old Qin.""
Well, what patient?
How long have you been hospitalized, before and after surgery?
”Yang Weiguo handed him the medical record and said, "Cerebral hemorrhage, emergency surgery last Thursday night."
After the operation, I stayed in the ICU for four days and came back to live in the intensive care unit.No, in the end, it still couldn't be saved.M's, I'm on duty this night shift.I haven't closed my eyes all night. ”Director Qin said while looking at the medical records: "I was also busy all night.My 24-hour total duty, starting from the death record in the ICU yesterday afternoon, counts this as 11. ”"Why are there so many?"
Dr.
Yang was taken aback."
I'm upstairs and downstairs, and it's unprecedented.""
In addition to the explosion/explosion on that day, last night was the day with the most deaths in the provincial hospital, which is also an unprecedented record."
Doctor Yang was stunned for a moment, suddenly patted Director Qin's shoulder, and sighed: "It starts with the death of a brain surgery patient and ends with the death of a brain surgery patient." ”Director Qin didn't want to ignore his statement, so he said to the nurse, "Have you filled out the form?"
Lao Yang, you hurry up and sign it, I have to go back to write the shift. ”Director Qin returned to the office and saw that the time was almost half past seven, and there was still half an hour to get off work, so there should be no more trouble, right?
But in the dark, he didn't dare to fill in the word "one" after the word "pick".This capitalized "one" is not as easy to change as "one".So, he filled in the information of the deceased patient on the eleventh floor first.Then he stared at the telephone, staring at the telephone with nice eyes.It wasn't until his eyes were sore and he was about to cry that he leaned back into his office chair.Rub your hands together and gently apply your palms to your closed eyes, slowly turning your dry eyes.But I was still thinking about the phone.He didn't know what his psychology was, whether he was looking forward to the phone ringing quickly and reporting another death record, or hoping that the phone would not ring, and he just waited with a heart.* Wang Qiuyun didn't have the heart to make breakfast, she went to the canteen early to buy porridge, steamed buns, etc., and after answering her daughter Pearl for breakfast, she sent her daughter to school, and only then did she leave the dormitory area of the provincial hospital, and met Director Chai of the pathology department who wanted to send her daughter to school.Director Chai heard about her youngest daughter's hospitalization yesterday, and took the initiative to say, "Leave it to me, I'll send it over together."
Our Jiaojiao happens to be in the same class as your pearls. ”"Then thank you, Director Chai."
Wang Qiuyun put the schoolbag on her daughter's back, and told her daughter to be obedient, so she hurried home, and she had to rush to the hospital to change shifts.Dr.
Wang held his head in his hands and propped his elbows on the railing of the crib, and he bent down to watch his daughter stand for the rest of the night.Baozhu, Baozhu, how good it is for Xiaozhi to get a name for his sister.But why didn't he keep her?
He closed his eyes and opened them again, and his little daughter was still lying there silently.There was no action of the daughter stretching out her little hand and holding the draft to hold herself.He stretched out his finger and gently touched his daughter's little face, and there was no trace of heat anymore.The door of the monitoring room opened, and Wang Qiuyun came in with a big mummy bag, most of which were her daughter's diapers, and then a few sets of her daughter's small clothes.There are also bits and pieces of things that the daughter may need.There are no nurses in the ICU.Wang Qiuyun glanced at her husband who was reaching out to touch the child's face, and what she noticed was that the child did not have any tubes on his body, no scalp needle infusion, no nasogastric feeding tube, no tracheal intubation, and no regular biubiu sound in ECG monitoring.She won't think that her daughter is good!"
Brother Wang."
Wang Qiuyun held on to the door, only screamed like this, and couldn't speak anymore.Dr.
Wang turned back with difficulty, his hands pressed hard against the rails of the crib, and he struggled to straighten his waist.Looking at Wang Qiuyun's tearful face, he couldn't help but shed two lines of tears.He was unsteady on his feet, and he stretched out his hand to his wife: "Qiuyun." ”Wang Qiuyun felt that her legs weighed a thousand pounds, and the distance of just a few steps made her feel that it was as far as thousands of rivers and mountains......
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Dr.
Wang hugged his wife, who came over, and the couple cried in a low voice."
Orb, orb."
Dr.
Wang couldn't cry.Wang Qiuyun said: "I don't go to work, I'll just take care of the children at home." ”…… In the nurse's office of the pediatric department, the nurse who worked the night shift in the intensive care unit looked at the death shift log in front of her with a straight face.When the head nurse of the pediatric department saw her sitting on the shift bench, she asked while pinning her hat, "How is the child in Dr.
Wang's family?"
Have you finished your shift with your successor?
”"No shifts.The kid died. ”The head nurse was surprised, she looked back at Director Qi and asked Director Qi's opinion with her eyes.Director Qi didn't sleep all night.A woman who has passed the age of fifty will inevitably hang her face if she stays up late like this.She nodded with a hint of sadness when she received the head nurse's inquiring look.Then without saying anything, he closed his eyes.She thought to herself, "Don't look at me like that.Such a beautiful little girl, do I want her to die?
I've done my part. ”The deputy head nurse of the pediatric department asked, "When is it?"
”"It's past 1 o'clock at night.Director Qi rescued him for more than 2 hours.But Dr.
Wang is not very good, he has been guarding the child as if he has lost his soul.I told him twice to pack up and send the child away, and he didn't want to hear it. ”"The child is still in the custody unit?"
The head nurse asked?
The nurse on duty nodded weakly.whispered: "You don't know how terrible Doctor Wang is. ”"How can this work!"
Hearing that Dr.
Wang's daughter had been dead for half a night, and she had not been confiscated or sent to the morgue, the head nurse immediately blew up."
Do you have to wait for the house in the custody room to be polluted, are you still comfortable?"
Director Qi opened his eyes and looked at the head nurse, and then looked up at the electronic clock.The head nurse quizzled and guessed that she meant to let her go to the intensive care unit to do this.She huffed and turned to leave the office.Take advantage of the remaining time before the shift to find Dr.
Wang.Tell him to send the child away quickly.Such an older child died, and he couldn't stay overnight.Contact the crematorium as soon as possible.It's best to take care of the rest before the sun goes down.In the half-open door of the intensive care room, in the corridor, you can see the couple hugging and crying together.The low cry was more heartwarming than the howling of a mother who had lost her child that the head nurse had heard in the pediatric department.She sighed, retreated, let's hand over the shift first, let them finish crying, it's not too late.
*General surgery is about to be handed over.When the head nurse saw Director Liang looking around, she said, "Everyone who should come is here." ”Director Xu joked: "Who shouldn't come?"
”The head nurse sighed: "Dr.
Wang's little girl is dead. ”Her words made the doctors who were communicating with each other last night exclaim.He asked her, "Really?"
”"Isn't it just pneumonia?
Why did he die?
”There are many people who have seen the little girl in Dr.
Wang's family, and the nurses like the soft and beautiful little girl who everyone hugs."
Really dead?
It's a shame.What a pretty little girl. ”The head nurse was so angry that she slapped the long table and said, "Isn't our Xiaolan's child also in the nursery, and this time he is also hospitalized."
I went to the pediatrician early in the morning.She told me that Dr.
Wang's child had died, and Dr.
Wang was like a fool and had been lying there looking at the child for hours. ”Director Bian said, "Let's go over and have a look later."
Old Liang?
”"Okay.Handover the class first, and let's go over and have a look after the shift. ”Director Liang happily agreed.A similar scene was staged in the morning meeting of various departments of the provincial hospital.Director Shi frowned and listened to the night shift nurse shift.Before the morning meeting, he heard Dr.
Yang say: One died last night, it was the asbestosis and Dr.
Li suspected that it was lymphangiocarcinoma of the lung.In the early hours of the morning, another died after a cerebral hemorrhage.Director Shi was not surprised by the death after cerebral hemorrhage.Even Chen Wenqiang and Li Min were not surprised.The operation was originally a dead horse as a live horse doctor, but the one with a history of asbestos exposure has not yet been diagnosed.Li Min said to Director Shi through Chen Wenqiang: "Director, do you persuade the family to do an autopsy?"
”Director Shi agreed with Li Min's proposal, and he turned back to Pan Zhi and said, "Xiao Pan, you talk to the family and persuade them to undergo an autopsy so that the cause of death can be clarified."
The head nurse, if you nurses see his family coming to settle the bill, remember to inform Dr.
Pan. ”"Okay."
The head nurse agreed."
If any of you go to the duty class, you all remember this."
But then she said, "What if the family members go back to our department to settle the bill after being cremated?"
Director, you'd better say hello to the medical department first, they have to go to the medical department to issue a death certificate before you can go to the funeral home. ”Director Shi stretched out his arm to hook the telephone, but the head nurse pushed the telephone to him: "The phone number of the medical office?"
”Dr.
Yang stood behind him and said, "8114."
The phone was dialed instantly."
Hey, the infirmary?
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I'm thoracic surgeon Shi Lei, looking for you Director Qin. ”How did ※※※※※※※※※※※※※※※※※※※※ kill so many people?
() The distance is a bit far