Qi Jing has been busy with work, and Lu Zishan on the other side is no exception.

The hospital built by Zhu Yan is about half a year away. At the beginning, it was said that Qiao Li was a consultant, but with the scale and flow of people just opened, as well as the relationship between Lu Zishan and Zhu Yating, if you encounter some minor problems, it is very likely that Lu Zishan will be fully replaced.

In order to cope with this work, and to promise her that she must improve her level as soon as possible.

This time I came to Minghai with Qiao Li for two cases.

One was a patient admitted to the emergency department of an internal medicine department in a tertiary B hospital. It only took one day to go from ordinary waist and abdominal pain to being sent to ICU. In the end, the patient died at noon on the third day because of ineffective rescue.

This sudden death of a patient is the most common medical disputes, and the hospital was naturally sued by the family. The hospital found Qiao Li, who had seen the records of the entire medical process, and his personal opinion also favored misdiagnosis caused by poor examinations, so he hoped to make a private settlement with the patient's family.

Because in her experience, as long as this case enters the court, it will be a loss.

The second case was a case that I just took on two days ago. The defendant was a tertiary pediatric department in a family of 3. The child died of a high fever. As for the medical record, he only looked at the outline and had no specific medical history records, so Qiao Li asked Lu Zishan to take the lead and come here to see the specific treatment process.

She got off the plane at 9 a.m. and accompanied Qi Jing to the pediatric hospital at 10 a.m.

It is rare for the two to meet once, so I want to have fun in Minghai. Anyway, Qiao Li has to wait two days to deal with a case in her hand before she can come. Moreover, Qi Jing has a rest these two days, so it is really a rare opportunity.

"Why ask Yating and Ji Qing to come out to play together at night?" Lu Zishan calculated the time in her heart and said, "I will take a copy of my medical record later and write a case report to Teacher Qiao in the hotel in the afternoon. As long as there is no problem, I should have time in the evening."

Qi Jing was wearing a very ordinary casual shirt and pants, and followed her slowly. At first glance, she was a small follower, and she didn't have the aura of a critically ill patient with the directors a few days ago: "Zhu Yating has been busy with the fund recently. Anyway, our emergency meeting has ended, and we have been very idle these two days."

"Well, I heard from Yating that they had lunch together today. I took the medical record book and called to ask."

Due to the special nature of the situation, pediatrics has completely different details from adult departments. Over time, pediatrics has gradually differentiated from general hospitals, just like dental psychiatric departments, and has become an independent pediatric hospital.

There are only a few Minghai tertiary pediatric departments, and this time the hospital happens to be not far from the International Convention Center.

After the two of them got out for rent, they quickly entered the medical office of the hospital's administrative building and found the responsible Director Zhang: "I am a student of Teacher Qiao. This is my lawyer's certificate. I want to see the medical records of the children who came to see the doctor on August 28 this year."

"Oh, that kid."

Director Zhang held up his reading glasses and immediately turned around and took out a file bag from the locked drawer: "All the relevant contents have been copied, including the first diagnosis records, follow-up records, rescue records after entering the ICU, as well as the cause and diagnosis of the final death."

Lu Zishan opened the file bag in front of her, verified the file, and nodded: "Okay, I've taken that thing away."

"Well, if you have any questions, you can find Director ICU of the Emergency Department. He is here today." Director Zhang sat back in his seat and couldn't help but ask, "The family members said it was 1.5 million. Can the price be reduced if the settlement is settled?"

"That's what?"

The last time Lu Zishan took over more than one million compensation was last year, and a post-gallbladder complication caused the patient to speak loudly.

Looking back at this dispute, there was nothing wrong with it on the surface. The child suddenly had a fever and was brought to the emergency room by his family. The doctor did an examination and then treated it with penicillin.

Because Minghai is worth every inch of land, the hospital's internal emergency room is not large and there is not enough observation room. The family members are asked to stay in the corridor to observe, but they did not see it when they looked for it. It is really impossible to blame the family members. The hospital environment is really bad, and parents all cherish their children and think it is nothing to go home.

Of course this is a one-sided statement from the hospital, but the family said that they told the doctor when they went home, and the doctor agreed.

Because there is no sound in the surveillance and no evidence is found, such things cannot be verified. The burden of proof is reversed, because there is no clear informing the risks after returning home and the violation of the regulations that the penicillin was not observed for 30 minutes after use, and there is no signing and writing the home record of the patient's family. The hospital is responsible for this.

If nothing happened to the house, maybe there might be no further problems.

But the child fell ill again on the way home, not only had a high fever, but also violent spasms on his limbs and cyanosis of his lips. When he returned to the hospital, he found that the infection suddenly worsened, and finally admitted to the iCu.

However, after I was admitted to ICU, several treatments were ineffective and he died in the end.

Director Zhang has no clinical experience and cannot see any problems with the patient, so he feels that the hospital should not be accused. Even if the defendant is only one point, the hospital did not inform the risk of going home before the family went home without authorization.

Lu Zishan has made considerable progress during this period, especially in medical regulations and medication instructions.

She flipped through the treatment records and immediately found the key to the problem: "The dose of alocillin sodium is 75 mg per kg for the child, and the baby is only 100 mg. The child is five years old and weighs 20kg. She actually used 3g of alocillin sodium a day, and the dosage is almost doubled, which is overdue."

In clinical practice, antibiotics often have no doses in compliance with regulations. Some are indeed not paid attention to by doctors, some are caused by clinical experience, and some are for real treatment needs.

But the court will not care about these things, and if there is a slight mistake, it will become a gap in losing the case. Since Lu Zishan will notice these, the other party's lawyer will not miss it, and will definitely become the other party's target of attack.

There are many other details that have problems. For example, the patient's blood cells in his blood were not high during the first visit, and the third system looked normal, but the doctor still used antibiotics.

This is just improper use of medicine in court, and the cause of the disease is not thoroughly investigated.

The first inspection did not undergo detailed examinations, nor did the patient's cause find, and the condition was uncontrollable to the point where it was difficult to treat. This may have room for debate in court, but it will definitely become another target of attack by the other party.

"It's not easy to deal with." Lu Zishan has seen this situation for more than a year, and ended up losing the case in the hospital, with almost no room for improvement. "I will pass the medical record to the teacher later, and I will give you an answer in the next few days."

"All right."

......

This infected child actually thought about Wang Gui, who had just escaped from the danger period. Of course, it was not about the pathogens, but about the progress of the disease course. Although the body had an autopsy, it was only given in the end that multiple organ failure, multiple organ autolysis of acute pulmonary edema and heart failure were given.

For the infection, only mild meningitis was found in the end, and no pathogens were found. The evidence was extremely unfavorable to the hospital.

Lu Zishan and Qi Jing found a place to eat next to the hospital. Their boyfriend was an emergency doctor, so there was no reason not to ask: "What do you think of a very troublesome case?"

Qi Jing glanced at the eyes and said, "There are indeed problems, but with your teacher's strength, you can fight for them, and it may not be a game that will definitely lose."

"But now the court is becoming more and more strict with the hospital, and if there are any slightest in compliance with the regulations, they will be sentenced to lose." Lu Zishan looked helplessly at the treatment sheet, "This double dose cannot be argued."

Qi Jing naturally wanted to talk about his thoughts, but these are just his own opinions and they are untenable in court. What he can do now is probably the consultation that just ended. In the consultation, in order to treat Wang Gui, the expert group was quite bold in taking medicine, and neither dosage nor compatibility were implemented in accordance with strict regulations.

Even Qi Jing's diagnosis is subjective, and there is no basis for cultivation and drug sensitivity in the entire diagnosis and treatment process. Once the patient dies, the family appeals, and according to regulations, the doctor will be responsible for the full responsibility.

The final result was to win the bet.

In fact, if Wang Gui and Ding Xiujuan are a little more rogue and keep their sequelae, they will have to pay for it according to the normal process. In that case, using drugs with toxic side effects without permission is a dereliction of duty in "legal theory".

"Use the opinions of most well-known experts in your consultation as an example?" Lu Zishan sighed, not promising much hope for this approach. "What about the previous misdiagnosis? The blood image is almost normal but he was diagnosed with upper respiratory tract infection."

"It's not difficult to understand. The blood image has to be compared according to normal circumstances." Qi Jing said, "The diseased child has fever and symptoms of respiratory infection. In this case, it is normal to use diagnostic medication. Moreover, the doctor uses penicillin, which has the least side effects on the body. At the same time, he did not ask his family to go back, but was preparing to call the hematology department for consultation."

Lu Zishan nodded: "I'm afraid I suspect there is something wrong with the child's blood."

"Yes, for example, something has a problem with the immune system." Qi Jing pointed to the blood report when he entered the ICU. He said, "Otherwise the infection would not have been so severe. In just three days, the course of the disease will directly develop from the symptoms of a cold to repeated and persistent convulsions."

“That process is quite correct.”

"From God's perspective, there will definitely be minor problems, and no one can completely avoid them as a doctor." Qi Jing took two small plates, poured balsamic vinegar, and said with a smile, "So it depends on the relationship between these problems and the cause of the patient's death, whether they are mutually causal."

Lu Zishan naturally knew this, but at the same time he was very helpless: "The teacher does often use this point to sue, but the court often chooses to ignore it in the end."

"That's just an outsider to guide an expert."

Qi Jing spread his hands, then put a small cage stained with vinegar, and put it in Lu Zishan's bowl: "Things have reached the height of another dimension, and no one can do anything about this situation. So don't worry too much, write a medical record report as required, and then come out to play at night."

"I forgot to call Yating to ask about the time."

Lu Zishan put away the copy of the medical record, stuffed the Xiaolongbao into her mouth, and then took out her phone. Who knew that just as he was about to dial, his phone rang first, and it was Zhu Yating who called.

"Hey, Yating, I'm just about to call you, why..."

“…”

Lu Zishan listened to the sound coming from the phone, blinked her eyes, and replied with a smile: "No, have you read it wrong?"

“…”

"It's really our former class teacher." Lu Zishan said, and her stiff smile slowly stretched out and continued, "Then I must have it. I haven't seen her for a long time." The genius remembered in just one second:.

“…”

"Yes, Qi Jing and I are having dinner together."

“…”

"Why are our elementary school classmates gathered together to take him there? It's only a while." Lu Zishan looked at Qi Jing with a smile, and saw that he didn't object, he continued to ask, "Where is it? I'll come here now."

“…”

"Okay, not far from me, I'll arrive soon."

After saying that, the two hung up the phone.

"What's wrong?" Qi Jing didn't care much about this matter and asked casually, "Don't eat before leaving?"

"Well, the elementary school class teacher, I was good to us when I was a child. It's rare for me to come to Minghai once, but I still have to go and see her." Lu Zishan put two small buns into the bowl, ate something casually, and then put the bag on his back and got up to leave. "There are old classmates there, you go and go, it's weird. Anyway, I'll just talk to her, and it's over soon."

Qi Jing didn't look like a word, but said, "Let me send you there."

"No, no, no, I ordered so much food, it would be a pity if I didn't eat too much." Lu Zishan said with a smile, "Just eat quickly. After going to the teacher's place in the afternoon, I will go back to the hotel by myself. I will call you then."

Qi Jing has never seen her like this before.

It’s not that she is afraid that she will cheat or something. Qi Jing has this confidence. Moreover, the one who called just now was indeed Zhu Yating. Although she didn’t see the call reminder, she did hear the sound. It was indeed Zhu Yating. It’s just that the two of them are now eating, they are too close to the hospital, and the crowds are crowded, and the surroundings are too noisy. I didn’t hear what she said in detail.

As for what elementary school teachers to see, it is a complete excuse. Qi Jing has long been used to lying and being deceived, and he can see it accurately.

Since it was Zhu Yating's phone call, it wouldn't be a big deal. It would be a bit interesting for Lu Zishan to suddenly react like this. Of course, the two of them in the last life were too much in their hands, and they ended up with each other and had no intersection again. In this life, Qi Jing was unwilling to make such a mistake again.

But no matter whether it is concerned, Qi Jing still has interests.

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Chapter completed!