Rebirth of a Doctor Without Regrets

Chapter 42 Erroneous Medical Records

While everyone else left to rest, Gong Shen only lay in the third-line rest room for two hours before getting up to organize yesterday's emergency room medical records.

Many fatal mistakes and oversights occur in such emergency situations. Director Gong always conducts a thorough post-event review whenever he encounters such a large-scale public incident.

One advantage of getting old is that you don't need to sleep as long anymore.

Wearing his reading glasses, Gong Shen began by examining the two critically ill patients who had died.

No problems were found; by the time these patients arrived at the hospital, it was already beyond saving.

Next came the records of critically ill patients, and sure enough, many necessary examinations were overlooked.

Gong Shen called each of the specialist wards where the patients had been transferred, instructing the corresponding resident physicians to conduct supplementary examinations.

When he turned to the patient with a ruptured liver filled out by Luo Peng, he almost spat out the tea in his mouth.

Did Wang Xiao ignore warnings and perform laparotomy? He even sutured the digestive tract and right hepatic vein?

Gong Shen immediately picked up the phone and contacted the general surgery ward to inquire about the patient's condition.

The general surgery department replied that the patient's condition was stable and that he was now conscious.

Director Gong was now in a dilemma. This was a direct violation of regulations, and if investigated, it wouldn't be unreasonable to revoke the license.

Holding the emergency record written by Luo Peng, Director Gong entered Dean Chen's office.

After reviewing the records, Dean Chen put down his reading glasses, rubbed his eyes, and asked, "What do you plan to do?"

"I'm asking you because I can't make up my mind. How about we have Wang Xiao write a self-criticism and reflect on it?"

"If we determine that he was wrong to open his abdomen without permission, writing a self-criticism isn't enough. If it gets out later, we'll all be held responsible." Chen Changhai rubbed his temples, trying to relieve his fatigue.

"Well... if it's determined that he didn't make any mistakes, the hospital will still be responsible if someone finds this medical record in the future."

Dean Chen frowned. "Under normal circumstances, emergency room doctors have the authority to perform abdominal surgery. However, due to the special circumstances of our hospital, Wang Xiao is not considered an emergency room doctor, but he is exercising the duties of an emergency room doctor. This is a gray area."

I believe that in this emergency situation, his decision to perform laparotomy was correct from a medical perspective, and the outcome was also positive.

Director Gong understood what Dean Chen meant. "Yes, but this young doctor, Wang Xiao, has violated hospital rules several times. Won't this encourage his bad behavior?"

"Are you referring to the time he went overtime while recording his medical history?"

"Another time, when I asked him to work the night shift, he slept straight through until dawn."

"Huh?" Chen Changhai was clearly surprised by this.

The two remained silent for a long time.

"He's performed quite a few minor surgeries in the emergency room, right? What's the success rate like?"

"The success rate is 100%. Whether it's cosmetic suturing or routine surgical debridement and suturing, there have been no problems in more than 200 cases," Director Gong said with a hint of pride.

"That settles it. You and I have both been junior doctors, and we both know that it's easy to be perfect for one day, but how difficult it is to be perfect for two months. Since he never makes a mistake in treating patients, that's enough."

Director Gong asked with a hint of obsequiousness, "What about the medical records?"

"Do I need to say it? If you can't solve the problem, can't you at least solve the people who created it? Luo Peng's medical records are problematic; make him revise them." Dean Chen glanced at Director Gong with dissatisfaction.

Gong Shen hurriedly stood up, bowing and scraping, saying, "Understood, understood." He thought to himself, "Without your approval, who would dare to act recklessly?"

"Call Luo Peng here."

……

Luo Peng stood at the door of the dean's office, deep in thought.

He never expected that he would get into trouble because of his medical records.

Shouldn't we be looking into Wang Xiao for violating the rules? Did the dean call me to investigate him?

The truth is already written in the medical records, so should I defend Wang Xiao, or simply support the hospital in punishing Wang Xiao?

If we don't defend him, will we offend other people?

He was sent to the emergency room, which means the cardiac surgeons didn't like him.

However, the fact that he was highly valued by the emergency department and had a special program for cosmetic injections indicates that he had connections in the emergency department.

If I don't speak up for him, I might offend Director Gong...

Judging from the outcome, his treatment saved the patient, so let's say a few words in his defense.

Come to think of it, this is my first time entering the dean's office.

Boom boom boom!

"Enter!"

As soon as Luo Peng sat down, Dean Chen tossed him the emergency record he had written.

"Do you know what you did wrong?"

"Huh?" Luo Peng's carefully prepared response was completely abandoned.

"Director Gong told me that Dr. Wang Xiao performed the laparotomy on the patient under your guidance. He wouldn't lie to me, would he?" Dean Chen said with a serious expression.

Luo Peng was taken aback. "That can't be... Could it be... could it be that I remembered wrong?"

"Yesterday was an emergency, so it's normal to make mistakes. Go back, think it through, and then correct it, understand?"

"I understand, I completely understand!" Luo Peng unconsciously sat up straight.

"Okay, go back and rest."

Luo Peng thought about it all night and still couldn't accept why his superiors would question his truthful medical records.

The next day, after checking on the patients, Luo Peng went to the emergency room to find Wang Xiao.

Wang Xiao is replacing the sign in the treatment room with the help of a nurse.

The sign read: "Emergency Department Cosmetic Suturing Service";

Basic version (domestic consumables) 500 yuan/cm;

Deluxe version (imported consumables) 2000 yuan/cm;

Medical insurance can only reimburse a portion of the costs; labor costs and consumables must be paid out of pocket.

"Dr. Luo, what brings you here?" Xue Jia, with her sharp eyes, spotted Luo Peng peeking in from the doorway of the treatment room.

"Dr. Wang, could you come out for a moment?"

"What's wrong? What brought you here?" Wang Xiao jumped down the ladder and dusted off his hands.

"Regarding your abdominal surgery the day before yesterday, Director Gong told the hospital director that I was in charge. Did you tell Director Gong that?" Luo Peng said mysteriously in a low voice.

"This... Hey, why are you so stubborn? Isn't this just Director Gong and the dean trying to cover for me? You can just change the records you wrote."

"So that's what it means... Sigh... It seems I can't stay in this hospital any longer." Luo Peng sighed deeply, his expression conflicted.

Wang Xiao was taken aback, not understanding why Luo Peng reacted so strongly.

Is this some kind of mental fastidiousness?

Wang Xiao definitely doesn't have OCD; someone with OCD couldn't be a sales representative.

Then he realized that he hadn't had a chance to check Luo Peng's ability stats yet.

Specialization: General Surgery

Skills: General Surgery Level 3; Emergency and Critical Care Medicine Level 2; Urology Level 1; Vascular Surgery Level 1;

Operation: A+

Diagnosis: A+

Theory: S-

Scientific Research: A-

Collaboration: A-

Mindset: A

Recommendation: Exceptionally capable, well-rounded, but with a relatively basic skill set; consider recruiting him as an assistant to participate in advanced surgeries.

This ability is outstanding for Chunda Second Hospital, and Luo Peng looks to be around thirty-five years old, with enough experience to be promoted to deputy director.

Why has he only mastered level three surgical techniques in general surgery? He even said last time that it was the first time he had independently performed a level three surgery.

"Dr. Luo, do you think I broke the rules?"

"Of course. These hospital rules are made to protect patients. It's none of my business if you break them, but now you expect me to break the rules to cover for you? Why should I?" Luo Peng became agitated after being asked this by Wang Xiao.

Wang Xiao said helplessly, "Dr. Luo, if I hadn't opened the patient's abdomen at that time, it would have taken at least an hour for you to come over. Do you think the patient would have survived?"

You say rules are designed to protect patients, and I agree. But rules can't always protect patients. If it's obvious that breaking the rules can protect patients, then should they be broken?

Moreover, the rules are set by those at the top, and they will use those rules to tightly control opportunities. If you don't resort to some extraordinary means to seize them, how can you possibly get ahead?

"Nonsense. You have connections. If I can't afford to offend you, can't I at least avoid you?" With that, Luo Peng abandoned Wang Xiao and strode out of the emergency room.

Wang Xiao watched his retreating figure and sighed.

Sometimes, being stubborn is even more difficult than dealing with a White Rabbit candy.

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