Chapter 635: Patients who died unexpectedly, finding out the truth

The meaning is very clear, suggesting to President Zhou that we should talk about business.
"Xiaoyu, go to the Personnel Department and get a copy of this period's personnel appointment and dismissal list." Dean Zhou deliberately sent this beautiful assistant away.
From this point, we can also see that Dean Zhou is not the kind of fool who commits a crime when he sees a beautiful woman.
In fact, in the eyes of the rich and powerful, beauties are just that.
It can only be regarded as a spice of life, but not like the poor who regard women as everything.
It is even more impossible to be around women all day long.
Because for the rich and powerful, there is never a shortage of beautiful women around them.
Scarcity makes things valuable.
Since there is no shortage of beautiful women around them, it is natural that they would not pay much attention to them.
"Okay! Dean Li, please chat slowly with Dean Zhou!" Xiaoyu has strong communication skills. She waved to Li Quan with a smile, walked out of the office and closed the door.
She was chosen by Dean Zhou as the dean's assistant at such a young age, so she is definitely not just a pretty face.
In addition to good looks, there are also very high requirements for personal handling ability, adaptability, communication skills and professional knowledge.
Li Quan and Dean Zhou were the only ones left in the huge office.
Li Quan was secretly curious, what on earth was going on that was so mysterious?
He won't do anything illegal or criminal.
If the other party doesn't say anything, Li Quan naturally won't ask.
He picked up the teacup and sipped the tea slowly.
Dean Zhou saw that Li Quan was so calm, and he put away his slight contempt for Li Quan. This was a fake young man with a young appearance and an old man's mind.
If you are deceived by Li Quan's youth, you will definitely suffer.
"Director Li, I won't hide it from you. Our hospital has encountered a very difficult problem." The smile on Director Zhou's face had long disappeared. His brows were furrowed, and a trace of worry appeared on his face.
Of course, it is not ruled out that this was a deliberate attempt to play the victim in front of Li Quan and perform a self-torture tactic.
Otherwise, how can we ask Li Quan for help?
"Oh! If even Dean Zhou has difficulty solving this problem, it must not be a simple one." Li Quan remained calm and responded to the other party's words.
"Oh, it's really bad luck. Our hospital received a cancer patient last month. He had stage three lung cancer."
Director Zhou sighed and began to recount the unfortunate experiences of the hospital.
Cancer is classified into stages one to four.
Generally speaking, patients with stage 1 or 2 cancer have a chance of being cured. Patients with stage 3 cancer are already in the middle or late stages, and the cancer cells have usually spread.
It is difficult to cure this type of patient, and we can only find ways to prolong their survival and improve their quality of life.
"After examination, the patient's cancer cells had spread to many parts of his body. Judging from their clothing, they did not look like rich people. Our oncology doctor talked to the patient and his family and explained the situation clearly. Under normal circumstances, the family would choose to give up treatment to avoid losing both their money and their lives.
However, the patient's family insisted that our hospital use the best medicine and make every effort to treat him.
Our hospital will certainly not refuse.”
When he said this, Dean Zhou showed an expression that said you know what I mean.
We are all insiders and understand some of the hidden rules of the hospital.
Cancer patients are very profitable for hospitals.
Because whether cancer patients undergo tests such as NGS sequencing, use expensive drugs, or undergo surgical treatment, it is very expensive.
Hospitals can make considerable profits from this.
Doctors and nurses can all benefit greatly from it.
Some cancer patients have no money at home, or feel that it is too easy to spend the hard-earned money, and in the end the person cannot be saved. It is better not to treat it, and eat, drink and have fun before dying.
However, there are also some cancer patients whose families are wealthy or whose family members regard money as dirt and attach great importance to blood ties.
No matter how much money it costs or whether the treatment is successful or not, the hospital is required to do its best to treat the patient.
Hospitals love this kind of patients the most.
Of course, doctors are not stupid. When communicating with family members and patients, they will definitely not tell them that their illness is incurable and they should not waste money. Instead, they will tell patients and their families that as long as they try their best to treat their illness, there is still a chance of recovery.
This is equivalent to giving patients and their families a glimmer of hope.
Let the family members willingly continue to pay the expensive medical expenses.
You can’t say the hospital is evil, everyone is just trying to survive.
For a hospital, the cost of keeping patients in the ICU ward may seem to be 10,000 or 20,000 yuan a day, but the hospital actually does not make any profit.
There is even the possibility of losing money.
Because the cost of building an ICU ward is very high.
In addition, patients in the ICU ward may need emergency treatment at any time 24 hours a day, so the hospital's best medical team must be stationed there.
Serve those patients.
Therefore, admitting patients to the ICU ward costs a few thousand yuan, or ten or twenty thousand yuan a day, which is really not expensive.
The costs of various equipment, consumables, and labor, when added together, are far more than that price.
The people who really make money are cancer patients, leukemia patients, etc.
The cost of any treatment is hundreds of thousands.
If a cancer patient's treatment takes a long time, it is normal to spend one or two million.
" It's a good thing that we admitted a cancer patient ." Li Quan couldn't help talking without any pain in his waist.
"Well, it was a good thing. Who knew that the patient died the next day after being admitted to the hospital, and it was our hospital's fault. Now the family is making a fuss, and the medical examiner has done an autopsy and determined that our hospital's improper use of medication led to the patient's death. The hospital bears full responsibility."
Dean Zhou's face turned bitter.
Even if it is really the hospital's responsibility, for a county-level people's hospital, compensation of several hundred thousand should not be enough to cause serious damage.
Of course, the hospital director, the doctors and nurses involved will inevitably be punished.
"Is the amount of compensation claimed by the family particularly huge?" Li Quan asked.
Compensating a few hundred thousand shouldn't be enough to make Dean Zhou look so painful.
"The amount of compensation is indeed not small. The cancer patient who died was the mainstay of their family. They have a paralyzed mother who lies in bed and needs someone to take care of her. They also have two children, the older one is only six years old, and the younger one is less than three years old.
If this case is really determined to be that our hospital is fully responsible, it will be a bottomless pit for the children and the elderly.
Isn't it our hospital's responsibility?"
Dean Zhou said distressedly.
It is not easy for the hospital. There are so many doctors, nurses, and handymen to feed, and there are also various expenses of the hospital. They also have to find a way to allocate some money for scientific research.
Everything costs money.
Who would want to take care of a paralyzed old man and two young children?
This maintenance fee is not low.
Even much higher than the compensation.
"The above is only the economic loss. This medical accident has also caused great damage to the reputation of our hospital. In addition, the doctor in question is the chief physician of the oncology department of our hospital and is considered the backbone of the department.
Being punished may result in the revocation of a physician’s license.
Then the oncology business of our hospital would basically be useless.
You say, if things really develop to that point, will I, as the dean, still have the face to stay? Even if the higher-ups don’t remove me from my position, I will have to move out immediately.”
Dean Zhou is a wise man and has a long-term vision.
Just as he said, being the director of a Grade A hospital seemed to be a very glorious thing, but he fell from grace faster than anyone else.
If he falls, Dean Zhou’s life in his later years will definitely be miserable.
Your integrity in your later years will also be lost.
No wonder his face turned bitter when he talked about this.
"Director Zhou, a medical accident has occurred. It's not that I don't want to help, but I really can't. If it were in Shanghai, maybe I could shamelessly ask the leaders of the Health Bureau to plead for you and say a few good words for you.
The key is that I don’t even know the local health bureau leaders, and they won’t give me face.”
Li Quan said helplessly.
He is not the kind of young man who has just entered society. If he gets a little benefit from others, he would be eager to give his heart and soul to them and repay them with a spring of gratitude.
Dean Zhou didn't actually help him much.
Only Li Quan's father was hospitalized last time, and Dean Zhou took care of him.
This time when his fifth uncle was hospitalized, he helped take care of him.
These kinds of things are just small favors.
It was far from serious enough to require Li Quan to help him solve a medical accident.
“Boom boom boom!”
Just then, someone knocked on the door outside.
"Please come in!" Dean Zhou looked towards the door with a little dissatisfaction.
I was discussing important matters with Li Quan here, and at the critical moment, who was the blind person who came to interrupt?
As a result, when he looked up, he found that the person who opened the door and walked in was Shi Gui, the manager of the library.
"Mr. Shi..., why are you here? Please take a seat!"
It can be seen that Dean Zhou respects Shi Gui very much.
"Boy, this medical accident is probably a conspiracy planned by the patient. The purpose is to defraud the hospital of money and help him support his mother and two children. I know you are capable, if possible, I hope you can help our hospital.
I watched Dean Zhou grow up, so I know him quite well.
Although he is a bit cunning, he has good intentions and has devoted a lot to the development of the hospital.
Neither Dean Zhou nor Director Pang of the Oncology Department should suffer such an unjust accusation. "
Shi Gui always speaks so directly.
I can only say that talented and powerful people all have strong personalities.
Perhaps in their eyes, being polite is equal to hypocrisy and a waste of time.
"Hasn't the forensic doctor done the identification?" Li Quan asked.
"This is where the mystery lies. The person in charge of the appraisal was not just one forensic doctor, but several. The appraisal results all concluded that the hospital used improper medication, which led to the patient's death. I have investigated this matter specifically, but I couldn't find any flaws. But based on my experience, the medicine prescribed by Director Pang was just a conventional medicine. Even if the patient was allergic to this medicine, he would not have died.
Besides, the nurse on duty noticed something was wrong and immediately stopped the patient’s medication.”
Shi Gui usually seemed to be just an idler in the hospital, but when the hospital encountered such a disaster, he did not stand idly by.
Instead, he conducted a lot of investigations in secret.
Want to help the hospital clarify the truth.
It’s a pity that he couldn’t find any flaws after his investigation.
Even though they knew that there was something wrong with the patient and that there was a high possibility that he deliberately defrauded death compensation, they had no evidence and could only watch.
"Do you have the patient's medical history and medication records? Bring them to me." Li Quan decided to take a look at the situation first.
He may not give face to Dean Zhou, but he must give face to Shi Gui.
"The original has been taken away and sealed by the competent department. I have a copy here." Dean Zhou took out a document directly from the drawer of his desk and handed it to Li Quan.
After taking it, Li Quan looked at it carefully.
After the patient was admitted to the hospital, chemotherapy drugs were prescribed.
From the records, we can see that the patient was given nutrient solution and nedaplatin.
There's absolutely nothing wrong with that.
Nutrient solution can replenish the patient's energy and enhance the patient's immunity.
Nedaplatin is a commonly used chemotherapy drug for lung cancer.
Director Pang was very cautious when prescribing medications and did not use a mixture of multiple drugs in the first chemotherapy.
Moreover, the nurse on duty stopped taking the medicine immediately after noticing that the patient looked pale, had sweat on his forehead, and had chest tightness and shortness of breath.
There is more than half of the medicine left.
Logically speaking, half the dose of medicine should not cause the patient to die quickly.
What exactly is the problem here?
There is no doubt about the forensic identification results. Because after multiple forensic identifications, the conclusions reached are consistent, which means that the results will be the same if the identification is repeated.
This is their job, so their professional abilities must be pretty good.
"Has the patient's body been cremated now?" Li Quan asked.
"Because this matter is still controversial, it has not been closed. Our hospital has also hired a lawyer and has been appealing. So the body has not been cremated yet.
However, the family agreed to cremation.
But our hospital disagrees.
The family members even brought people to our hospital to make trouble a few times because of this matter.”
Dean Zhou said.
Normally, if the family members don't receive compensation, they will definitely not rush to cremate the body.
Because once cremated, the evidence is gone.
It is disadvantageous to the family members.
Now the family members are in a hurry to cremate the body and even bring people to the hospital to cause trouble. Does this mean that the family members are guilty?
Want to cremate the body as soon as possible, what is being covered up?
Li Quan is almost a complete layman when it comes to forensic identification. At best, part of the medical knowledge he has learned can be applied to forensic identification.
He subconsciously touched his pocket.
Inside the wallet is a special book.
It was the "jade slip" book given to him by the patient's family last time.
It is Song Ci's "Xi Yuan Ji Lu".
It has been a while since Li Quan got this jade medical book, but he has never read it.
Because he was very pressed for time, and he felt that forensic knowledge was not particularly useful to him.
So there was no rush to read and study.
"Are there any photos of the body?" Li Quan thought for a moment and asked again.
"have!"
Dean Zhou opened his mobile phone on the spot, added Li Quan as his WeChat friend, and sent a few photos taken on the scene to Li Quan.
"Was this photo taken when the patient was receiving an infusion?" Li Quan saw the patient sitting on the hospital bed in pain, with the infusion bottle still hanging next to him.
It looks like he's receiving an IV.
You can vaguely see that the medicine in the drip bottle is still full, which means the infusion time is not long.
"The person who took the photo was not from our hospital, but a patient in the bed next to the patient. She took the photo accidentally. The patient had just started receiving an IV. I thought it might be of some value, so I asked for it."
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