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Those who dare to play dangerous chess are all masters.
Some seemingly sloppy or reckless arrangements just prove his strategizing. Just like Zhou Yu in the Three Kingdoms, with the feather fan and scarf, the mast and scull are wiped out in ashes with the flick of a finger.
The combination of stability and wisdom is the real wisdom.
Director Hu Kan directly asked Zhou Can to be in charge of treating the patients in the 19th bed.
"Hurry up and do it! Doctor Duan, pay attention to comforting the family members. You can tell the family members directly that any operation has risks. Our doctors have done our best."
What Director Hu Kan said basically meant to tell the family members that the hospital is not responsible.
Compassion does not command soldiers, righteousness does not engage in business.
To become a department director, there is no one who is soft-hearted.
When it is time to be ruthless, no matter it is for the family members or the medical staff in the department, they must be ruthless.
Some behaviors considered cold-blooded by outsiders are actually forced to survive.
For example, in this case, the hospital took the initiative to admit its mistakes and took responsibility.
Do you think that doing so can make the family members speak well?
wrong!
Human nature cannot stand any test.
The more you admit your mistakes, the more you show weakness to the family members, the more unbalanced the family members feel.
Even with tears in his eyes, the doctor involved paid all the medical expenses and cured the patient with a smile on his face. Not only will the family members not be half grateful, but they may go to court and demand various compensations.
Why do doctors have to sign a consent form before surgery?
The purpose is to protect the interests of doctors and hospitals.
From this point of view, patients are actually vulnerable groups. In most cases, the only choice is to trust the doctor.
Generally, only when a person is put to death, becomes disabled, or the individual can clearly see that the doctor has made a serious mistake, will the so-called medical disturbance occur.
But these days, there are all kinds of black products.
Medical trouble is also a black industry.
Many hospitals have suffered from it.
Of course, the ultimate victim must be the patient. After the hospital has suffered a loss, it will make the terms more stringent, so as not to allow medical troublemakers to take advantage of them.
One day, the doctor clearly found out that the patient had a tumor, but he didn't dare to use the knife.
When performing a colonoscopy on a patient, if a polyp or tumor is found, it is obvious that it can be removed directly by taking the opportunity of the colonoscopy, but I dare not do so. Because doctors dare not gamble.
In case the patient only pays for the colonoscopy after the operation, who will pay for the operation fee?
In case the patient doesn't know what's good and what's wrong, and beats you instead, I'm just doing an examination, and I didn't ask you to have an operation. I didn't sign the consent form for the operation, how can I do this?
After medical troubles became a black industrial chain, there were people who were responsible for locating patients, and then professionals instructed family members how to make troubles. After receiving the compensation, the medical organization took the big bucks, and the family took the small ones.
This is very detrimental to doctors and patients.
The real winner is the medical team.
In such a harsh environment, it is absolutely impossible for Director Hu Kan to let his doctors take the initiative to admit their mistakes to their families.
The family must be told that the doctor is not wrong.
The patient now has postoperative complications, which are extremely rare. The hospital sympathizes with the patient and actively formulates a treatment plan to save the patient's life.
"Director Xue, I heard that your family members are very familiar with you, you have to stand in line with this matter!"
Director Hu Kan looked at Xueyan.
"Don't worry, I naturally understand the stakes. The patient's family members and I are ordinary acquaintances. Even if they really ask me, I will answer from the perspective of the hospital's interests. Eat with a bowl, and throw the bowl after eating I can't do that."
Director Xue's statement on this matter does not include Hu at all.
If she told the family that it was the doctor's misoperation that caused the patient to suffer from extensive tissue necrosis and sepsis, it would be no wonder that the family didn't make a mess.
As a result, Dr. Duan and Dr. Zhao were punished, the reputation of the hospital was damaged, and the family members demanded a large sum of compensation from the hospital.
There will even be lawsuits and complaints to the competent authorities.
If this kind of thing really happened, the hospital would definitely have something to say about Director Xue.
It's impossible for her to do something that destroys her own future.
…
Zhou Can came out of the conference room, and the two doctors Duan and Zhao followed behind him obediently.
As soon as the three of them arrived in the corridor outside the specialized intensive care unit of the cardiothoracic surgery department, the beautiful wife of the patient on the 19th bed immediately greeted them.
She should have cried, her eye circles were red and her eyes were a little swollen.
If things go wrong, she will have to be a widow. She must be afraid and anxious. Seeing that my husband suddenly became ill, I felt sad in my heart.
"Doctor Zhao, Doctor Duan, is there any result of my husband's consultation?"
"After a joint consultation with several chief physicians, the results have come out. The patient's condition is very serious, and an extremely rare postoperative complication occurred. A second surgical treatment, as well as anti-infection and body immune function treatment must be performed immediately..."
Dr. Duan can become an attending physician, in addition to having a certain surgical ability, his ability to fool is also quite good.
Called the three family members into the office and flicked them around, scaring the family members only to agree.
What the family members fear most is the death of the patient.
Even if it's just a disability, they can't accept it.
Taking advantage of the gap between Dr. Duan's conversation with his family members, Zhou Can went to the intensive care unit to check on the patient's condition.
High fever, confusion of mind, accompanied by chills, rapid heart rate, blood pressure and breathing are relatively normal. The results of the urine test and blood test were all bad.
Surgery must be done immediately.
He took a look at the wound on the patient's chest. There was no problem with the sutures, but there was a problem with the healing.
And the necrosis is inside, if it is not dealt with immediately, then it will not be as simple as debridement.
After leaving the intensive care unit, Zhou Can returned to the doctor's office.
At this moment, Dr. Duan has almost talked with the three family members.
"Doctor Duan, can the patient named Yang Tie arrange surgery today?"
"Yes, yes, the family members have signed the consent form for the operation, and immediately asked the operating room to adjust the order of the operation, giving priority to Yang Tie to perform the operation."
Dr. Duan is probably very happy to have taken care of the family members.
What he is most afraid of is that the family members will be entangled, and the doctor must be held accountable.
At this time, the anesthesiologist also came to ask the family members to sign.
The patient was quickly sent to the operating room.
Zhou Can was the subordinate doctor of Dr. Duan and Dr. Zhao when he was in front of his family members. In the operating room, Zhou Can is the chief surgeon.
Neither had any opinion.
They have all seen Zhou Can's surgical prowess.
After the anesthesiologist administered general anesthesia to the patient, Zhou Can asked the equipment nurse to help put on the sterile gloves, and stood at the chief surgeon's position on the operating table without hesitation.
Carefully cut the sutures on the patient's chest wound and reopen the wound.
There is a faint rancid smell wafting out.
After opening the wound, Dr. Zhao and Duan felt ashamed.
Looking at the necrotic tissue of the pectoral muscle flap is shocking.
Zhou Can's debridement is currently at an inferior level, and it is completely sufficient to clean up the patient's wound.
All necrotic tissues were cleaned up by him.
The superb separation technique made Dr. Duan feel ashamed.
Tangtang's attending doctor, the separation technique is far worse than Zhou Can's. After Zhou Can completed the debridement, one of the damaged blood vessels was repaired and anastomosed to ensure that there was no problem, and then the wound was re-sutured.
Inevitably, he showed his super suture skills.
Doctor Duan was almost not stupid, this is the level of suturing at the director level! Too awesome.
"Fortunately, the patient's wound has not been suppurated and infected, but only has an inflammatory reaction. Otherwise, the wound cannot be sutured at all."
It is a challenge for Zhou Can to take on this heavy responsibility, and it is also a very good exercise.
Six years ago, Dr. Xu lost to Director Hu Kan.
Today, Zhou Can is the successor of Dr. Xu, and he must win glory for Dr. Xu.
After debridement and suturing the patient, Zhou Can did not act arbitrarily on the next medication.
Although he already had a basic plan in mind, he acted very modestly and discussed it with Dr. Duan. It can be regarded as saving some face for Dr. Duan.
Letting others have face will definitely win favor and respect.
After a series of treatments, the patient's fever subsided, and the symptoms of sepsis also subsided rapidly. After only staying in the intensive care unit for one day, he was finally transferred back to the general ward because his condition improved significantly and his vital signs were stable.
So far, the patient has finally turned the corner.
Dr. Duan and Dr. Zhao finally ended their days of fear and restlessness.
In the morning, Zhou Can went to make rounds as usual.
Doctors Duan and Zhao followed closely behind.
"Doctor Zhou, take some time to check on that patient named Yang Tie first!"
It's hard for a doctor to say that.
Anyway, he is an attending doctor, so asking Gui Peisheng to help check the patient's condition is too embarrassing.
So he called Dr. Zhao, who was one level lower, to speak.
"OK!"
Zhou Can readily agreed.
The patient has not been discharged from the hospital, so it is not easy for him to be a hands-off shopkeeper.
Doctor Duan's level and experience are actually no worse than him, mainly because he was overly frightened two days ago, so he became extremely unconfident.
Zhou Can showed his advanced awareness of crisis prediction everywhere, and the debridement operation was very successful. After Zhou Can's treatment, the patient also turned the corner. All these results were added together and kept overlapping, finally forming a deep impression in Dr. Duan's mind—Zhou Can is very reliable.
As long as Zhou Can helps check the gate, he feels at ease and secure.
Zhou Can walked quickly to the sixth bed.
When this man named Yang Tie was transferred from the intensive care unit, bed 19 had already been occupied by a new patient.
It happened that the patient in the 6th bed was discharged from the hospital that day, and the bed was vacant, so he was allowed to live in the 6th bed.
Almost all the beds in the hospital are used in rotation in this way.
The fastest bed turnover rate is the observation room of the emergency department.
Many of the patients there were transferred on the same day or the next day.
Most of the patients in cardiothoracic surgery are undergoing major operations, and the hospitalization period is generally long. This also leads to more tight beds.
On the hospital bed, the patient slept soundly.
After many days of torment, now that his body is recovering rapidly after the second operation, he naturally needs to make up for part of the lost sleep.
The patient's parents are afraid that they have been tossed enough these days.
After seeing their son's condition improved, they also went home to sleep with peace of mind.
The patient's beautiful wife was lying in front of the hospital bed playing with her mobile phone.
This time I seem to be watching short videos, and I finally didn’t search on Baidu how to treat this disease and whether the doctor’s treatment is appropriate.
"Good morning, Doctor Zhao and Doctor Duan!"
When the woman saw Zhou Can, she was somewhat embarrassed.
She chose to turn a blind eye and did not greet Zhou Can alone.
"Is the patient okay?"
Zhou Can didn't bother with her as a woman, and went to the hospital bed to check the patient's wound healing.
There was no redness and swelling again, and the wound was normal.
He picked up the patient's ward round record and looked at it. The body temperature, blood pressure, and urine output were all normal.
The situation is not bad.
It seems that in a few days, the patient will be discharged from the hospital.
"His body temperature has stabilized, and the infection should be under effective control. We can try to reduce the amount of antibiotics used for him, and the drugs for regulating immunity should also be reduced."
Zhou Can said to Dr. Duan.
Whether it is antibiotics or other drugs, it cannot be used for a long time.
When patients are critically ill, the main purpose is to save lives, and the dosage of drugs is almost always used at the top level.
When the disease is under control, the dosage of some drugs should be gradually reduced so that the patient can adapt quickly after being discharged from the hospital.
It can also avoid a series of negative effects brought about by the overuse of antibiotics.
Of course, some small hospitals are often unwilling to reduce the dosage in pursuit of curative effect, in order to give patients a good review when they leave the hospital, and for personal performance.
This situation will cause patients to be fine when they are discharged from the hospital, but after returning home, they will have relapses or a series of bodily dysfunctions.
Many patients often scold the doctor for leaving "means", and the recovery period of the disease is seriously prolonged.
Need to go to the hospital repeatedly to get medicine.
Or multiple hospitalizations.
These are likely to be the consequences of overdosing.
Just like weaning a baby, weaning him all at once will definitely not be able to bear it and will keep crying. If you can slowly add complementary food a few months in advance, gradually reduce the number of breastfeeding. By the time weaning, the baby will be able to adjust well.
"With a doctor's order today, I will reduce the dosage of the patient's medication!" Dr. Duan accepted Zhou Can's opinion as it was ordered.
"Uh...he is just a trained doctor, equivalent to a trainee level. Can what he said be adopted? My husband's condition has just improved a little and he reduced his medication. Will it be okay? Don't worry, my family's financial conditions are not bad, not bad This little medicine fee."
The pretty woman said quickly.
Her concerns are not unfounded.
Especially people like her who like to popularize science by themselves.
It’s okay if the information you check is correct, but if you find pseudo-popular science knowledge, or if your personal understanding is wrong, it is easy to form a wrong perception.
"Although Dr. Zhou is only a regular doctor, his level is very high. He has made great efforts in your husband's second operation and postoperative medication. It can be said that your husband's illness can be improved quickly. Great credit. In addition, I can tell you clearly that from a professional point of view, Dr. Zhou suggested reducing the dose, which is responsible for the patient..."
After Dr. Duan explained, the pretty woman was both shocked and ashamed.
She didn't expect her husband's condition to improve so quickly, it turned out to be the credit of this doctor.
Moreover, she has spoken harshly to Zhou Can many times, and she has constantly questioned Zhou Can's professional level. As a result, Zhou Can not only didn't care about it, but repaid his kindness with grievances, and always considered patients.
At this moment, she really felt ashamed and embarrassed.
"So that's the case! It's all because I don't understand, and I like to be suspicious. That's why I misunderstood Dr. Zhou. I'm sorry."
She apologized to Zhou Can full of guilt.
When looking at Zhou Can, there was no cold confrontation and hostility in his eyes. Instead, be filled with gratitude and guilt.
"It doesn't matter!"
Zhou Can waved his hand generously.
"Next time you have questions, remember not to use Baidu, you can directly consult our professional medical staff. The content you Baidu may be correct, but not necessarily applicable. Even if it is just a small cold, there may be more than a hundred ways to treat it. Which medicines to prescribe, medication cycle, dosage, adjuvant treatment plan, etc., can only be given an accurate answer after a doctor diagnoses."
This was not what I was going to say.
This woman's attitude of apology is quite sincere, and the doctor is a parent. In order to prevent her from harming her family or herself next time, it is better to remind her kindly.
"Hehe! I saw the shady scenes of the hospital often exposed in the news, and I was worried about being cheated, and I was worried about encountering low-level novice doctors, so I kept searching online. I won't do it in the future."
She smiled awkwardly and expressed her opinion~www.mtlnovel.com~ After going through this incident, she understood that popular science on the Internet is of very little use. On the contrary, it is easy to mislead her and make her resist the doctor.
It is indeed very bad to constantly question the doctor's treatment plan.
"After being discharged from the hospital, remember not to give him various supplements immediately, you must take it slowly. I see that you have been guarding your bedside these days and taking good care of your husband. It is very moving and admirable."
Before leaving, Zhou Can praised her a few words to avoid the embarrassment of her death.
Today, there are two major surgeries in this group, both performed by Director Xue.
Director Xue and Director Hu Kan must be paying close attention to him treating this patient named Yang Tie.
Now that he has proved his strength, it should be much easier for him to get another chance of surgery.
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Chapter 181 Compassion does not control soldiers. Next time, don't question the doctor with popular science content. Read for free. https://