After being separated from my family, I became a darling of the military region thanks to my medical
Chapter 552 Gu Zheng's Counterattack
The seven-day observation pilot program is entering its final day.
The time Zhou Xiaohe's right foot felt cold after surgery was eventually diagnosed as femoral artery spasm.
After covering the foot with a preheated cotton pad for six minutes, the skin temperature of the right foot rose, and the dorsalis pedis artery pulse returned. No blood clots developed throughout the procedure, and the patient did not need to be readmitted to the catheterization lab.
Observer He placed the record separately into the file box.
The abnormality was detected seven minutes after the operation.
The procedure was completed in the sixteenth minute post-surgery.
This record was later included in the training materials for the four-level inspection system.
Inside the conference room of the foreign-related ward, six cardboard boxes were lined up against the wall.
Each box was marked with a date.
Surgical videotapes, instrument registration forms, risk classification tables, postoperative ward round records, abnormal treatment forms, and complication review materials are all neatly categorized and sealed inside.
The medical administration department's observers randomly select three cases each day and compare them item by item with the original video recordings.
Experts from the Provincial Health Department conducted a special investigation into the abnormal cases.
The General Hospital's Medical Affairs Department is responsible for copying, numbering, and sealing the documents.
Each of the three parties keeps one copy.
No one is allowed to touch any of the original records on their own.
Within seven days, the two catheterization labs completed a total of 78 interventional procedures.
Ten units on the first day.
The second day, twelve stations.
The third day, eleven stations.
For the next four days, the schedule was adjusted according to the risk level of the children, and there was no day when the maximum number of shifts was reached.
Two children at level 4 risk were admitted to Taiwan at different times.
Ye Zhen worked continuously for ten hours, and the shift schedule was automatically reduced.
Over seven days, the team discovered three cases of early limb circulation abnormalities.
The first case was Zhou Xiaohe's femoral artery spasm.
The second case involved a four-year-old child with a hematoma at the puncture site after surgery.
Li Hong noticed an increase of 0.8 centimeters in the local circumference after ten minutes. She immediately adjusted the compression position and checked the blood flow again to confirm that there was no continuous bleeding.
The third case involved a six-year-old child with weakened dorsalis pedis artery pulsation.
The bedside Doppler ultrasound showed good blood flow.
After reviewing the incident, it was confirmed that the elastic bandage was too tight.
Three minutes after the bandage was removed, the pulse returned.
All three abnormal cases were handled within twenty minutes.
No fixed thrombus formed.
No sensory or motor impairments were left.
After the last child was transferred to a regular ward, Observer He finished writing the statistics table.
"A total of 78 cases were reported, with zero deaths, zero irreversible injuries, and zero cases of emergency thoracotomy during surgery."
He closed the form and turned to Lin Yi.
"How many hours did you spend in the waking area during those seven days?"
Forty-two hours.
"How many times did you independently complete the release of core equipment?"
"Zero times."
Lin Yi put the last patrol record into the cardboard box.
"The re-examination for qualification to withdraw the sheath has been passed."
"But Teacher Ye believes that I need to continue practicing anomaly recognition and that I am not yet qualified to resume core operations."
Observer He flipped through his assessment records.
Do you think the punishment is too severe?
"If it had been discovered half an hour later last time, Zhang Xiaobao might have lost a leg."
Lin Yi paused.
"Being able to stay in the team and learn is no longer a burden."
The sound of children running footsteps came from outside the door.
Zhang Xiaobao's follow-up examination report has been delivered.
The ultrasound showed that blood flow was smooth in the right femoral artery, popliteal artery, and dorsalis pedis artery.
The circumferences of both lower limbs are the same.
Right leg muscle strength is grade 5.
Both superficial and deep sensations are normal.
The child can already run in the hallway.
Zhang Xiaobao's mother and others waited outside the meeting room.
"Slow down."
No sooner had he finished speaking than Zhang Xiaobao had already run from one end of the corridor to the other.
Gu Zheng stood by the door and raised his hand to block him.
"You're running around like this now that your leg is healed?"
Zhang Xiaobao looked up at him.
"My mother said my leg isn't broken."
Gu Zheng turned him around.
"Even if it's not broken, we need to proceed slowly. Let's go see Dr. Ye."
Zhang Xiaobao ran up to Ye Zhen and spread his hands.
A piece of milk candy is placed in the palm of my hand.
"for you."
Ye Zhen did not answer.
"Keep it for yourself."
Zhang Xiaobao raised his other hand.
"My mother bought two."
He held the other candy in his palm, the wrapper warm from the heat.
Ye Zhen still didn't answer.
"Then we'll save it for next time."
Zhang Xiaobao's mother entered the meeting room.
"Sir, may I say a few words?"
Observer He gestured to the staff to move chairs.
The woman did not sit.
"I don't understand your rules."
"All I know is that my child's feet were cold that day, and it was Dr. Ye who went into the operating room again in the middle of the night to remove the blood clots, and only then did his feet warm up again."
"Dr. Ye didn't sleep all night afterwards."
"Dr. Kobayashi also stayed by the bedside all night."
"My son can run and jump now, and his legs are perfectly fine."
"As his mother, I can tell who saved him."
"We understand that young doctors may not do things perfectly."
"We can't deny him another chance to go to the operating table just because of one mistake."
She pulled Zhang Xiaobao to stand in front of Lin Yi.
"Xiao Bao, walk a few steps for Dr. Lin."
Zhang Xiaobao walked over, then walked back.
Lin Yi looked down at the child's right foot.
That foot landed firmly on the ground.
He raised his hand to wipe his face, but didn't say anything.
Observer He turned to the final investigation report.
"Regarding the three core issues raised in the whistleblower letter, we now present our conclusions."
The meeting room fell silent.
"First, did the Beicheng Military Region General Hospital conceal serious complications?"
"Upon investigation, it was found that the hospital proactively reported the incident before the complaint materials were submitted."
"The complete report clearly records the acute femoral artery thrombosis, the rescue process, the responsibility analysis, and the rectification plan."
"The allegation of concealment is unfounded."
Zhou Hai put down his teacup.
"Second, is there any practice of using sick children to train young doctors?"
"Upon review, the participation of young doctors in the procedures was deemed to be in accordance with the tiered authorization criteria."
"During the pilot phase, the release of the core equipment was carried out by Ye Zhen and personnel who passed independent assessments."
"Lin Yi's issue of exceeding the time limit has been proactively recorded, his qualification has been suspended and he will be re-evaluated."
"The charge of illegally testing the knife is unfounded."
Observer He turned to the third page.
"Third, are there any uncontrollable risks associated with operating two blades simultaneously?"
"Seventy-eight cases were completed in seven days of pilot testing."
"No death, no irreversible damage."
"All three cases of early circulatory abnormalities were treated within twenty minutes."
"The four-level inspection system has reduced the time of anomaly detection by an average of more than 18 minutes."
"Conclusion: The dual-platform simultaneous operation will continue as a pilot program within the Beicheng Military Region General Hospital."
"All complications are permanently entered into the database and may not be deleted on the grounds of successful treatment."
Observer He signed his name on the last page of the opinion report.
"The whistleblower materials will not be destroyed."
"Ye Zhen's voluntary reports, investigation records, pilot data, and final conclusions will all be archived together."
Officials from the Provincial Health Department took out a prepared accountability notice from a document bag.
In front of everyone, he tore open the seal.
The document inside was replaced with another one.
Notice on Learning from the Beicheng Military Region General Hospital's System for Proactive Reporting of Medical Complications.
Zhou Hai held his teacup, finally feeling relieved.
"After one dangerous incident, the province actually instructed all hospitals in the province to learn from our experience."
Outside the meeting room, the new investigation findings were posted on the bulletin board.
The young doctors crowded at the front, scrolling down page by page.
At the top of the bulletin board is the investigation conclusion.
Below is the promotion notice from the Provincial Health Department.
Zhao Tiancheng stood at the back of the crowd.
The letter of complaint he sent out did not result in Ye Zhen being suspended from her post.
The dual-stage blade operation was not cancelled.
Even the complication that nearly led to amputation has become a system that hospitals across the province are required to learn from.
At the top of the stairs, guard Xiao Wang came up, carrying a brown paper bag.
Gu Zheng stood by the window.
"Has it been investigated?"
"It's been investigated."
"The internal notices from the Medical Affairs Department were registered and signed by Zhao Tiancheng."
"He applied for two copies that day."
"Someone saw him heading towards the post office that day."
"The time of mailing the package and the time of receiving the complaint materials from the Municipal Health Bureau and the Provincial Health Department match up."
The investigation team did not disclose the whistleblower's identity.
But the traces Zhao Tiancheng left behind are enough.
Xiao Wang lowered his voice.
"Commander, what should we do?"
Gu Zheng closed the brown paper bag.
"Hasn't the special operations regiment been conducting joint battlefield first aid exercises recently?"
"Yes."
"Apply to the Medical Affairs Department of the General Hospital for a medical observer position."
Gu Zheng handed the materials back.
"Let's borrow Doctor Zhao to go over there."
Xiao Wang paused for a moment.
"What about the title?"
"Learn battlefield trauma treatment."
Gu Zheng walked downstairs.
"Let him lie in the mud for a few days."
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