Home Categories detective reasoning The limit of mission and heart

Chapter 18 Section 18

It was seven o'clock in the evening, and Xi Ji was in the intensive care unit, observing the postoperative conditions of the patients undergoing surgery during the day, and there was no change at present, and the patients were also sleeping deeply. Blood pressure, electrocardiogram, pulmonary artery catheter, etc., there are many things to be monitored, and one cannot be careless for a moment. In fact, this period of time was the most painful for Xi Ji.The tense operation is finally over, but I still can't catch my breath.The tense nerves were already exhausted, and the more he tried to concentrate, the heavier his eyelids became.In order to stay awake, she put a cold ice pillow on her neck, but the cooling effect was getting weaker and weaker.

Yuan Gong was talking with CE Tamura in a low voice, as if talking about an abnormality of the artificial heart-lung device.Although it was abnormal, in fact, during the operation, as Tamura assured, there was no problem.Just as a professional engineer, I still can't rest assured.Tamura said that he wanted to investigate thoroughly, and hoped that doctors would use other devices for two or three days. Yuan Gong said that he would discuss it with the professor, but Tamura seemed to give in, so he greeted Xi Ji and left. "Engineers are really stubborn. However, this is probably the only way to do that job." Yuan Gong smiled wryly and yawned a lot.

"Is it a different race from the doctor?" He shook his head at Xi Ji's question. "I think it's the same kind. We maintain human health and treat diseases, and they maintain the normal operation of medical equipment and troubleshoot. Neither side can compromise." Very convincing statement.Xi Ji nodded. The automatic door opened, and nurse Yuko Suganuma walked in.Xi Ji felt depressed for a while, it was obvious that she was alone with Yuan Gong only because of work, but she might be sneered at afterwards, and she even wanted to leave the table altogether. "Doctor Yuangong, Mr. Kato is here." Suganuma Yuko said.

"Mr. Kato? Uh, who is it?" "This one." She handed out the prepared medical records. "Son of Mr. Kato Kazuo who passed away three months ago." Yuan Gong took over the medical records, and Xi Ji also poked his head a little to look at them.His name was Kato Kazuo, and he was seventy-eight years old. According to the medical records, the patient had undergone three operations for a large chest aneurysm.It seemed to be a phased operation, but the third one was an emergency operation, and Xi Ji speculated that the tumor might have ruptured. "It's him." Yuan Gong's expression changed. "At that time, he couldn't be saved. Then, why did his son come here now?"

"This..." Yuko Suganuma glanced at Yuki Asahi, as if he was wary of the resident doctor. Xi Ji stood up, pretended to look for information, and left their side. Yoko Suganuma approached Yuan Gong and whispered. "You just came to talk about this now?" Yuan Gong raised his voice. "Why..." Hearing what he said, Xi Ji had no choice but to turn around. "Where is he now?" Yuan Gong asked Yongzi. "I asked him to wait in the reception room. What should I do? If the doctor can't leave, should I ask him to come back later?" Yuan Gong was silent for a while, then shook his head. "No, I'm going to see him. I don't want him to think I'm running away."

"Do you want to contact the secretariat?" "Not yet! If we can't reach an agreement, I will report again. You take Mr. Kato to the consultation room, and I will go there right away." "Okay." Yuko Suganuma nodded and left. Yuan Gong held the medical records just now, his brows were deeply furrowed, and he made a murmur-like voice. "Ice Room, are you alright here alone?" He said without taking his eyes off the medical record. "No problem, the patient's condition is also stable." "Call me if you have any problems. As you heard, I will be in the consulting room."

Xi Ji responded briefly.She really wanted to know what was going on, but she was afraid that Yuan Gong would say that the resident doctor should not mind her own business, so she dared not ask anything. But Yuan Gong sighed and said, "It seems that there is a suspicion of medical negligence." what!Xi Ji was taken aback. "It sounds like it was suspected that his father died at the hospital's fault." "But the cause of the patient's death was a ruptured aneurysm, right?" "Yes, the family members also understand this. It's just that they seem to suspect that the blood vessel will rupture in the end because the doctor misdiagnosed it."

"At last?" "This patient underwent three operations. His lesions were distributed widely and he was old, so it was dangerous to remove them all at once. The first time was a total aortic arch replacement, and the second time was a bypass operation. At this time, I knew there was still more to come. The tumor was not removed, but it was the limit at that time, and the patient was too weak to rush for the third treatment. I don’t want to make excuses, but I have also sought the consent of Dr. Xiyuan.” "It turned out that the aneurysm that wasn't removed ruptured?"

Yuan Gong nodded slightly to Xi Ji's question. "When it was sent in, the spinal artery had already suffered from perfusion disturbance, which also caused severe complications. Even if one life was saved, consciousness would not be restored." "The family members thought it was medical negligence?" “We explained to the patient and his family members that the operation would be performed several times. After the second operation, we also informed the patient that there was still an aneurysm in his body. I said that although there is a risk of rupture, it is still up to the patient to recover his strength. Priority. When the patient passed away, the family members did not express dissatisfaction." Yuan Gong bit his lip.

"How come it's only now..." "I don't know either, but maybe it has something to do with that incident." Yuan Gong said this. "that matter?" "Threat letter. You said that the prisoner's request has already spread among the patients." Xi Ji nodded. "It seems that a few patients know about it." "Perhaps these words have also reached Mr. Kato's ears. After receiving such a threatening letter, it is no wonder that some people suspect that this hospital has concealed medical negligence." "The family members mean that the negligence of Dr. Yuangong caused the death of Mr. Kato Kazuo?"

"I don't think they're convinced yet, but they're obviously starting to doubt it. No matter how hard the doctors try, family members die in the hospital, and the family members still can't accept it calmly. Even after several years, they still question whether there was other rescue at that time. method. They didn’t say it out, just because they didn’t have the opportunity. Therefore, this threatening letter may be a fuse for the family members who have this potential suspicion. In short, I will explain to them that we have not done anything wrong thing." Yuan Gong let out a breath, opened the door and strode forward. After watching him leave, Xi Ji came back to observe the patient's postoperative condition.Although his eyes were fixed on the data, Yuan Gong's words still stayed in his mind. Even though the doctors have tried their best, the family members still cannot accept it calmly... This is exactly the portrayal of Xi Ji himself.No matter how reasonable the explanation was, it was still impossible for her to believe that Dr. Xiyuan had done his best. Is this hospital hiding medical error?When asked this question, how would she answer herself?Can she categorically say that she has no regrets like Yuan Gong? Yuan Gong came back after an hour, and Xi Yuan came in after him, so Xi Ji was very surprised. "How is the patient's condition?" Yuan Gong asked Xi Ji. "Steady, a bit low blood pressure, but should be fine." Yuan Gong looked at the data on the monitor and nodded.Xiyuan is visiting other patients.There are now five patients in the intensive care unit, including those undergoing surgery during the day. "How was the result?" Xi Ji asked. "I've explained it to them, I don't know if they will accept it or not." Yuan Gong's words were very vague. "Will Professor Xiyuan come over too?" "Because the professor happened to be here, I invited the professor to attend. Mr. Kato seemed to be in a slightly better mood when he saw the professor going there specially." "What exactly is Mr. Kato suspecting?" Yuan Gong scratched his head with a straight face. "As I guessed earlier, not happy with the second surgery." "Bypass surgery?" "They suspected it was our fault for leaving the aneurysms, because in the end they ruptured. I can understand their displeasure, but in reality, there was nothing you could do about it. It was explained beforehand." "Didn't Mr. Kato go back after accepting the doctor's advice?" Yuan Gong sighed and shrugged. "He said he would go back and discuss it with someone before coming back. Who knows who he will consult with..." "Persist until the end." Xi Yuan put his hands in his pockets and approached them. "For family members, the most important thing is approval. Doctors not only do their best when treating patients, but if they end up with regrettable results, they can't be lazy when calming family members' trauma. No matter how many times family members ask for explanations, they will explain How many times. Tell them what they want to know. It's the only way to dispel their suspicions." Yuan Gong faced the professor and nodded two or three times. "I will. Sorry to worry you." "You don't have to apologize to me. You have to take this kind of thing as a higher level of training. I also had the same experience." After finishing speaking, Xiyuan looked at Xi Ji, who reflexively looked away. "However, things seem to be more troublesome than expected. Like Mr. Kato, the family members who came to the hospital affected by the threatening letter may appear again." Yuan Gong said. "If this is the case, you should think about whether the doctor is also responsible. The family members will have potential dissatisfaction. The biggest reason is that the doctor's explanation is not clear enough." "I'll keep that in mind." "Okay, don't be so pessimistic. You can almost get off work, and the next thing will be left to the ice room." "Please leave it to me." Xi Ji said, "I am enough here alone." "Then, I'd rather be obedient than respectful. Where's Professor Xiyuan?" "I'll still be here, I have something to say to the ice room." "Really! Then, I will take my leave first." Yuan Gong bowed to Xiyuan and walked towards the door.After watching him leave, Xi Ji turned her gaze to the monitor screen of the patient.She knew that her whole body was tense, and this was the first time she was alone in the ICU with Xiyuan. "Explain again and again to the patient's family," Xiyuan's voice came from behind, "it is tantamount to saving the doctor himself." Xi Ji looked back slightly. "Saving the Physician himself?" "Unable to save the patient, in some respects, the harm and consumption to the doctor is greater than that of the family members. To regain strength, all you need is to calmly review what you have done. If you don't do this, even if you want to face the next A patient will only be overwhelmed by anxiety. Even if the final result is regrettable, but believing that he has tried his best will become the pillar of future medical behavior." Xi Ji remained silent.Nishizono must be referring to Kensuke.It sounded like he believed he was doing his best. But why should she accept all these words? "Are you free tomorrow night?" Xiyuan's words made her turn her head involuntarily. "what?" "I want you to meet someone, and I hope you find some time in the evening." "But, I have a lot tomorrow..." "In terms of work, I will trouble Yuangong and the others. I'm sorry to make this request suddenly, because I only have time tomorrow, and the person I want you to meet will leave Japan next week." "Who is it?" Xiyuan showed a shy expression and wiped his face. "my son." Xi Ji was startled and speechless. "He's an unworthy guy. The boss is not young and still not married. He does computer graphics and says he wants to go to the United States. I don't know if he wants to pursue further studies in that field. I'm going to hold a small farewell banquet for him. I hope you can attend too. .” She was about to say why I was there, but swallowed it. Ah, by the way, she just realized that Xiyuan's son will be her brother in name in the future. "Where's my mother?" She wanted to confirm. "Of course I will invite her to the same table." Xiyuan replied clearly.
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