【My medical skills can add experience points】【】
Zhou Can looked up at the other party, it was the female nurse named Tutu.
The two looked at each other, and the female nurse was somewhat embarrassed.
Especially when she thought of how she mocked Zhou Can not long ago in the ward, she was even more ashamed.
"I'm just a regular trainee, so I can't really help you much!"
Zhou Can didn't want to wade into this muddy water.
The patient has been sent to the emergency center for more than half an hour. If the situation is ideal, the medical level of the county people's hospital can completely save the patient.
Now ask him to help in the past, explaining that the patient's condition is deteriorating.
Zhou Can told his family very early on that the prognosis might be very bad.
He has neither prestige nor familiarity with this hospital, so it is really meaningless to participate in the rescue.
Unless all the medical staff listen to him, and even if the person is not rescued, he is not required to take responsibility, maybe it can be considered.
"Director Wang said it himself, let me come over and invite you to have a consultation together, please don't make it difficult for me?" She is just a small nurse, and she will definitely be scolded if she fails to do what the director told her.
If it is not done well, the work will be affected.
"Your director is sure that your weeping appearance has invincible lethality. All right, I'll just go over and have a look. But the ugly words are ahead, I can only do my best."
Seeing mist rising in the little nurse's eyes, Zhou Can had no choice but to agree.
I really want to make the little girl cry, and the influence is not good.
He also couldn't bear it.
"Thank you! Thank you!"
The female nurse smiled through tears.
"Your mood change is too fast! Could it be that you graduated from the Imperial Film and Television Academy?" Zhou Can teased her with a smile.
"That's not it! I'm a serious undergraduate nursing major."
She found that Zhou Can was not as cold as she had imagined, so she couldn't help giving him a bold look.
"Are Tuya's doctors as good as you?"
"I never thought I was so powerful. But it is true that Tuya Hospital has many very high-level doctors."
Zhou Can, this is a big truth.
There are many top experts in Tuya, many of whom are heavyweights in a certain medical field.
His level is not low, but after all, his growth time is too short, so he never dares to **** his tail.
"I think you are amazing! You can tell that the patient has a heart problem just by looking at it casually. At that time, you said that the blood pressure of the patient's two arms was different. I didn't believe it at all. After the measurement, I found out what you said That's right, I was so shocked at the time. It just overturned my cognition, you know?"
Her small mouth is quite capable of speaking.
Fortunately, the county people's hospital is not big, and there are only a few buildings in total. The two soon came to the emergency center.
Outside the emergency room, the patient's wife was already crying.
Looking at the situation, the critical illness notice must have been signed.
Each of the medical staff had solemn expressions, and hurriedly entered and exited the emergency room. Emergency rescue work should be underway inside.
Zhou Can followed the female nurse named Tutu into the emergency room, and saw the patient lying on the emergency bed at a glance.
People who were fine half an hour ago are now unconscious.
Dr. Luo, Cheng Dazhuang, and many medical staff were at the scene rushing to save the patient's life.
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【My medical skills can add experience points】【】
"Director Wang, I have invited Dr. Zhou over."
"Hey, what a young doctor! Doctor Zhou, hello!" Director Wang is a middle-aged man in his fifties, bald, without glasses, but with severe bags under his eyes.
Older men and women, especially those who have frequent intercourse, often have heavy eye bags.
And unlike the bags under the eyes of young people, the bags under the eyes of middle-aged and elderly people will hardly disappear, but will only continue to precipitate and aggravate.
The work of doctors is special, and they often do not get timely rest.
It is common to be called to the hospital in the middle of the night to rescue patients, so poor sleep quality can easily lead to the appearance of large bags under the eyes.
"Hello!"
Zhou Can shook hands with the other party.
"It's against my will to invite you here. I heard that you were the one who diagnosed this patient. The doctors in Tuya Hospital really deserve their reputation! The patient's current condition is very serious, and the prognosis may be extremely poor. What else can you see?" Is there a good way?"
Director Wang showed the results of the new color Doppler ultrasound to Zhou Can.
"Oh, this man's cardiovascular is so blocked, it would be great if he found out earlier."
Zhou Can felt very sorry after reading it.
"When the patient was admitted to the hospital, the main symptom was abdominal pain. He really did not expect it to be a heart disease. Now he is treated with thrombolytic drugs, but the effect is not good." Director Wang admitted his mistake with some shame. "The patient is in his forties, and he is the pillar of the family. There are old ones and young ones at the bottom. If Dr. Zhou has a good way, even if it is a little risky, I think it is worth trying."
The level of doctors in the County People's Hospital is like this. If Zhou Can can't do anything, he will have to continue the routine rescue, and when the time comes, he will directly announce to the family that the patient died because the rescue was ineffective.
"From the color Doppler ultrasound results, there must be arterial embolism in this area. The best way is naturally to do a cardiac angiography, and then insert a guide wire from the femoral artery of the thigh to remove the thrombus, place a stent, and put the blood vessel in place. dredge."
Zhou Can gave a treatment plan.
It is definitely too late to do traditional thoracotomy. If detected earlier, there may be a chance.
After hearing this, Director Wang sighed, "Oh! I also know that interventional therapy is the best way, but our hospital's technical level is limited. Whether it is arteriography or thrombectomy and stent placement, there is no way to do it in a very short time. completed in time."
Cardiac arterial angiography seems to be a very common operation in a large hospital like Tuya, but it is a very difficult operation in the County People's Hospital.
Especially in this emergency state, the operation time left to the doctor is very short.
Whether it is anesthesia or cardiac catheterization, there are certain technical difficulties.
To put it bluntly, even for routine operations such as lumbar puncture, most county people's hospitals have immature and inaccurate techniques. Puncture failure is commonplace.
The technical barriers between county hospitals and provincial tertiary hospitals are invisible, intangible, but real.
If it is said that the provincial tertiary hospital has blocked the technology and does not spread it to the outside world, then there is really no such thing.
Many core medical skills are kept secret, that's for sure.
Everyone has to have a good meal and pass on the core technology. Patients can be treated directly in the local county. How can large hospitals survive?
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【My medical skills can add experience points】【】
In addition, many difficult operations and treatments require a complete and powerful team.
Anesthesiologists, equipment nurses, assisting hand washing nurses, stage patrol nurses, nutrition nurses for postoperative care, rehabilitation nurses, nursing nurses, first, second, and even third and fourth assistants who help the surgeon and surgery together. There are also some operations that require two surgeons to fight at the same time.
It is very difficult for the county people's hospital to gather these supporting top talents.
Even if there is an occasional talented doctor or nurse in a county-level hospital, they will either leave because of the bad environment. Or end up being mediocre and becoming one of the mediocre masses.
Even with an excellent team, hardware and software facilities are also a hurdle.
A set of tens of millions of medical equipment and inspection equipment, even the provincial tertiary hospitals have to be cautious when purchasing, and they have to hold many meetings to study before making a decision. Not to mention county-level hospitals with limited scale and capacity.
Hospital leaders must consider whether they can pay back the cost.
In addition to the above-mentioned strong team and hardware and software facilities that cannot meet the requirements, the biochemical laboratory sometimes also fails to meet the requirements. Only some routine biochemical tests can be done, and advanced ones can only be sent to big hospitals.
Director Wang looked at the dying patient and sighed, looking helpless, which is understandable.
"It means that there are imaging equipment and interventional therapy equipment, right?"
Zhou Can asked.
"Of course there is! We are a third-class hospital here!" Director Wang straightened his back, and he couldn't weaken the prestige of the hospital.
"Are there any nurses who are skilled in assisting?"
"I can assist!"
A female nurse about forty years old raised her hand.
"This is Liu Bin, the head nurse of our hospital's cardiothoracic surgery department. She has studied in Tuya Hospital and is excellent in all kinds of auxiliary operations." Director Wang added the identity and strength of the female nurse.
He had some expectation that this young doctor from Tuya would probably take over the task of rescuing this patient.
With the technical level of this hospital, it is very difficult to save this patient's life.
We can only see if this young doctor from Tuya can bring about a miracle.
Zhou Can's ability to easily diagnose the cause of the patient made Director Wang look at him with admiration and trust him a bit.
"Hello, Head Nurse Liu!"
Zhou Can nodded to her.
Hearing that the female head nurse had studied in Tuya, Zhou Can still felt very kind.
It's a bit like encountering a fellow countryman in a foreign country.
"It's a great honor to know Dr. Zhou! It's not easy to be a doctor in Tuya Hospital! Dr. Zhou is young and promising, which is admirable!" She smiled and extended her hand to Zhou Can.
Zhou Can shook hands with her gentlemanly.
"Thank you! I'm just an ordinary doctor in Tuya." Zhou Can finished modestly and looked at Director Wang. "If Director Wang and Head Nurse Liu can trust me, I can try angiography, interventional thrombectomy, and stent placement."
Interventional surgery and endoscopic surgery are Zhou Can's strong points.
Not to mention piercing.
His injection level is even better than that of the chief nurse who has worked for decades.
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【My medical skills can add experience points】【】
"In order to save the patient's life, Dr. Zhou is able to take the initiative to help, which is very good. But you also know that the current medical environment is not very good. I would like to ask, can Dr. Zhou be more than 30% sure?"
Generally speaking, whether it is surgery or other treatments, doctors will divide them into several levels.
If you tell your family members that there is no more than 10% chance of treating this disease, it is basically close to death. If the confidence is higher than 30%, it is worth a try. If the doctor says it is between five and five, then congratulations, the success rate of the treatment is at least 90%.
In the last one, the doctor told the family members that we have had many successful cases of this kind of operation, and we are still very sure. This kind of speaking is basically equal to a 99.9% success rate.
In the unfortunate event that the operation fails, it can only be said that fate is like this.
"It should be 30% sure."
Zhou Can said calmly.
"Then there is Dr. Lao Zhou! Immediately talk to the family members and ask the family members to sign. Here, the patient will be sent to the intervention room for further rescue."
Director Wang is not a mother-in-law either. Hearing that Zhou Can said that he was more than 30% sure, he felt that he could give it a try.
Dr. Luo Jian pulled Director Wang aside and said in a low voice, "This Dr. Zhou is just Gui Peisheng. Wouldn't it be too risky for him to operate?"
"Any operation has risks. We have no better way now. Interventional therapy is the only way to save the patient's life in a very short period of time. Prepare to assist with all your strength!"
After Director Wang made up his mind, he was extremely decisive.
Don't be swayed by Dr. Luo's persuasion.
Intervening in the operating room, Zhou Can was already standing on the chief surgeon's seat in a lead suit.
The other medical staff are centered on him and are ready to provide various assistance at any time. Including Director Wang also put down his figure and became his assistant, just to save the patient's life.
The vast majority of medical staff can be in awe of life.
The kind of doctors and nurses who make fun of patients' lives for their own self-interest are, after all, only a minority.
"2ml lidocaine!"
Zhou Can looked extremely calm.
Cardiac angiography is usually performed under local anesthesia, and the patient is awake.
Lidocaine is often injected subcutaneously.
"Nurse Liu's skin preparation and indwelling trocar are well done!"
Zhou Can looked very relaxed, completely in a state of ease.
"Thank you! I usually do a lot of these things, so I'm already proficient."
A smile appeared on her face.
"I'm relieved that your assistance is in place. Let's start piercing!"
Zhou Can began to puncture the patient.
Usually the right radial artery is punctured.
I saw that Zhou Can easily completed the puncture, and the blood returned successfully. Head Nurse Liu and Director Wang, who were watching from the sidelines, saw his skillful and precise operation, and their hearts dropped a lot.
This young man really has two skills.
Cheng Dazhuang looked enviously at Faxiao skillfully completing operations that he couldn't even imagine.
Doctor Luo Jian's expression changed slightly, and he watched quietly.
"Ready to implant guides, catheters, guide wires!"
In fact, Zhou Can didn't need to remind him, head nurse Liu had already prepared for him.
After receiving it, he manipulated the catheter retrograde along the descending aorta to the root of the ascending aorta, and then inserted it into the left and right coronary ostia respectively. The whole operation process is not only smooth, but also extremely fast.
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【My medical skills can add experience points】【】
It was all done in less than ten seconds.
Director Wang, Head Nurse Liu and others were dumbfounded by such miraculous operations.
"Is this... really a cardiac angiography? Why do you feel that Dr. Zhou is playing with it?"
"Such a high level of operation, is it really Gui Peisheng? I wouldn't believe it if I was killed."
If Director Wang wasn't worried about interfering with Zhou Can's operations~www.mtlnovel.com~ I really want to ask right away, what level is Zhou Can? With such a high level, it is absolutely impossible to be Gui Peisheng.
"Head nurse Liu, don't be dazed, contrast agent!"
Zhou Can turned her head and found that head nurse Liu was in a state of extreme shock, so she could only remind her aloud.
"Oh... good, good!"
She quickly agreed to hand over the prepared contrast medium.
After injecting the contrast agent into the three blood vessels respectively, the screen starts to develop.
Which segment of the blood vessel is narrowed and where it is blocked can be easily found.
"It turns out that something went wrong here. Is the thrombectomy equipment ready?"
After Zhou Can read it, he already had a bottom line in his heart.
Speed up, and this patient's life should be able to be saved.
But after all, blood vessel blockage has occurred for such a long time, and it will definitely affect the patient. Necrotic myocardium is irreversible. This part of the myocardium loses its vitality and will affect the patient's heart function.
Director Wang and others were completely convinced by the subsequent thrombectomy and stent placement.
Zhou Can was simply astonished.
If the previous angiography was only a little difficult, then the thrombectomy and stent placement were definitely extremely difficult.
But in Zhou Can's hands, without exception, the operation is always so simple and clear.
Easy finish without compromise.
Really fast and good.
This is the level.
"Tuya Hospital has such a great reputation, it really deserves its reputation! In this life, if I have the opportunity to study in Tuya, even if it is only for a month or two, I will die without regret."
Director Wang is in his fifties, and he is rarely considered for advanced training opportunities in hospitals.