【My medical skills can add experience points】【】
"Teacher, please check, is it okay to debride to this point today?"
After Zhou Can completed the debridement just now, he has already received 100 debridement experience points. From the debridement of this patient, he has indeed learned a lot of experience and skills.
Surgery is hands-on.
Many surgical techniques are easier said than done.
How to do a surgery, maybe many surgeons can say one, two, three, but when it comes to the actual operation, there are very few who can successfully complete the operation.
Those who can complete it well are even rarer.
It is precisely because the growth of surgeons is difficult and slow that doctors who perform well in various hospitals have a very high status.
At least among clinical staff, their status is detached.
"Well, your debridement skills are really good! Like that young woman's figure, a bit more is too fat, a bit less is too thin, just right."
Dr. Xu is usually a serious and rigid person, but now he uses the figure of a young woman as a metaphor.
It made Zhou Can and others feel quite strange.
Two words that he never dared to say came to his mind—Mensao.
There are many men, especially men who are usually very decent, who are somewhat boring.
It's just because of the shackles of etiquette, morality, and reputation that they hide their side that might make people laugh.
"Send it back to the inpatient ward for care first! Closely observe the situation for a day or two to see the situation, and then decide whether to undergo a second debridement operation."
After the examination, Dr. Xu personally issued a doctor's order to the patient.
Mainly start from two aspects, anti-infection and anti-inflammation, nutritional supplements. Another point is to keep the wound drainage smooth.
After the initial debridement is completed, it only needs to be observed for two or three days to find out which tissues will become necrotic.
At that time, we will continue to clean up.
The biggest challenge this patient needs to accept at present is not the pain and continued decay of the wound. But after this operation, whether the trend of sepsis can develop for the better.
If it develops in a bad way, even if Zhou Can and Dr. Xu try to help him save his limbs, they won't be able to save it.
Must be amputated decisively to save his life.
After the patient was sent out, it was already past nine o'clock in the evening. Sometimes surgery is like this. The doctor has to grit his teeth and persist before the surgery is finished.
During this period, there is no way to go to the toilet, no way to drink water or eat. If it is a strong team with many people, everyone can take turns to rest and it will be easier.
This operation took Zhou Can more than four hours in total.
It is the cheapest surgery.
Sometimes it doesn't take him so long to do a tertiary surgery.
"Everyone has worked hard, let's get off work!"
Dr. Xu said to several people.
"I asked Xiaolan to order meals for everyone. It's so late, there is no place to eat. Teacher, eat your share before leaving, or it will be wasted!"
Zhou Can greeted Dr. Xu.
"Are you kidding us to eat you, a big family?"
Dr. Xu did not refuse.
"I don't dare to be called a big family. But it's no problem to invite everyone to have a few meals. I'm very happy. My father taught me since I was a child. In my life, I can't eat poorly, wear poorly, and stick to the bad habits of prostitution, gambling, and drugs. Only then will you become a pauper."
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【My medical skills can add experience points】【】
Zhou Can said with a smile.
"Hey, the tutoring is pretty good! I really want to meet your parents if I have the opportunity. I want to see what kind of parents are able to educate such excellent children."
As Dr. Xu said, he took off his gloves and threw them into the trash can, then walked towards the dressing room outside.
I have to complain, because the status of the emergency department is too low, the operating room is simple. Not even a place to eat.
Like other important departments, their operating rooms are much more luxurious.
Sterile rooms and film reading rooms can all become temporary places for doctors and nurses to eat during surgery.
For the emergency department, when a new operating room is obtained, there will definitely be a decent operating room when it is exhausted.
Several people ate fast food together.
"Doctor Zhou, can you tell me about the surgical debridement of gangrene patients, why can't the debridement be thorough?"
This question must have held Luo Shigent back for a long time.
He wanted to ask a long time ago.
I was also afraid of being criticized by Zhou Can, so I waited until the operation was over before asking questions.
"Complete debridement is to cut off the necrotic tissue and the tissue that still has a certain repair ability to achieve the purpose of deep debridement. It seems to be clean and thorough, but have you thought about it? Doing so will definitely increase the wound surface and increase The difficulty of wound self-healing. It will definitely have a big impact on wound healing."
Zhou Can explained.
The so-called haste makes waste.
In the face of different gangrene lesions, the debridement plan is also different.
The gangrenous wound of the patient just now was not only extremely wide, but also very deep. If a complete debridement is completed at one time, how much wound will be caused?
You must know that after such a long period of recuperation, the patient's wound failed to heal even if it became infected and suppurated. However, a certain healing layer has actually been formed on the wound surface.
Removing it is equivalent to removing the newly formed scar, which will cause great harm to the patient's body.
So don't just look at the surface.
"Understood!"
Luo Shishen nodded.
He was affected by the suture cutting earlier, and he was obviously sick and unable to eat.
No one can help him with this, he can only get used to it slowly.
Ma Xiaolan was also not much better, she only took a few mouthfuls and then she stopped eating.
Zhou Can was so busy working so late, thinking of using his mobile phone to send a message to Su Qianqian first, so as not to worry her.
Tuya Hospital is very user-friendly in the management of mobile phones.
Doctors and nurses are allowed to bring mobile phones to work, including in the operating room. However, it needs to be muted during working hours. If you are caught playing with your mobile phone during working hours, 50 yuan will be deducted once, and 2 points will be deducted from the department.
If caught three times in total, the entire court will be notified of criticism.
In fact, as long as he is caught twice by the administrative staff, the director of the department should jump.
Because the total score of a department is only 12 points.
That's only enough to deduct five times in total.
If all are deducted, the director of the department may dismiss the get out of class. The lightest thing is that the department's bonus will be fined and confiscated, and the whole hospital will have to criticize by name, plus in-depth self-criticism.
Generally, there are no doctors and nurses to go to work and play with mobile phones.
Because many family members now secretly film the work of medical staff. Especially when rescuing patients, it is most likely to be secretly photographed.
There are also family members who love to play tricks.
On the surface, I chatted politely with you, but the recording was actually turned on. Those recordings were used as evidence when the accused went to court.
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【My medical skills can add experience points】【】
In this era of tense doctor-patient relationship, it is not uncommon for doctors and nurses to be sued in court.
Some doctors or nurses performed their duties normally, but the patients died during the treatment. Then the family members made a lot of trouble, and the hospital may promise to pay the family members a sum of money in order to calm down the incident.
Even if the compensation is only 50,000 to 60,000 yuan in funeral expenses, it is too much for the doctor to bear.
Don't think that the hospital will pay the money. After the medical department or the administrative department of the hospital negotiates with the family members, it will be directly conveyed to the doctor involved.
The doctor must feel wronged!
There was nothing wrong with him, yet he still had to pay such a sum of money.
But the hospital doesn't care about these things. In many cases, the hospital only handles problems from the perspective of the hospital's interests.
And will not take into account the doctor's life and death.
The leaders of the medical department would even turn against the wronged doctor, why didn't the patient's family sue others and sue you?
When encountering such a chilling incident, many doctors involved will choose to resign.
I really can't do it.
In some hospitals, as long as patients complain, they will deduct money from doctors or nurses.
Regardless of whether the patient and family members are reasonable or not, they are on the side of the patient's family anyway. And this phenomenon is not an isolated phenomenon, many hospitals are doing this.
While eating, Zhou Can took out his mobile phone and prepared to send a message.
Then I saw multiple unread private chat messages.
Su Qianqian sent a message at 5:30, "Honey, are you going home for dinner tonight? I'll make your favorite sweet and sour pork ribs!" There is a row of ticking fingers behind it.
"I haven't replied to the message for so long, I guess, you must be working overtime! Waiting for you at home! Be careful driving on the road!"
The warmth of home filled Zhou Can's heart.
Many migrant workers who are thousands of miles away, or even thousands of miles away, want to go home during the New Year. It is because there are people in the family who they care about and miss.
There is a beloved girlfriend at home waiting for Zhou Can to come home. This kind of happiness is irresistible to him.
Therefore, no matter how late he gets off work every day, he has to go home with the stars and the moon.
"I just got off work, and I'm ready to go home after having dinner with my colleagues."
Zhou Can also casually took a picture and sent it.
"It's so late to get off work today! Be careful on the road! Drive slowly!"
Su Qianqian replied to the message in seconds.
It is estimated that holding the mobile phone has been waiting for his reply.
She didn't come home so late and didn't reply to the message. She must be very worried.
Zhou Can returned a symbol of blowing a kiss.
A family with a good wife and husband has few misfortunes.
He continued to check other private chat messages.
His mother sent him two voice messages, but now that his colleagues were present, he didn't dare to click on them.
Recently, my mother has begun to urge marriage.
She already knew that her son had a great future in Tuya Hospital in the provincial capital. Also very proud.
But seeing young men about Zhou Can's age getting married and having children one by one, my mother couldn't hold back. Urging him to get married early.
Zhou Can's parents are very satisfied with Su Qianqian, his daughter-in-law.
They are very supportive that their son can marry a female star back home.
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【My medical skills can add experience points】【】
Turn off the sound and turn speech to text.
"Son, have you eaten yet?"
"I've been in love with Miss Qianqian for so long, should I make an appointment with the girl's parents to discuss marriage?"
As expected, my mother urged the marriage again.
"I've been busy with work recently! I'm very busy. It's the rising period of work. Let's slow down the marriage!"
Zhou Can could only use busy work as an excuse to delay the matter.
He didn't dare to tell his parents about his girlfriend suffering from kidney failure. I'm afraid that they will object to this marriage, and I don't want them to worry.
I just hope that I can find the two main medicines sooner, and after Su Qianqian is cured, I can get married and have children normally.
Nine out of ten unsatisfactory things in the world, the real self-improvement people, never bow to fate.
Even if they draw a bad hand, they can still play Wang Zha's ending.
Those who think about giving up at the slightest setback have already lost before they even started. No matter how good the cards are drawn, they will be played poorly.
The true portrayal of many successful people is that the life you envy has hardships you can't bear behind it.
Everyone's success and happiness are not accidental.
After Zhou Can finished replying to his mother's message, he clicked on the private chat message of Director Le of the Cardiac Thoracic Surgery Department.
"Doctor Zhou, please persuade Director Xue! She is going to challenge a level 4 cardiac surgery, the risk is extremely high, and she is afraid that something will happen."
Director Le generally rarely chats with Zhou Can in private.
At most, it is during the New Year and the holidays, when the two sides greet each other.
"I just had the operation, is it still too late to persuade her?"
The message was sent to him after two o'clock in the afternoon. As a result, Zhou Can was working hard in the operating room at that time, and it was impossible to check his phone. It's already past nine o'clock in the evening. I'm afraid the matter has become a foregone conclusion. The operation has probably been completed.
"The operation failed and has been reported to the medical department for processing!"
Behind it is a tearful expression.
Director Le is usually a very cheerful person. Recently, the cardiothoracic surgery department has been going downhill. He must be very depressed.
This time Director Xueyan forcibly challenged a Level 4 highly difficult major operation, but failed. I still don't know how it will end?
Some family members will pinch their noses and admit it.
Because before the operation, the family members signed it.
For such a major operation, the signature of the first-level family members is generally required. The doctor will inform the family of the risks.
Even if something goes wrong and the patient dies on the operating table, from a legal perspective, as long as the doctor operates according to the regulations, it will not violate the regulations.
I'm afraid of encountering family members who make trouble like that.
Carrying the dead body to the outpatient clinic, or placing wreaths, burning paper money, pulling banners, and making a fuss in any way, the hospital will appear particularly passive.
It is definitely not what many people think, as long as there is a disturbance in the hospital, it is a disturbance of medical order and will be arrested by the police.
When encountering this kind of patient being put to death, the police can't control it.
At most, let the two parties negotiate, or let the family members go through legal procedures to sue.
The family members are not stupid. Not to mention the time and money spent on litigation, it may not be possible to win the case. Larger hospitals often have cooperative legal teams, and they are not afraid of lawsuits at all.
[To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. 】
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【My medical skills can add experience points】【】
Therefore, the smarter family members will only make a fuss in the hospital, asking for an explanation.
As long as it does not hinder other patients from seeing a doctor, such as blocking the door to prevent entry, under normal circumstances, they will not be arrested.
This is also the method with the lowest cost of rights protection.
And this move hit the seven inches above the hospital.
Hospitals are afraid of trouble.
Good things don't go out, bad things spread thousands of miles.
What will other patients think of the hospital after this trouble? The negative impact on the hospital is too great.
The hospital leaders will try their best to calm down the situation and calm down the situation.
"Did someone die?"
Zhou Can replied with a message.
"Hmm! Failed to get off the operating table!"
Behind it is a tearful, silent expression.
After getting Director Le's reply, Zhou Can's heart sank~www.mtlnovel.com~ The patient is dead, and there is no room for turning around this matter. It depends on the attitude of the family.
Tuya's medical department, doctor-patient dispute office, and publicity department are not decorations either.
This matter will definitely be actively dealt with.
It's just that no matter what the result is, it's not good for Director Xueyan.
Not long after she took office, she forcibly challenged a major operation beyond her ability. This behavior would give the hospital leaders a bad impression of her.
If the director of the department is unqualified, there is a high probability that he will be replaced.
Hospital leaders will not tolerate an unqualified doctor leading a clinical department. Especially the old ace department of cardiothoracic surgery.
The cardiothoracic surgery group was quiet, no one discussed this matter.
This is just a harbinger of the storm.
It is estimated that it will not be long before there will be a storm of public opinion. When the time comes, Director Xueyan will be in danger.
"Sister Yan is really too, you asked me to help with such a major operation!" Zhou Can buried her recklessness in her heart.
If Zhou Can is asked to help, he knows that the operation is risky and difficult, so he will first try to prevent her from undergoing the operation. I really can't persuade him, and I will invite Dr. Xu to sit in the town.
Dr. Xu wears 'shackles' and cannot participate in the fourth-level surgery, but it is completely fine to give advice from the side.
After eating, Zhou Can did not go home immediately, but decided to go to the inpatient ward to see the gangrene operation patient.
Director Xueyan had an accident during the operation, which made him feel a strong sense of crisis.
Nothing can happen to him here.
Otherwise, both of Director Hu Kan's apprentices will have accidents, and even if he dies, his reputation will be ruined for the rest of his life.