White armor
Chapter 556 I'll Take the Blame
Chapter 556 I'll Take the Blame
Chen Yan stopped talking. He reached out his hand subconsciously, but didn't touch the heart-protecting hair.
In winter, people have to wear more clothes, so Chen Yan could only twirl his beard, squint his eyes, and silently watch the developing part, thinking in his heart.
"Huh? What is this? Why is it developing?" The operating technician in the radiology department had never seen it before and asked in surprise.
There is indeed a developing strip on the gauze, but this developing strip is definitely not designed for use in this situation.
Generally speaking, when closing the chest and abdomen on the operating table, the gauze must be checked repeatedly. The circulating nurse and the instrument nurse will count the number of gauze respectively. If they don't match, I'm sorry, just start looking for them on the patient's balcony.
No one wants to encounter a similar situation. Once this happens, even the doctors and nurses with the best tempers will start cursing.
Luo Hao remembered an incident that Boss Chai had told him - before Boss Chai retired, he had performed an operation that required the abdomen to be closed, and the new instrument nurse said that the gauze did not fit.
Boss Chai, who had already stepped down, had to go back, wash his hands, and go back on stage again, looking for where the gauze fell bit by bit.
Even if Boss Chai was sure that he definitely did not drop the gauze in the patient's stomach, it would not work. A piece of gauze was missing, and no matter how powerful Boss Chai was, he could not just say it had nothing to do with him and leave.
It took more than an hour to search that time. Boss Chai said that finding gauze was much more difficult than performing surgery.
After having the developing strip, if we encounter a similar situation, we can only step down first, push the X-ray machine next to the bed, take a few pictures, find the approximate position of the gauze, and then start to stroke it little by little until the gauze is found.
This is the requirement of the hospital's surgical department, and it is also a rule formed by countless blood and tears.
Is there no counting on that side? Luo Hao felt helpless.
The conjecture really became reality.
"It's okay, just a small problem." Luo Hao stretched out his hand, clicked the film, and then switched the screen with his skillful movements.
The operator in the radiology department thought that Professor Luo Haoluo knew everything and wanted to operate it himself, so he gave up his seat with a smile.
The operating room fell silent.
All the previous speculations became reality, and Yang Jinghe and Chen Yan were a little confused.
Yang Jinghe is relatively okay, the main problem is Chen Yan.
If the operation was performed in a municipal hospital, Chen Yan would not bother at all. He would explain the condition to the patient's family and then go up to take the tissue out.
As for now, that magician has a relationship with Chen Yan, and they are colleagues who are half teacher and half friend.
Chen Yan's hands were indeed a little numb. Not only his hands and feet, but even his beard and the hair on his chest began to feel numb.
Although he was just full of enthusiasm and wanted to take on this matter together with Luo Hao, Chen Yan still found it quite tricky after calming down.
After finishing everything, Luo Hao developed a film himself and started taking the patient back with him.
When he arrived at Chen Yan's office again, Luo Hao had already figured out what to do.
"Director Chen, rescue him."
Luo Hao said something without any clue.
Chen Yan knew what Luo Hao meant, but wasn’t it a bad idea to do so?
He looked at Luo Hao with flickering eyes.
"I'll contact Director Feng. I suggest you find a random ECG with problems."
Luo Hao felt that there was no need for Chen Yan to teach him about falsification. After so many years of working in the clinical frontline, if he couldn't even do such a small thing, Chen Yan would rather die.
Not to mention a fake electrocardiogram, Yang Jinghe even had a diagnosis of mental illness.
"Xiao Luo, actually..."
"Director Chen, I know you're in a bit of a dilemma. I'll contact the Medical Department and see what they think."
As he spoke, Luo Hao smiled.
"What happened was that the doctor at the provincial hospital's oncology department saw no change in the patient's 'tumor' after two chemotherapy sessions and three radiotherapy sessions, so he recommended that the patient come to our hospital for treatment."
"After all, Director Yang's internal radiotherapy is one of the best in the province. There is no problem with this step. No one can find fault with it."
"Director Yang saw the film and asked about the patient's medical history. He found that it might be gauze left in the patient's abdominal cavity or that the mass was not a tumor, so he came to consult you. You took the patient to do the X-ray yourself as soon as possible."
"You saw that there was a problem, and you had a friendship with Dr. Yang who performed the surgery that year, so you got so angry that you had a heart attack and passed out."
"When the medical department heard that you fainted, they came to check on you and brought a radiology specialist with them. Emmm, that radiology specialist is me."
Luo Hao began to make up a story. Although Chen Yan had already expressed his attitude, Luo Hao still insisted on removing Chen Yan from the matter.
"The operation is difficult to perform. After all, the gauze has been in the abdominal cavity for 7 or 8 years, and the local adhesion is serious. The professor in charge of the group reported the situation to the Medical Department. You, who are the only one in the province who can perform intestinal adhesion lysis surgery, are temporarily unable to perform it. You are hospitalized in the circulatory department and have an IV drip. Director Feng asked me to be the chief surgeon."
Chief surgeon!
Main surgeon!!
In Professor Xiao Luo’s “story”, he was the one who took the blame in the end.
Yang Jinghe looked at Luo Hao with a serious expression.
He had never seen anyone rushing to take the blame, especially when it was a big blame involving a medical accident in a colleague.
No matter who sits in Luo Hao's position, it would be enough if they can help diagnose that the patient's abdominal cavity is not a tumor but a piece of gauze that has fallen down.
As for the surgery, whoever has the disease will do it, and it has nothing to do with Professor Xiao Luo.
By doing this, he showed enough respect to himself, and Chen Yan knew it very well.
"Xiao Luo, can you go on stage for this matter?" Yang Jinghe asked in a deep voice.
"It would be even worse if I didn't go." Luo Hao said seriously, "If I remember correctly, the director of the provincial hospital left our hospital a few years ago."
Personnel affairs are governance.
Normally, in this kind of situation, whoever is responsible should take the blame. If something went wrong during surgery at the provincial hospital, you should go home and look for your own fault.
But things in the world are not that simple.
If he only thought about solving the problem when something happened, old Bidden would have been singing and dancing in the Great Hall of the People in his diapers.
Chen Yan pondered for a long time, his hand unconsciously reaching into his clothes, twisting the hair on his chest out of habit.
Luo Hao didn't try to persuade him, but just waited quietly.
"Let me do it." Chen Yan finally sighed, "I am the director after all. Habitual illness is a good idea for leaders, but it's not good for me."
Chen Yan took out his hand and stated in an affirmative tone.
After saying that, he looked at Luo Hao deeply, and then looked straight ahead.
"You are still young, and you have a long way to go in the future. I know you don't care about many things in the provincial capital, but I am not afraid of no good things, I am afraid of no good people. Xiao Luo, don't argue about this matter."
"Director Chen, you are amazing." Yang Jinghe praised, "I, Old Yang, rarely admire others, but now I really admire you."
"Oh, that's not the case. This matter can be big or small. Never mind. Director Geng can leave gauze in the patient's stomach. That's his business. I'll help him clear the way."
As he spoke, Chen Yan picked up the landline phone on the table and made a call.
"Boss, please prepare for the surgery for the patient admitted this afternoon. I'll do the emergency surgery."
After saying that, Chen Yan hung up the phone.
Luo Hao looked at Chen Yan and smiled, and did not continue to argue with him about who should take the blame in this matter.
"Xiao Luo, let's go together." Chen Yan said to Luo Hao in a declarative sentence.
Luo Hao nodded.
"Xiao Luo, are you really not going to work here for a few more years?" After making the decision, Chen Yan stopped being upset and asked directly.
"I don't know either. I really don't know. I'm not trying to shirk responsibility." Luo Hao said, "There are several projects that have been completed with the support of Gongda. As for scientific research projects, you know, if it's fast, there may be some progress tomorrow and it may be completed in a year. If it's slow, it may take three to five years."
Chen Yan nodded.
"In fact, I am the best at this. Leaders have many ways to control people. They look at the next generation with car loans and mortgages, and give you work but no money. Today they adjust the medical insurance quota, tomorrow they adjust the bonus index, and soon the doctors and nurses below are complaining."
Luo Hao brought the topic back.
"I'm the type who has no weaknesses."
"That's true, but I'm the director of this department." Chen Yan looked up, his eyes sparkling, "Xiao Luo, even if you want to take my place, you have to wait until I finish this matter."
That's right.
"Xiao Luo, do you want to come?" Chen Yan invited, "Boss Chai has treated you so well, don't you want to pick up Boss Chai's bugle and keep going?"
"Director Chen, please stop joking with me."
Luo Hao knew that Chen Yan was determined. He didn't even want to perform a chronic surgery to give the provincial hospital time to react. Instead, he went straight for an emergency surgery to solve the problem first.
As for the future, who cares!
Let’s rush in first.
"Dong dong dong~~~"
There was a knock on the door.
Chen Yan was obviously concentrating on how to deal with the matter in the future. His hand trembled and he pulled out a strand of his beard.
"Come in." Chen Yan frowned and twirled his beard.
A nurse pushed the door open.
"Director Chen, you haven't finished get off work yet."
"Oh, Xiao Xu, what's the matter? Huh? Why have you lost so much weight? Have you lost dozens of pounds? You are working too hard." Chen Yan asked.
The nurse was happy to hear Chen Yan say that he had lost weight.
"I have a stomachache. I just had an ultrasound and found gallstones." The nurse said with a frown, "Can you take a look at it and tell me if I need surgery? I heard that gallbladder stone removal surgery is no longer available recently."
Chen Yan relaxed and helped the nurse look at the ultrasound report.
"Not for now. The inflammation is not serious. Just go home and take antibiotics for two days. Also, Xiao Xu, you must eat breakfast. If you skip breakfast, the probability of gallstones is quite high."
"Director Chen, although I'm losing weight, I still eat breakfast every day." The nurse said with a sad face, "I started to lose weight a few months ago. Although I eat less, I know that skipping breakfast will cause gallstones. I don't want to have surgery, but who would have thought that I would still..."
"Oh, laparoscopy, it's easy to solve, what are you afraid of?" Chen Yan said with a smile, "Why, you don't trust my skills?"
"No way. After having your gallbladder removed, you'll have diarrhea if you eat any meat. The guy in the nephrology department had his gallbladder removed. Once, there was a barbecue party in the department. I don't know why he had such a big reaction. He almost defecated in the private room."
"Hahaha, that's exaggerated. Even if I have diarrhea in the future, it won't happen that quickly. Don't you care about how you play around with shit, piss and fart?" Chen Yan felt a little relieved.
"Director Chen, I don't need to do this for the time being?"
"Yeah." Chen Yan nodded. "If you don't want to, then don't do it, but you have to give up all bad habits in the future."
"I don't have any bad habits. I eat less to avoid the three highs. You don't know, I'm starving like a rabbit. Every night after nine o'clock, my stomach growls and I want to eat everything I see." Luo Hao was moved and asked with a smile, "Sister Xu, you are so hungry that you can't sleep. Are you watching short videos and watching eating shows?"
"Ah? Ah!" The nurse uttered "Ah" twice in succession.
"Professor Xiao Luo, you don't know how uncomfortable it is to be hungry. It's the same with those food streamers. They come on stage and don't say anything. They just start mixing noodles, putting hot pot in the pot, and then they just eat without stopping, guzzling."
After speaking a few words in Northeastern dialect, Luo Hao smiled and said, "Watching food shows is a bad habit."
"I won't eat, and I can't even watch others eat?" The nurse was a little unhappy.
In her opinion, she had already done her best, but Professor Xiao Luo even interfered with her watching other people eat.
"When you eat, your brain thinks you are eating, and various hormones begin to be secreted, organs start to function, and the gallbladder secretes bile to help digestion. Over time, this can lead to gallstones."
“……”The nurse was stunned.
"What Xiao Luo said makes sense, but gallstones caused by this factor are rarely seen clinically. Is it also because there have been too many live broadcasts recently?" Chen Yan said to himself.
"It should be. Gallstones caused by similar conditions were indeed uncommon in the past. Only in recent years have we seen reports of them, and the trend is increasing."
“You can’t even watch food shows!” the nurse wailed.
"Why not just cut it up?" Chen Yan said with a smile, "You'll have diarrhea if you eat meat after cutting it up. As long as you control yourself, you won't get fat."
"No!" the nurse said firmly.
There was nothing else to do. She confirmed again that surgery was not necessary and asked in detail what medicine to take before leaving.
"She is really determined." Chen Yan sighed after the nurses left, "She is so bored that she started to lose weight. Thirty years ago, she could hardly get enough food."
"How about you, Director Chen?"
"Me? I don't eat much to begin with. Now that I'm older, I can just drink a little wine occasionally. I can't eat much if I really want to. But I'm still exercising. When I can't do it anymore in a few years, I'll go do square dance and hook up with old ladies."
Luo Hao laughed.
Chen Yan, this is the best and worst plan.
However, the probability of the worst-case scenario is too low, so there shouldn't be any problem.
From this point of view, Chen Yan is also a responsible person. At least I suggested that he get sick and be hospitalized to avoid this matter, but Chen Yan disagreed and took the blame himself.
Soon, the resident manager knocked on the door and said that the operating room was ready for surgery.
"Let's go!" Chen Yan stood up. "Xiao Luo, you perform the surgery and I'll watch. Your name will not appear in the surgical records."
"Okay." Luo Hao responded.
Yang Jinghe didn't leave either. He followed the patient during the operation, chatting and laughing, just to watch the fun.
Since Chen Yan has made up his mind, Yang Jinghe is just there to watch the fun.
But he was prepared to watch the excitement carefully.
When judging a person, you should first look at the situation. In Yang Jinghe's opinion, Chen Yan is not someone who can take on responsibilities.
It’s probably because of Xiao Luo, Yang Jinghe thought to herself.
When changing clothes, Yang Jinghe saw Luo Hao's muscular body. He was really the kind of person who looked thin when he was dressed, but had muscles when he was undressed.
It seems that in recent years, people like Luo Hao are described as using double doors.
Yang Jinghe first came across this term at the Olympics. In the live broadcast barrage, there were constant comments like "double doors" that were like crazy, so he asked about it.
Unlike Luo Hao, Chen Yan has a body covered with protective hair, but due to his old age and frail body, his skin has drooped.
It’s better to be young, Yang Jinghe was a little envious.
It’s a pity that time never returns. In the blink of an eye, I have become old.
After changing clothes and entering the operating room, the patient's anesthesia was completed and the anesthesiologist stood up and greeted him.
With two directors coming in one after another, as well as a new and popular professor like Luo Hao, the anesthesiologist was a little dazed.
"Director Chen, I looked at the medical records and it's a tumor. Why don't you do a slow diagnosis and treatment?" the anesthesiologist asked.
"It's not a tumor. I think it's gauze from surgery 7 or 8 years ago that hasn't been removed."
"Oh my god!" The anesthesiologist was stunned.
In such a distant era, gauze had been "living" in the patient's stomach for so many years?
He immediately became serious as he changed his mind. The patient's condition involved a serious medical accident, so he had to write his own records carefully and make sure no one could find fault with him.
"Look how thin the patient is." Chen Yan glanced at the patient, "I guess he has been feeling uncomfortable in his abdomen since the operation. What's going on?"
"Gauze? Confirm?" the anesthesiologist asked calmly.
"I did an upright peritoneal fluoroscopy and saw the developing line of the developing gauze."
"!!!"
The resident manager was already disinfecting, and the third-line professor was standing aside waiting for Chen Yan's call.
It is best not to touch such things if possible, and everyone understands this principle.
"Xiao Luo and I will perform the operation, and you just watch." Chen Yan said, "Watch carefully and see what the gauze looks like when it falls into the abdominal cavity. Be careful during surgery next time!"
"Yes Yes Yes."
"A few years ago, a professor in the Urology Department removed the wrong kidney from a patient. You remember that," Chen Yan said in a fatherly tone.
Luo Hao recalled the major incident that occurred in the First Hospital of Medical University.
It may be that the operator was not in good condition, or it may be a process problem, the previous patient's film has been inserted in the film viewer and has not been replaced.
The junior doctor did not take off the film when he sent the patient away. The surgeon took a look before the operation and confirmed that it was the left kidney. However, he removed the left kidney after going in.
After the removal, I noticed that there was no tumor, and the tumor was on the right kidney.
This matter... Luo Hao didn't know how to describe it, it was simply too fucking ridiculous.
"After the incident with Xiao Liu, he resigned. That's why I say that you guys usually nag and complain about how complicated the rules are. But when you really encounter problems, the rules will save your lives."
"Why do we have to check three times and compare seven times? Why do we have to count? Those are all lessons from the past, bloody lessons!"
"If you don't listen and don't do anything, and think it's annoying, you will suffer someday. As for people, everyone has times when their brains don't work well, when they are tired and have water in their brains, but there are others to help you. I'm afraid that you will be self-righteous and think you are awesome, and won't listen to what others say."
Chen Yan talked a lot today. Luo Hao guessed that Chen Yan was imagining the mentality of Director Geng of the Provincial Court at that time.
I rolled my eyes at the operating table. How could I not count the number of surgeries I performed? It must be the instrument nurse or something who couldn't even count them. They were so clumsy that they couldn't tell the difference between their hands and feet.
"Director Chen, this happened to me." Seeing Chen Yan was going to wash his hands, Luo Hao followed Chen Yan and began to agree and gossip.
"Oh? What?"
"I worked as a clerk in the Medical Department of Donglian Mine for two years. A patient had a CT scan and was found to have ureteral stones on the left side. He went to several hospitals, including our Donglian Mine."
"Later, I don't know where I got the wrong film, and I got a film of bilateral ureteral stones and went back to our mine to prepare for lithotripsy."
"The doctor at the time also carefully examined the film and confirmed that it was bilateral ureteral stones. As a result, when the stone was crushed, it happened that the left one was broken, and the right one caused ureteral damage."
"Is there no X-ray or ultrasound guidance during lithotripsy?" Chen Yan was stunned and asked back.
"The CT scan was there, and the doctor didn't think much about it at the time. He just tried to break it up according to the location."
"Fuck, what's going on?" Chen Yan scolded.
While washing his hands, Luo Hao said, "You said, the patient took the wrong film, who is responsible for this?"
"I guess we have to pay compensation. The patient said he didn't understand anything. If he knew, who would come to the hospital?" said Chen Yan.
"Yes, I was the one who handled the matter in the end. The hospital paid more than 20 yuan in compensation."
"Tsk tsk, how did you deal with that doctor?" Chen Yan asked.
"No, I think it's understandable, but I still took care of his dispute in the medical department for three months."
Dispute resolution.
"Xiao Luo, if there are any problems in our department in the future, you should go... No, you are not in the Dispute Office now." Chen Yan said with some regret.
"The dispute resolution office is not a place for people to stay. I was there to help my uncle clear up disputes. In one year, I resolved 22 major medical disputes left over from the past decade. My blood pressure rose by 30 mmHg, and it took a lot of effort to get it back to normal."
Luo Hao said with a smile.
Suddenly, Chen Yan's cell phone rang.
Having finished washing his hands, Chen Yan twisted his hips and said, "Xiao Zhou, help me answer the phone."
The anesthesiologist ran in, took out the phone from his trouser pocket, and put it to Chen Yan's ear after the call was connected.
"Director Geng, it's you."
"Ah? I don't know. I have an emergency room here."
"The patient just said he had an operation a few years ago, but he didn't even specify which hospital it was in."
"Yes, yes, yes. The junior doctors didn't ask for a detailed medical history. I went back to tell them! But the patient has already been prescribed."
Chen Yan's tone was gentle, but his brows between the mask and the hat were cold and impatient.
There was silence over there.
"Director Geng, I will perform the operation then. You know the patient. I know and will definitely take care of him."
After saying that, Chen Yan turned his head and the anesthesiologist hung up the phone in a familiar manner.
Chen Yan didn't say anything else. He disinfected, put on clothes and gloves, and stood directly in the assistant's position.
The anesthesiologist's eyelids were twitching. He rarely saw Director Chen Yan playing tricks on others, especially when Director Geng called just now and said that the patient had already started the operation even though it was obvious that the operation had not yet begun.
This is the reason why they say spilled water cannot be collected.
The knife has been opened, so you can't just sew it up and push it off.
This is a serious matter. It’s better for me to keep quiet and not get involved. The anesthesiologist was shocked.
(End of this chapter)
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