Chapter 83 of 100

Chapter 83

18 min read4,540 words

"Zhan Ting, don't feel burdened. In the end, it was their own fault, and it has nothing to do with you. You are the real victim. But in this conflict, there are no winners," Qin Chuan said.

Gao Zhanting nodded, glanced at the hospital bed, sighed, and walked out. Qin Chuan also took a look and then left the ward. No one noticed that a tear rolled from Luo Meifen's eye and quickly disappeared on the white bedsheet.

Qin Chuan then went to see Wang Yuezhen, who seemed to be in a better mood today.

"My eldest daughter came to see me yesterday," Wang Yuezhen said, a simple statement that Qin Chuan could hear the joy in her voice. She needed attention. Children might have all sorts of excuses, but what the elderly needed was care. This care could be very inexpensive, just a phone call or a greeting.

"Really? That's great. It seems they've realized their mistakes. Should we forgive them?" Qin Chuan smiled.

Wang Yuezhen pouted and smiled, "They haven't planned to take me home yet."

Wang Yuezhen was worried she would die in the hospital, fearing that after her death, she would be sent to the cold morgue. She hoped that when she left this world, she could lie on her bed at home, surrounded by her descendants, who would send her to heaven. However, her children were all worried about taking on the burden of her care.

"What did your daughter bring you to eat?" Qin Chuan asked.

"She brought a lot of good things. Doctor Qin, would you like to try some?" Wang Yuezhen said.

"No, you should keep it for yourself," Qin Chuan said.

"Actually, my children have it tough. In the past, with many children, none of them got much education. My three sons all live by their strength, and their income isn't much. If I add to their burden, life will be even harder. I'm old, and I'm still causing them trouble," Wang Yuezhen sighed, a mix of helplessness and disappointment.

"Aunt Wang, you're overthinking it. Who doesn't get old? If no one takes care of the elderly, who will take care of you when you're old?" Qin Chuan thought of his own aging parents and reminded himself to care more for the elderly at home.

Wang Yuezhen's health seemed to have worsened. Being old and staying in such an environment was inevitable.

When Cheng Guanhua came to work and saw Qin Chuan had arrived so early, he was quite surprised: "Qin Chuan, you did very well yesterday in Xingsha. Dean Ye even called me to ask about your situation. I heard the health department leaders praised you. Young people should be willing to work hard, be bold, and meticulous. These are the most important qualities for an emergency doctor."

"It was just that I arrived in time. Many people were helping, or I couldn't have done it alone," Qin Chuan said.

"Your on-site organization was excellent. You mobilized so many ordinary people without emergency skills to help the injured. If you hadn't organized it well, the casualties would have been much higher. By the way, when did you learn obstetrics?"

This was a difficult question for Qin Chuan, and Cheng Guanhua was clearly teasing him.

"I saw it on TV by chance. Yesterday, I had no choice but to take a risk. Fortunately, the mother and child are safe," Qin Chuan said vaguely.

"Hehe, go ahead and get busy," Cheng Guanhua smiled.

During the National Day holiday, the emergency department doctors were mostly on rotation. Although there was a routine ward round in the morning, not many doctors participated. He Xiaokang was on leave due to an open wound from an injury, and Gao Zhanting had a major family issue and couldn't stay at the hospital. Wu Xiaoming had worked overtime yesterday and was on rotation today. Cheng Guanhua felt he didn't have the face to ask him to work overtime, so he called the elderly doctors He Xuedong and Yang Yaoqing.

During the ward round, they came to the bed of a new patient admitted by Wu Xiaoming yesterday. Since Wu Xiaoming was not there, the responsible nurse had to read the patient's medical record. The patient, Rong Fugui, 77 years old, had vomiting and right lower abdominal pain. His blood pressure was 140/90 mmHg, with tenderness at McBurney's point and mild rebound tenderness. His white blood cell count was 11*10^9, with normal neutrophils. His ECG was basically normal, and a surgical consultation suspected "appendicitis," for which he was given cephalosporin antibiotics.

"Old man, how are you feeling now?" Cheng Guanhua leaned down to ask.

"My stomach hurts, and it's worse than yesterday," the old man said, speaking in a weak, intermittent voice.

Standing beside Rong Fugui was his daughter, Rong Yueying. She quickly said, "My father has been in pain all night. The medication doesn't seem to be working at all."

Cheng Guanhua turned to Qin Chuan, "Qin Chuan, what do you think we should do in this situation?"

"Let's check his blood pressure first," Qin Chuan said.

The nurse immediately measured the old man's blood pressure, which showed 90/60 mmHg, a significant change from before.

"What now?" Cheng Guanhua asked.

Qin Chuan asked Rong Yueying, "Has your father had any other illnesses before?"

"My father was always in good health. He never had any major illnesses. He did have colds and coughs," Rong Yueying thought for a moment and said.

"Nurse Fang, check the patient's cardiac enzymes and repeat the ECG to see the situation," Qin Chuan said.

"My father has a stomachache, why are you checking these things?" Rong Yueying asked, worried about unnecessary tests.

"Although your father has a stomachache, considering his age and the fact that he's not describing it accurately, we can't rule out other diseases. It's better to do these tests," Qin Chuan explained.

Cheng Guanhua also said, "Doctor Qin is right. Abdominal pain is a complex symptom and can't be diagnosed solely based on the patient's description. We need to confirm the true cause through tests. Who was in charge of this patient before?"

Cheng Guanhua's last sentence, though casual, indicated his dissatisfaction with the handling of this case. Of course, he said this away from the patient's family.

"It was Doctor Wu Xiaoming who saw the patient during his night shift the day before yesterday," Fang Ping flipped through the medical record and sighed in relief. She was worried it might have been He Xiaokang. From the tone of the chief, it seemed to be a misdiagnosis. However, since there was a surgical consultation, the misdiagnosis wasn't solely Wu Xiaoming's responsibility.

The cardiac enzyme test results confirmed Qin Chuan's concerns. The CK level was 3-4 times the normal high value, and the CK-MB level was more than twice the normal high value. The ECG results showed no significant changes compared to before.

Qin Chuan asked Fang Ping to check the troponin levels, which were 2-3 times the normal value, indicating "acute myocardial infarction." The patient was an elderly person with no typical symptoms like chest tightness or chest pain, and the ECG showed no significant abnormalities or dynamic changes. The main symptoms were gastrointestinal, which could easily lead to overlooking a myocardial infarction. Wu Xiaoming's misdiagnosis was understandable, but if he had checked the enzyme levels and taken the abdominal pain or gastrointestinal symptoms of an elderly patient seriously, he might have avoided the misdiagnosis.

Qin Chuan put himself in Wu Xiaoming's shoes and wondered if he would have made the same mistake if he had examined the patient the night before. Of course, with Qin Chuan's current level, he could see things that the pre-【Genius Doctor System】 Qin Chuan couldn't, and certainly not the distracted Wu Xiaoming. Qin Chuan wouldn't have overlooked the details that Wu Xiaoming completely ignored, leading to the misdiagnosis.

This was a wake-up call for Qin Chuan.

Since the patient had a myocardial infarction, he had to be transferred to the cardiology department. The emergency department's task was complete.

After Fang Ping sent the patient away, she sighed, "If it had been Xiaokang, the result would have been the same."

"Nurse Fang, don't underestimate your Xiaokang. Doctor He is usually careless, but he is very meticulous when it comes to treating patients. This kind of case wouldn't have been a problem for him. Doctor Wu's heart isn't in it," Qin Chuan said.

"That's true. That night, he listened to the patient's complaints and immediately prescribed medication. Then he contacted the surgical consultation. Dr. Gu Junjie came, and under Wu Xiaoming's influence, he made a quick diagnosis. Wu Xiaoming was busy writing papers in the emergency department that night. I heard he's been organizing materials and writing papers recently. It seems he plans to submit to every medical journal," Fang Ping said.

Qin Chuan naturally knew what kind of person Wu Xiaoming was. But such disregard for patients' lives was unforgivable. As a doctor, one should first do their job well. Doctors control patients' lives, and if you don't take it seriously, it's like committing murder.

But there was nothing anyone could do about Wu Xiaoming. Even Cheng Guanhua couldn't do anything. Wu Xiaoming had the backing of Zheng Yuanmeng. Unless there was a serious medical accident, Deputy Director Zheng would still protect him.

Rong Fugui and his daughter were honest people and didn't say anything as they went to the cardiology department. In their hearts, they had their complaints. The deterioration of the doctor-patient relationship was a gradual process, leading to the current uncontrollable situation. A few bad apples had harmed the entire industry.

Qin Chuan felt a lot and wrote down his thoughts in his notebook. For a small doctor to become a renowned doctor, one must start from the smallest details. The system could give Qin Chuan a lot of medical knowledge, but it couldn't make him a renowned doctor directly. The path needed to be walked by Qin Chuan step by step.

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