In modern society, while many things are lacking, there's certainly no shortage of people.
Lin Lin, a top graduate from the clinical medicine department of a 985 medical university, faced...
In this solemn silence, time seems to be extremely long.
Finally, An You, who usually doesn't like to express his opinions, took the lead in speaking, breaking the somewhat heavy atmosphere.
Clearing his throat, he slowly said, "Dean Lin, these three options seem clear, but they are actually very complicated to judge."
"Take Hao Ren's condition as an example. Our initial diagnosis was based on all the test data and symptoms at the time, and every step of the treatment plan was discussed many times within the department."
"But the sudden deterioration of the patient's condition was beyond our expectations. There may be underlying factors that we haven't discovered yet. This can indeed be considered a dereliction of duty on the part of the medical staff on duty, but it is difficult to simply attribute it to a medical error, accident, or even a medical malpractice."
An You's speech made the other doctors nod in agreement.
At the same time, an attending physician continued, "Yes, the case of the mother of triplets is even more difficult."
"Her physical condition was extremely special. The multiple pregnancy, the embryo transfer, and all the pregnancy checkup reports were normal. We took all conceivable precautions during the operation, but this result still occurred."
"Whether this is due to the limitations of existing medical technology or whether we are indeed negligent in certain aspects, we need to analyze every detail in more depth."
The doctor who just spoke joined recently and is now a new member of the gynecology department. She has considerable qualifications and experience, and can be said to be better than Xiaoyu.
However, she currently only serves as deputy director of the Department of Obstetrics and Gynecology.
The title of department director still firmly rested with Xiaoyu, which sparked a lot of speculation and discussion within the department.
Some people think that this is a recognition of Xiaoyu's ability by the hospital's top management, while others think that the new doctor may need time to prove that he is capable of taking on a more important position.
The new deputy chief physician was not unaware of these discussions, whether explicit or implicit.
Although she appears calm and focused on every case, deep down she longs for the opportunity to truly demonstrate her value and let everyone see that her abilities are not limited to the position of deputy director.
Besides, her speech today was entirely motivated by her responsibility to patients and her rigorous attitude towards the medical profession.
She hopes that through her insights, she can find more appropriate solutions to these complex medical problems, rather than to demonstrate personal ability or fight for power and profit.
Listening to everyone's well-reasoned analysis, each doctor expounded his or her own views on the theoretical level, ranging from the complexity of the disease to possible underlying factors, from the limitations of medical technology to problems of teamwork, various insights emerged one after another.
However, no doctor has explicitly proposed to conduct a targeted analysis and point out the specific situations that occurred in the actual treatment process of these two cases.
Lin Lin frowned slightly, and a hint of worry flashed in her eyes.
In her opinion, theoretical analysis is important, but if it is separated from the review of the actual situation during the treatment process, it is like a tree without roots. It is difficult to really find the key to the problem, and it is impossible to effectively prevent similar situations from happening again.
She knew the complexity of this issue and understood everyone's struggles. "I understand everyone's concerns, which is why I hope we can review the entire process together. We can't overlook any potentially problematic details, but we can't blindly condemn ourselves either. Let's review Hao Ren's initial symptoms and see if there's anything we've missed."
Then, discussions began to break out in the conference room, and the doctors began to analyze Hao Ren's medical records one by one.
From the initial outpatient records to the imaging data and laboratory data of various examinations, every link is carefully considered.
"Look here, everyone. In Hao Ren's blood routine data when he was first admitted to the hospital, several indicators were within the normal range but were close to critical values. Did we ever consider at the time that this might be an early sign of some underlying disease?" A young doctor raised his question.
Dr. Li Xiu, the attending physician who was in charge of Hao Ren's various examinations at the time, looked down at the area that had just been pointed out. After a moment's thought, he replied, "We did notice this at the time, but considering his other symptoms and overall physical condition, we believe that the slight fluctuation in these indicators may be due to his recent lifestyle or other temporary factors."
"Furthermore, in subsequent reexaminations, these indicators did not show any significant changes, so no further in-depth investigation was conducted."
"But could it be that this small detail that we overlooked triggered a series of subsequent changes in the disease?" the young doctor continued to ask.
This question caused everyone present to think more deeply, and they began to re-examine their diagnostic thinking and decision-making process at the time.
The discussion on the case of the mother of triplets was equally heated and intense.
The members of the surgical team described every step of the operation in detail, without leaving out any details, from the implementation of anesthesia, the choice of incision, to the use of instruments.
Xiaoyu carefully explained the reasons behind each operation and the complex situations faced at the time of the operation.
"During the operation, apart from the unexpected deformity of the triplets after birth, which caused some minor panic, but other than that, the operation went very smoothly overall."
"During the delivery, there was no heavy bleeding, not even any signs of heavy bleeding."
"Before we sutured the uterine incision, we conducted a comprehensive and detailed examination of her uterus several times with great concentration."
"From the myometrium to the endometrium, every part was repeatedly confirmed. After ensuring that there were no tears or potential bleeding points, the sutures were carefully performed."
"Every stitch is done in strict accordance with medical standards to minimize risks."
Xiaoyu said solemnly, "We certainly didn't anticipate the heavy bleeding and uterine rupture that occurred when the mother was transferred to the general ward after the observation period..."
Other doctors began to analyze from different angles. Some started with the patient's coagulation function test results, while others compared the treatment methods of similar case records.
As the discussion deepened, different viewpoints gradually collided and intertwined.