Chapter 763: Major Responsibility Accident
"Even if he is number one in the country, he is still a Standardized Training Student. Since when does a Standardized Training Doctor have a say in this hospital? Are the Directors, Experts, and Professors all just eating for free?" Wei Fusi scolded.
He felt ashamed of his own "cowardice" just now, and his voice grew a few decibels louder.
"Teacher, the Patient really cannot hold on much longer," Ji Xiang said respectfully. "The blood pressure is very low, and there is diffuse bleeding. Although we are providing symptomatic treatment, but..."
"But what 'but'? If I were you, I would honestly stand in the back. Stepping out to speak is just embarrassing yourself," Wei Fusi said, looking up at Ji Xiang to lecture him. "Do you even know what Lupus is? You've learned a few terms from books and think you're smart. I've seen plenty of young Doctors like you trip and fall."
Ji Xiang shrugged.
He did not care about the disdain and scolding from a strange Doctor.
After all, Liu Zhuren was there.
"Old Wei, say less," Zhou Tianbo said, pulling on Wei Fubo while offering a flattering smile to Ji Xiang. "Xiao Ji, don't mind him, Old Wei has had too much to drink."
"Who had too much to drink? Didn't the Family Member say there was no medical history of Lupus? Besides, the diagnosis of Lupus depends on symptoms, medical history, and Auxiliary examinations. Look at the Patient—do they have any symptoms of Lupus erythematosus!"
"A Hemolytic Reaction can also be considered one of the symptoms; it doesn't necessarily have to manifest as skin erythema," Ji Xiang replied gently, not waiting for Zhou Tianbo to speak.
"That counts as a fart for a symptom," Wei Fusi said furiously.
This was only because they were in an unfamiliar hospital; if it were his own hospital, Wei Fusi would have already slapped him across the face.
Whose Standardized Training Student is so arrogant? Even being number one in the country doesn't give them the right!
"Keep it down, this is the ICU," Liu Zhuren said, having hung up the phone and returned. Seeing Wei Fusi scolding Ji Xiang, he said sternly, very protective of his own.
"..."
"..."
Wei Fusi and Zhou Tianbo were both stunned.
Liu Zhuren held the Patient's blood transfusion order and placed it on the table. "The blood type we tested is Type A, but the Family Member says the Patient has donated blood before and is Type B. They are very certain."
"!!!"
"!!!"
"!!!"
"Fortunately, Xiao Ji provided a solution first. If we had waited for the Family Member to arrive without asking about the past medical history or knowing the Patient's blood type, once something went wrong or the Family Member went to the blood station to claim reimbursement later, this would have been a textbook Medical Dispute."
Liu Zhuren's words made a cold sweat break out on the backs of most of the Doctors in the ICU.
Even if the Family Member had no objections to the emergency rescue and accepted the diagnosis of Acute Hemolytic Reaction, they would very likely go to the blood station to claim reimbursement for the blood transfusion costs.
When they took the transfusion order and saw that the blood given to the Patient was "A" type, while they knew the Patient was "B" type...
Medical Dispute is just a beautified term; this would be a bona fide Medical Malpractice case, and the kind where the Family Member would be relentless.
If they were to find a few media figures who were overflowing with a sense of justice but lacked medical common sense and spoke without restraint...
Ahem, in that case, the situation would be completely uncontrollable.
At that point, from the Orthopedics Department to the Blood Transfusion Department and the ICU, every Doctor and Nurse who had received the Patient would be held accountable.
It might even trigger nationwide condemnation.
Who would believe your blood type test was done to standard? Who would believe your Eight-Item Verification was done flawlessly?
It was fortunate that Ji Xiang took precautions and proposed the diagnosis of Lupus first.
Regardless of whether the diagnosis is correct, this matter is beneficial and harmless to the hospital and the receiving Doctors.
"I will call the Medical Affairs Department. Xiao Wu! Prepare for a Renal Tissue Needle Biopsy," Liu Zhuren said seriously.
Wei Fubo was stunned.
The past medical history stated by the Family Member was inconsistent with the hospital's test results.
He had truly never encountered a similar situation.
After arriving at the hospital, patients needing blood transfusions have their blood drawn and sent for testing; no one would rely on the blood type stated by the Family Member or the Patient.
This is basically common sense.
However!
That little Standardized Training Student had broken that common sense.
Wei Fusi certainly knew the seriousness of this matter. He stood there, somewhat dazed, his drunkenness completely gone.
Zhou Tianbo looked at Ji Xiang with complex eyes.
He had known Ji Xiang for a long time, having had contact with him back at a private hospital. At the time, Ji Xiang was very unreliable, talking about things like mecha; he looked like a typical young person with a jumping train of thought.
But how much time had passed? Ji Xiang was now able to participate in a consultation as a Standardized Training Doctor, and his line of thinking was unique, finding a new path.
Finding the source of the problem among thousands of impossibilities.
Regardless of whether his diagnosis is correct, at the very least, it could turn a vicious Medical Malpractice case into a minor issue.
As for whether it could be resolved entirely, that would depend on the results of the upcoming laboratory tests.
But could Lupus cause a blood type test to fail? Zhou Tianbo pondered, searching his memory for similar knowledge points.
It is true that there is an extremely low probability of it causing errors in antibody testing.
However, in Clinical practice, he had never seen such a situation.
While pondering, Zhou Tianbo pulled Wei Fusi, wanting to leave. But Wei Fusi was somewhat unconvinced and did not want to go, so Zhou Tianbo pulled him to stand in the corner to wait for the test results.
Wu Zong and Ji Xiang worked together to perform the Puncture Biopsy.
Because the matter was of great importance, Liu Zhuren didn't even need to use his own influence; Bai Chuzhang made one phone call and had the Deputy Director of the Laboratory Department, who specializes in such tests, CALLED to the hospital.
A green channel for the entire process.
Soon, Bai Chuzhang walked into the ICU with a gloomy face.
He said nothing, picked up the Medical Record, and examined it carefully.
Xu Leyu was terrified at that moment; he never expected that the things he had repeatedly verified with the Nurse and the ICU Chief Resident could actually be wrong.
Similar knowledge points were a blank in Xu Leyu's mind.
He could only pray that there was no mistake.
After briefly reviewing the Medical Record, Bai Chuzhang turned back and gave Xu Leyu a deep look.
Just this one look, the gaze alone made Xu Leyu's whole body go weak, and he nearly sat down on the floor.
Major Medical Malpractice!
This was a major medical liability incident!!
Even if both sides were to be punished equally, his own future would still be extremely severely affected.
But who the hell...
Xu Leyu wanted to cry but had no tears.
"Chief Resident Xu," Bai Chuzhang said in a deep voice.
"Yes, Bai Chuzhang." Xu Leyu hung his head and walked in front of Bai Chuzhang, preparing to endure a storm of criticism.
"You did very well."
"???" Xu Leyu hadn't expected to receive praise from Bai Chuzhang and was stunned for a moment.
"You discovered that something was wrong and called Doctor Xiao Ji the first chance you got, right?"
"Uh..." Xu Leyu felt a bit ashamed.
At the time, he had been thinking about whether he could use Ji Xiang's hand to write an SCI Thesis.
"Not bad, you have crisis awareness; knowing something was wrong, you immediately found a superior doc... found Doctor Ji Xiang to come take a look," Bai Chuzhang praised.
"..."
Xu Leyu never imagined that Bai Chuzhang would actually praise him because of this matter.
It sounded very absurd, but thinking back on it, it seemed to make sense.
End of Chapter
