114 Discuss Director Wang's mistakes (Part 2)
"Xiao Zhou, it should not be considered a difficult medical record." The head nurse forced a smile and smoothed out the situation between Wang Chengfa and Zhou Congwen.
"Director Wang said you are questioning my doctor's advice? If you have the ability to be the director, otherwise you will shut up.
Finally, Director Wang said in front of the patient's family that you always say you want to write a record of the disease course? Remembering my words without saying a word, I decided to extubate the cannula."
Zhou Congwen held the medical record in his hand and read it word by word.
"..." The head nurse was like falling into an ice cave, lowering her head and saying nothing nonsense like a quail.
This is not a medical record discussion, it is like Wang Chengfa pressed the old director's head decades ago and threw them to the farm to feed rabbits.
Retribution, this is all retribution.
"The head nurse's problem is a good question. Let me tell you what I think." Zhou Congwen held the medical record in his hand and said lightly, "First of all, according to the various test results, it should not be extubated. This is my understanding. If Director Wang has different opinions, we can discuss it."
Zhou Congwen looked straight at Wang Chengfa's eyes and issued a one-on-one invitation.
But Wang Chengfa looked at the ground and said nothing.
It was awkward in a few seconds, as if a few years had passed.
"Facts also confirmed this. The patient suffered acute respiratory failure 2 hours and 32 minutes after the extubation." Zhou Congwen saw that Wang Chengfa refused to respond and continued.
"Secondly, I don't think Director Wang Chengfa deliberately puts the patient in a dangerous situation. The director's simple level is not enough."
"..." The head nurse almost cried.
"..." Shen Lang almost cried.
"..." Liu Di began to regret that he shouldn't have been transferred to thoracic surgery at all.
A little doctor pointed at his nose and said that the director's level was not good enough...
Wang Chengfa's face turned green. Zhou Congwen's words were said to be pierced by his heart and killed people in every word.
And it is not the kind of killing people without blood, but the kind of open fire-like swaying, and the smell of blood has spread in the office.
"Director Wang is the head of the department and is not even at the level of the person in charge. I think this medical record is a difficult medical record. I have finished speaking. Do you have any supplements?"
"Does it be democratic centralized? If you have different opinions, say it."
Zhou Congwen looked at the head nurse like a senior director.
The head nurse was silent and dared not say a single word of unnecessary nonsense.
The office is extremely depressed, even more depressing than Zhou Congwen photographed the textbook in front of Wang Chengfa that day.
Ten seconds later, Zhou Congwen took the medical record and began to report his medical history.
This is the normal process. First, the clinician reports the medical history, and then goes up step by step, and everyone has to speak.
The department’s case car drawer contains standard death discussions and preoperative discussions, as long as it is copied in the format. This is the first time that face-to-face discussions, including Wang Chengfa.
This is not a consultation in the whole hospital, but an internal discussion in the department, criticism and self-criticism, seeking technological improvements, and avoiding similar mistakes.
Everyone knows the great truth, but in fact, Wang Chengfa's face turned red and white, and finally turned green.
Every word Zhou Congwen said was invisible... No, he pointed at Wang Chengfa's nose and said, "You are not good enough!"
"To sum up, the patient's extubation at 16:12 pm on the same day of the operation is a questionable solution. Our future work should be more meticulous to avoid irreversible harm to the patient."
After Zhou Congwen said that, he raised his head, glanced at the people in the office, and smiled silently.
Wang Chengfa's face was green and seemed to contain vitality.
Next...
No one spoke in the office.
Zhou Congwen was not in a hurry, crossed his legs, holding a pen and paper in his hand to prepare for the record.
He didn't urge him. At this time, no matter who comes out, he is not good to speak. He has already forced Wang Chengfa to the edge of the cliff. Today, he can only do this way to do it by spitting on his face.
The embarrassing and suffocating silence in the office had no effect on Zhou Congwen. The more he did, the happier he was.
The doctor is essentially a technical job. Since you want to talk about technology, your comprehensive technical level will definitely be useful. This day will come sooner or later, and Zhou Congwen looked at Wang Chengfa's expression with a smile, enjoying it.
The awkward discussion did not last long, and the head nurse stuttered a few words. Seeing Liu Di and Shen Lang hiding aside, Wang Chengfa could only breathe deeply and start speaking.
Criticism and self-criticism, who can we criticize?
I was so cool about cursing people yesterday, but Zhou Congwen caught me right away, and every sentence was written in the medical record! Wang Chengfa was helpless and could not leave.
If Zhou Congwen really leaves without adding a note to the medical record and then publicizes it in the hospital that everyone knows that he is not the king.
He complained to the sky and secretly scolded Wang Qiang for causing trouble.
If it weren't for protecting Wang Qiang, I wouldn't have offended so many people for nothing, so I remembered the fact that the old directors were chased to feed rabbits decades ago.
As a director, I can't help the little doctor...
This is simply incredible.
But no matter how incredible it is, he has to seize the time to deal with this matter. Wang Chengfa bit his back teeth and said hesitantly, "This... the patient's handling is indeed a bit hasty... I..."
"Lingling~" The ringtone of the cell phone interrupted Wang Cheng's words.
If it were normal, Wang Chengfa would definitely look in the direction of the ringtone with a cold face, and use a murderous look to make the doctor who was not silent on his phone, and the nurse was scared to death.
But today he felt a little grateful and really hoped that he would just go through this vaguely. He would find this place sooner or later.
He looked at the ringtone with gratitude, and then he realized that it was Zhou Congwen's mobile phone.
Zhou Congwen frowned and was happily appreciating Wang Cheng's embarrassment, why did he call?
I took out my cell phone and took a look. It was Chen Houkun who called me.
"Director Wang, I'll answer the phone number from Professor Chen first?" Zhou Congwen "requested" Wang Chengfa.
"Go." Wang Chengfa waved his hand.
Zhou Congwen picked up his cell phone and answered the phone, saying that while leaving. Wang Chengfa looked at Zhou Congwen's back and breathed a sigh of relief.
"Professor Chen, what's wrong?" Zhou Congwen asked.
"Doctor Xiao Zhou, we are consulting in the whole hospital. Director Zhang just had a right lung cancer resection, and the patient was in a stable condition after the operation..."
Chen Houkun began to tell the patient's condition.
Just now, Director Zhang You and Director Zhang underwent a sleeve surgery for lung cancer. The full name of sleeve surgery is bronchial sleeve removal, which is relatively difficult in thoracic surgery.
Generally speaking, when the tumor or stenosis is in the augmentation and extends to the bronchial on both sides, one lung lobe can be removed and a section of the lesions can be re-ansed with the bronchial of the remaining lungs. This procedure is sleeve-shaped lobectomy.
After the operation, before removing the tracheal tube, the patient was taken to suction with sputum in the supine position, and the patient coughed violently and his blood pressure dropped directly to 60/30 mmHg.
Chapter completed!