After being separated from my family, I became a darling of the military region thanks to my medical
Chapter 547 A Letter of Complaint
By the time the new regulations were posted all over the catheterization lab and nurses' station, it was already broad daylight.
The shift change bell for general surgery had just rung when several young doctors came out of the office with medical records, but did not return to the duty room.
They turned the corner at the stairwell and headed straight for the foreign patients' ward.
"Dr. Ye and his team reviewed the proceedings all night."
"I heard that the new system has been implemented. For children under three years old, the dorsalis pedis artery will be checked every ten minutes after surgery."
"High-risk children also need to be watched over by a dedicated person for three hours at a time."
The group walked faster and faster, their voices soon fading into the stairwell.
In the general surgeon's office, Zhao Tiancheng sat at the very back.
His pen remained still for a long time, the nib leaving a dot of ink on the schedule.
There were four surgeries today.
The first case was acute appendicitis.
The second procedure was inguinal hernia repair.
There were two more external wounds requiring cleaning in the afternoon.
All four procedures were standard surgical procedures, and in the surgeon's column, only the second procedure had Zhao Tiancheng's name on it.
The department head pushed open the door and placed several papers in front of him.
"Dr. Zhao, please take a look."
Zhao Tiancheng glanced at it.
That's the complaint record from last week.
A family member of an appendicitis patient reported that during rounds, he only looked at the lab results and didn't even examine the incision.
Another patient who underwent wound cleaning reported that the doctor was impatient during dressing changes. When the patient asked how long the pain would last, the doctor told the nurse to explain and then turned and left.
Zhao Tiancheng pushed the record back.
"Is this something worth noting?"
"Patients don't understand medicine, and they keep asking the same few questions. If I have to explain it to every single one of them, how can the doctor get anything done?"
The department head pulled out a chair and sat down.
"Explaining symptoms is a doctor's job."
"You haven't been scheduled to participate in any major surgeries recently, and someone has discussed the reasons with you. Focus on managing your current patients first, and then we can talk about joining the major surgery team."
Zhao Tiancheng raised his head.
Why was the gastrectomy performed on Deputy Commander Wang's family member assigned to Deputy Director Chen?
"The liver injury I suffered the day before yesterday was enough for two doctors who had only graduated a few years ago to get admitted, but I was left to stay in the ward on duty."
The department head looked at him for a few seconds.
"Deputy Director Chen has been in charge of the gastrointestinal group for twelve years, so it's normal for that surgery to be assigned to him."
"As for the young doctors, they work shifts during the day and attend classes in the international ward at night. After each surgery, they also stay behind to review the proceedings."
At this point, the department head tapped the work schedule on the table.
"How many surgeries have you reviewed in the past few months?"
"Last time I asked you to write a summary of appendiceal stump management, the thing you submitted was still outdated from five years ago. Even young doctors now know that different degrees of infection require stratified treatment, but you're still clinging to your old experience."
Zhao Tiancheng pressed his finger against the work schedule.
"So, I'm not even as good as some of the younger doctors now?"
"You're comparing yourself to others again."
The department head stood up.
"Zhao Tiancheng, you should be comparing yourself to yourself last month."
"If this continues, I won't even dare to entrust you with a routine appendectomy."
The office door was closed.
Zhao Tiancheng sat in the same spot for a long time without moving.
The sound of an ambulance siren came from outside the window.
An ambulance from out of town was parked downstairs at the emergency room.
As soon as the car door opened, a child with purple lips was taken out by his family.
Several people, carrying bedding rolls, net bags, and enamel mugs, followed the nurses as they ran towards the international ward, repeatedly calling out the same name.
"Find Dr. Ye!"
"We're from Henan, please, Dr. Ye, take a look at our child!"
Zhao Tiancheng turned his head.
The group of people quickly disappeared at the entrance of the emergency building.
He looked down at the schedule, but Ye Zhen came to mind.
At that time, she was kicked out of the Lin family and didn't even have a formal job.
Nowadays, all the young doctors in the hospital are flocking to her.
Patients from abroad came to see her on chartered planes.
He, who was once regarded as a young backbone of surgery, now only has one groin hernia repair left on his schedule.
His fingers pressed a deep mark into the paper.
Noon, in the break room.
Two anesthesiologists stood by the water heater, talking about what happened last night.
"All sixteen vehicles were in good condition, but in the end, an acute thrombosis occurred. It's terrifying to hear about."
"The leg was saved; Dr. Ye performed catheter thrombectomy overnight."
"The hospital didn't try to cover it up either; everyone knows about it now."
"That's how the new system came about. From now on, high-risk children will have dedicated staff to watch over them after surgery, so no one can take shortcuts."
The two people left carrying their teacups.
Zhao Tiancheng came out from behind the locker.
He only remembered a few sentences.
Sixteen machines a day.
The child developed an acute thrombosis.
His right leg almost lost its blood supply.
He put the empty teacup back on the table and turned to go to the medical office.
The hospital's internal notice has been printed.
This is internal material for all attending physicians and above in the hospital to review and study. When you receive it, you need to register your name and department.
The staff on duty recognized Zhao Tiancheng and pushed the registration book to him.
"Dr. Zhao, this is from your department. Please sign here."
Zhao Tiancheng signed his name and took away a copy of the report.
He turned to the case review page.
Zhang Xiaobao is three years and two months old.
The surgery ended at 2:38 PM.
At 00:14 post-surgery, a decrease in skin temperature was observed in the right foot, and the dorsalis pedis artery pulsation was absent.
The actual compression time was 23 minutes.
Participants: Ye Zhen, Liu Xiaohe, Lin Yi, Li Hong.
The risk factors section is listed very clearly.
Young children.
The femoral artery is a small vessel.
The patient was mildly dehydrated upon admission.
Platelet aggregation rate is close to the upper limit of normal.
The pressure time exceeded the standard three minutes, and the patrol level was not upgraded in time.
Next, you'll see the processing results.
Emergency catheter thrombectomy was successful.
Blood supply to the right lower limb has been restored.
The dorsalis pedis artery pulse is normal.
Motor and sensory functions were not impaired.
Finally, the newly mimeographed "Four-Level Limb Circulation Inspection System after Interventional Procedures" was also attached.
Zhao Tiancheng took out his notebook and wrote down the surgery time, compression duration, participants, and risk factors one by one.
That night, only one desk lamp was lit in the general surgery duty room.
Zhao Tiancheng unfolded the letter and wrote the title.
"A formal complaint against Ye Zhen of the Beicheng Military Region General Hospital for violating regulations by performing excessive double surgeries."
He wrote very slowly.
After writing each sentence, I had to check it against the notes in my notebook.
"Sixteen interventional surgeries were performed in one day."
This is real.
"A large number of preliminary procedures and postoperative care are performed by young doctors."
That's true.
"The three-year-old child developed severe femoral artery thrombosis after surgery, and his right lower limb was completely cut off from blood supply for a period of time."
It's still true.
However, he did not write that the hospital had proactively reported it.
It also doesn't mention that Ye Zhen personally crossed out "zero accidents".
"In order to achieve the so-called 'double-operation' achievement, Ye Zhen exceeded the normal medical workload and performed sixteen surgeries in a row."
"During the procedure, an inexperienced young doctor was assigned to perform the puncture, sheath removal, and compression hemostasis, which resulted in a severe femoral artery thrombosis in the three-year-old child, putting his right lower limb at risk of necrosis."
"Even after the incident, the hospital has not suspended the dual-operation mode and plans to continue using the procedure."
"To ensure the safety of the children, we are demanding that Ye Zhen's surgical privileges be suspended and that an investigation be launched into her use of the children's training team and her internal handling of serious medical incidents."
After writing the last word, Zhao Tiancheng leaned back in his chair.
The internal notice was placed on the corner of the table.
Just two more sentences would complete the whole story.
However, he only wrote down his name, position, and workplace.
Two letters.
A letter was sent to the Municipal Health Bureau.
A letter was sent to the Provincial Health Department.
The next morning, the green mailbox made a soft sound.
Two envelopes fell inside.
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