When Chen Qi firmly said the word "you", Li Huacheng's mind buzzed and he became confused, and the pen in his hand was suddenly pinched.

You must know that the wealthy Americans are not only asking for compensation, but also for the attending doctor to be jailed for manslaughter.

If the responsibility lies with him in the emergency department, then Director Li, who is respected by people today, will be 9527 in the detention center tomorrow. This is a consequence that Li Huacheng cannot bear.

But Zuo Yongxin, director of the Department of Gastroenterology, was so happy that he wanted to stand up on the spot and wave his fist.

Sure enough, Li Huacheng was so anxious that he didn't even give face to the director of his own hospital, and he dared to tear the skin of his colleagues, let alone a foreign monk.

"Dean Chen, I know that you are a director of the Society of Gastrointestinal Gastroenterology, so your stance is definitely on the gastroenterology side. It is understandable that you want to help some gastroenterologists, but today this is a big event, you have to

Maintain a neutral stance and don’t bite people randomly!”

The tremendous pressure made Li Huacheng lose his mind and even uttered curse words.

The scene was quiet, and everyone was protecting themselves wisely. Whoever speaks now will be burned on his own head.

Look at this Dean Chen Qi of Haidong Province, isn’t he already stained with shit when he came here?

As soon as he heard Li Huacheng directly scolding him for "biting people", Chen Qi's anger also rose. His face was calm just now, but now he has cooled down.

"Director Li, right? Let's talk about the first question first. Look at the information sent by Mi Fang. It clearly states that the deceased suffered from high blood pressure and diabetes, right? But I'm looking at this emergency department report.

It was not reflected in the original medical records at all. I would like to ask Director Li, did you consult the doctor at that time?"

Li Huacheng was equally unconvinced:

"The first thing our emergency department has to do is to save lives. It's understandable that we don't provide detailed consultations. Only if we need to be hospitalized or kept under observation will we be able to conduct detailed consultations. There is no emergency department in a small place like Yuezhong.

So it’s normal to not understand the process.”

Chen Qi sneered:

"Who told you that there is no emergency department in Viet Nam? I founded the emergency department of Viet Chung People's Hospital. All the rescue equipment is imported from the United States. Do you think I understand the process?"

Li Chenghua was stunned for a moment, but continued to argue:

"Even if you understand the emergency procedure, what is the direct relationship between the cause of death of the deceased and whether the consultation was detailed or not?"

"How come it doesn't matter? On the contrary, it is directly related. Your emergency rescue at Ziguang Hospital is so casual?"

In Chen Qi's view, there are big problems with the emergency department process of Ziguang Hospital. It's no wonder that there are very few hospitals in China that have emergency departments at this time, and everyone is making progress while groping.

Chen Qi is obviously not allowed to let Li Huacheng go:

"If you know in advance that the patient has hypertension and diabetes, then you should know that cardiovascular and cerebrovascular arteriosclerosis in these chronic disease patients is very dangerous and hidden. How else can it be called equal risk disease?

I just rescued a patient in Yuezhong who came to the emergency department with complaints of abdominal pain. He was suffering from complications caused by acute myocardial infarction, coronary ischemia, and hypoxia, which led to myocardial necrosis.

So let's look back now, what if this foreigner had a myocardial infarction? Then is there a possibility that when he had a gastroscopy, the pressure increased due to severe vomiting, which led to a myocardial infarction and eventually died?

On myocardial infarction.

I would like to ask Director Li, did you consider myocardial infarction at that time? You did not even ask whether the patient had high blood pressure and diabetes before directly ordering a gastroscopy. Do you think this was a mistake? "

Li Huacheng's face turned red and he opened his mouth, but had nothing to say.

Chen Qi continued:

"Similarly, when a patient has high blood pressure, diabetes, and atherosclerosis, is it possible for a cerebrovascular accident? Director Li, please tell me about this careful consultation to avoid possible risks, and whether it is related to death.

Is there an inevitable connection?"

As soon as Chen Qi finished speaking, the doctors on the scene whispered among themselves.

The people present were all expert and professor-level doctors. Chen Qi’s words were like a piece of window paper, broken at the first touch, including Li Huacheng.

Chen Qi was obviously still angry, so he continued to shout and asked:

"One more thing, one of the common causes of death during gastroscopy is aortic dissection. Everyone knows the dangers of this disease. So I would like to ask Director Li, if you know that the patient has a history of high blood pressure, severe abdominal pain or heartache, would you

Thinking of a disease like aortic dissection?”

Li Huacheng replied weakly: "I, of course I thought of it..."

"Okay, you have thought about the possibility of aortic dissection, so let me ask Director Li, have you carefully auscultated the heart or lung sounds?"

"me……"

Li Huacheng couldn't speak any more, and the doctors in the conference room were in an uproar.

When aortic dissection occurs, when the hematoma involves the aortic valve annulus or affects the support of the valve leaflets, aortic valve insufficiency will occur. At this time, a diastolic wind-like murmur can be heard in the aortic valve area.

If you hear crackles at the bottom of the lungs on both sides at this time, coupled with clinical symptoms, you should suspect that heart failure has occurred.

When all these symptoms are added together, it is easy to identify the critical condition of "aortic dissection".

Li Huacheng was sweating profusely and his lips were trembling, not knowing how to defend himself.

Dean Bian glanced at his subordinate and shook his head slightly. Obviously, there were loopholes everywhere in the emergency department. He missed important points one after another. This could not but be said to be a mistake.

Chen Qi glanced at Zuo Yongxin, the director of gastroenterology opposite, who was gloating over his misfortune, and asked:

"Director Zuo, right? You were the one who performed the gastroscopy, and the patient died in the endoscopy room. Could you please tell me in detail what happened during the gastroscopy?"

Zuo Yongxin was relieved at this time, thinking that it was all the fault of the emergency department, so he began to report the gastroscopy experience very confidently.

"When the patient was sent, there was no detailed medical record on the gastroscopy application form. It just said that he had been admitted to the hospital for 1 hour with abdominal pain, mild tenderness in the mid-abdomen and no rebound tenderness, so I performed a routine gastroscopy... and then the patient suddenly suffered from epileptic seizures.

Shaking... Our endoscopy room will carry out rescue operations immediately..."

Director Zuo said it easily, but Chen Qi frowned more and more as he listened:

"Director Zuo, you are an old expert in gastroenterology and one of the most professional doctors in the field of gastroscopy in China. You should know the precautions and contraindications of gastroscopy, right? The first question I want to ask, you clearly know the emergency department

The medical history is incomplete, why didn’t you ask clearly?”

Zuo Yongxin was stunned, his heart skipped a beat, and he thought again, why is this guy coming at me?

"Well, at that time, I thought the emergency department needed something urgent, so I didn't consult carefully..."

Chen Qi looked at his notebook and continued to ask:

"You said that the patient had a very strong reaction during the gastroscopy. I also have a description of the deceased's secretary. She said that the deceased was vomiting violently, his face was red, and he was obviously suffocating. She once asked to stop the gastroscopy.

There is no such thing?"

Li Huacheng, who had been dejected just now, immediately brightened up when he heard this.

Now it was Zuo Yongxin's turn to have his lips and hands tremble, and his head was buzzing:

"I, this, this, it is not uncommon for patients to vomit during gastroscopy. If we stop the gastroscopy because the patient vomits, then the gastroscopy work will not be carried out at all."

When everyone heard this, they all thought it made sense. There were very few people who did not vomit during the gastroscopy.

Chen Qi obviously disagrees with this view:

"If it is just ordinary vomiting and nausea, gastroscopy can of course continue, but if the patient has severe vomiting and his face has changed, two situations may occur at this time. One is rapid tracheal spasm, which may cause the patient to suffocate.

.

Second, severe vomiting causes gastric acid to surge up from the stomach. Coupled with the presence of vomitus and a gastroscope tube inserted, it is very easy for aspiration or suffocation to occur.

Therefore, when our doctors perform gastroscopy, when the patient begins to vomit violently, they often need to stop the gastroscopy immediately and withdraw the gastroscopy tube instead of forcibly continuing the gastroscopy. Based on this, Director Zuo's handling at that time was problematic."

Boom~~The conference room was in an uproar again.

At this time, a doctor also stood up and agreed with Chen Qi:

"The situation Dr. Chen mentioned is a case we have just encountered in our hospital. The patient was an elderly man who died suddenly during a gastroscopy. Later, after an autopsy, it was discovered that the patient died of suffocation caused by severe vomiting."

When Zuo Yongxin heard this, his heart started to feel like playing a drum, and he was completely panicked.

He was a client, and he had vivid memories of what happened during the gastroscopy that day. In addition, he was an expert in gastroenterology, and he was no stranger to the possibility of suffocation and death caused by gastroscopy.

So Zuo Yongxin was completely panicked, thinking that this was not really the cause of death, right?

At that time, everyone was skeptical, not to mention other experts in the conference room. Everyone felt that the answer should be found.

Only Li Huacheng looked like he was surviving the disaster at this time. If the foreigner died at the hands of an endoscopist, it would have little to do with him as an emergency doctor.

Even if it's a lie, the worst case scenario is that he will receive some disciplinary action, at least he won't have to be expelled and go to jail, and his family will be ruined, right?

As for whether Zuo Yongxin will die or not, well, it just doesn’t matter if he doesn’t die by himself.

At this time, Professor Cheng Bangwu asked a question:

"Dean Xiao Chen, have you noticed in the medical history that the patient had epileptic convulsions before his death? What do you think is the cause? Is it possible to identify the cause of death?"

Everyone was an expert and had their own guesses about the possible causes of the convulsions, but everyone obviously wanted to hear the analysis of the young dean.

Chen Qi glanced at his notebook and then said:

"I have also noticed the details that Professor Cheng noticed. I just said that suffocation and aspiration are the most likely causes of death, but they are not the cause of the foreigner's death. It is difficult to judge for the time being.

The convulsions that Professor Cheng mentioned can be easily explained physiologically and pathologically. When a patient suddenly vomits violently during a gastroscopy, it will cause vagus nerve excitement, which in turn will cause the heart rate to slow down and blood pressure to drop.

When the patient's vagus nerve is suddenly excited, the worst consequence is nausea and arrhythmia, such as cardiac arrest, ventricular fibrillation, etc. At this time, the effective ejection of the heart is reduced to almost 0, leading to tissue ischemia and hypoxia.

, resulting in convulsions.”

Oh~~~~

The scene was filled with exclamations again. It seemed that Chen Qi's analysis was closer to the truth of the patient's death, which was that there was a heart problem.
To be continued...