【My medical skills can add experience points】【】
I used to think that Dr. Xu has been giving most of the wage subsidies to the families of the victims, which is completely unnecessary.
It is only now that I understand that there is such a deep secret in it.
The energy of the victims of Dr. Xu's medical malpractice is terrifying, and Dr. Xu is just an ordinary doctor who doesn't show the greatest sincerity. If someone is angry and hard to calm down, maybe it's just a matter of talking, and Dr. Xu will have to follow suit .
Doctors have to deal with not only the serious diseases ahead, but also all kinds of open and dark swords and whips behind them.
The staff of the hospital's administrative department, leaders at all levels, higher-level authorities, and local dignitaries can almost control doctors as long as they are some powerful figures.
Zhou Can can understand the hardships and difficulties of the teacher.
"Teacher, some companies invite you to give lectures, will you agree?"
Zhou Can has too much money to use up.
Dr. Xu needs to pay most of his salary to the victim's family members every month. At his age, he doesn't even have a scooter, and he wears ordinary clothes. Presumably his financial conditions will not be too good.
Zhou Can's idea is to help Dr. Xu earn income other than salary by inviting Dr. Xu to give lectures.
Giving money directly is simply insulting people.
Dr. Xu would definitely not accept it.
"It's good for me to maintain my current state. I appreciate your kindness. By the way, how are you going to treat the patient whose thigh was burned and the wound was infected and rotted?"
Dr. Xu is very smart and immediately understood Zhou Can's good intentions.
After he declined, he changed the subject directly.
Obviously don't want to continue talking about it.
"The patient can't get anesthesia, so he can't do debridement surgery. I'm going to put him in the ward for a day, and then use the sterile maggots in the laboratory to help him clean up the carrion. If there is no accident, he can see it in three to four days. to the effect."
Zhou Can was somewhat looking forward to this never-before-used treatment method.
He will encounter all kinds of difficult patients in his medical career. He needs to be brave in innovation, try as many treatments as possible for the patients, and gradually accumulate richer practical experience.
Only in this way can it become stronger and stronger.
"Maggots of Lucilia sericata may not be available in our hospital laboratory. But they can definitely get them from the medical school. You can ask Director Tan from the Department of Internal Medicine for help. Or you can easily get them from Director Zhang Bihua from the Department of Obstetrics and Gynecology. The main reason is that it is urgently needed here, and our department just applies for it on its own, and it is considered good if we can get a batch within three days."
Doctor Xu gave him advice.
General doctors really don't have such a wide network of contacts.
But Zhou Can is very familiar with Director Tan of the Department of Internal Medicine and Director Zhang of the Department of Obstetrics and Gynecology.
If you ask them for help with such a small matter, you will definitely agree.
After a little thought, Zhou Can decided to ask Director Tan for help.
After talking with Dr. Xu, he checked the messages and missed calls on his mobile phone while eating.
The female reporter, Mu Bi, has already sent him a message.
"Docked, remember to treat me to dinner!"
Her efficiency is top-notch.
I didn't expect to connect with that girl so soon.
Now look forward to a good result!
Journalists are by no means omnipotent.
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【My medical skills can add experience points】【】
That girl's boss is definitely not a good person, and it may be harder than heaven to get him to pay for a large amount of medical expenses.
As for helping the girl recover the compensation for the death of her father in the mining accident, it is even more difficult.
Her uncle had obviously embezzled the money for himself, so how could he spit it out so easily?
On the contrary, it is easier to deal with the family members of the patients.
If it doesn't work, let the family members go to court. However, there is a premise that relevant institutions need to protect the personal safety of girls.
It can be seen that she is full of fear for the patient's family.
Those tough family members were annoyed, and they were likely to vent their anger on her, illegally detaining her, physically harming her, and so on.
Zhou Can will definitely pay continuous attention to this matter, and try his best to have a better result.
After lunch, he went straight to Director Tan's office. I have already made up my mind, if Director Tan is not around, I will go to the obstetrics and gynecology department to find Director Zhang.
If you go to the obstetrics and gynecology department, you will definitely see Yang Chan.
Because she is Director Zhang's beloved student, Director Zhang takes her with him no matter whether he is visiting the clinic, doing surgery, or checking the ward.
As she grew older, Yang Chan also became more mature and generous, and her attitude towards Zhou Can also seemed to be quietly changing.
Every time she went to the obstetrics and gynecology department, Zhou Can could feel the blaze in her eyes.
As someone who has experienced it, he knows very well what the meaning of Yang Chan's eyes looking at him is.
It's really not that he is narcissistic, but based on his intuition, it is almost certain that Yang Chan should have a little interest in him. The current state is probably a secret love.
Of course, this kind of thing is just Zhou Can's unilateral guess.
He is a family man, even though he is a classmate with Yang Chan, he has received a lot of help from her. But let him betray love, he can't do it anyway.
A man's lower body is instinct, and the upper body is self-cultivation.
Many doctors who have achieved a little bit are married for the second time or even the third time.
Zhou Can is unwilling to take the marriage path that has been trying early adopters.
Medical representatives, young nurses, female doctors, and young and beautiful female patients are all attractive. But once he took that step, the two girls were hurt.
So he has been very sane.
Recently, I rarely go to the obstetrics and gynecology department for nothing.
When he came to the office of Director Tan of the Department of Internal Medicine, he was lucky. Director Tan happened to be back from an academic conference.
At the moment, I am looking at some difficult case materials in the department in the office.
"Xiao Zhou, you are a rare visitor!"
When Director Tan saw Zhou Can coming, he was very enthusiastic.
"Director Tan, I have something to trouble you today."
Zhou Can found that the students who accompanied Director Tan were no longer high-spirited, but replaced by two new faces.
Director Tan's academic achievements are very high. From his promise, as long as Zhou Can develops in internal medicine, the postgraduate education will be covered by him. It can be seen that his status in the academy is definitely not low.
This time, Dr. Xu asked Zhou Can to ask Director Tan or Director Zhang of the Department of Obstetrics and Gynecology to help with the sterile maggots. It can also be seen that these two have a high status in the college.
At least Director Tan is also a master's supervisor, or even a doctoral supervisor.
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【My medical skills can add experience points】【】
The newcomers around are also cultivated batch by batch.
The two new doctors just looked at Zhou Can with curious eyes.
"When did you come here and ask me for help? Tell me, what's the matter?" Director Tan said so that he was embarrassed.
"This kind of patient is not easy to treat. Without anesthesia, there is no way to perform deep debridement. Unless the patient has the willpower of steel. But if the patient really has that willpower, he will not come to our hospital for medical treatment."
Director Tan has rich experience in diagnosis and treatment, and he shook his head repeatedly when he heard about the patient's condition.
"It's okay for our internal medicine department to provide nutritional support, or use drugs to regulate the patient's body system. If you ask me to treat such a severely infected and rotten burn, I can't do anything. There are many types of antibiotics. If you want to change to other advanced Antibiotics, I can give some suggestions. However, I can tell you clearly that if the infection has not been controlled with a variety of antibiotics, the situation will not be ideal if other advanced antibiotics are used. Don’t think about appearing in too much time. A great medical miracle."
Internal medicine mainly treats various chronic diseases, and can also treat emergencies.
Especially for some critical illnesses, the Department of Internal Medicine has used various methods such as drugs, nutrition, ventilators, and intervention to successfully rescue some dying patients.
But when it comes to creating medical miracles, it has to be surgery.
If I have to describe it, internal medicine is as stable as an old dog.
There won't be big surprises, and there won't be as many ups and downs as a surgical procedure.
Life with one knife, death with one knife, this kind of thing rarely happens in internal medicine.
The treatment concept of internal medicine is very similar to that of Chinese medicine to set things right. It is to help the patient control the disease, stabilize the vital signs, and then rely on the patient's immunity to overcome the disease.
"I don't plan to use new antibiotics, especially advanced antibiotics, which are expensive. The patient was scalded when a waitress accidentally knocked over the hot pot pot while eating hot pot in a hot pot restaurant. Now several family members are grabbing the The waitress is forcing the little girl to sell herself to lose money. If I can save some treatment expenses, I will try to save him some."
Zhou Can explained the whole story.
Many advanced antibiotics cannot be seen in ordinary wards.
On the one hand, it is because ordinary patients cannot use those advanced antibiotics, and on the other hand, some drugs are very expensive. Basically all imports.
Here I have to make more complaints about domestic medicines and domestic consumables, which are really backward.
Antibiotics were first invented in the West, and they are leading the way, which is understandable.
Medical equipment and various consumables are far behind others, and there are too many places that can be criticized. Many domestic pharmaceutical and equipment companies like to do bribery and marketing.
I can understand it, after all, we have to survive.
The quality of the produced products is far worse than that of imported ones, and the effect of using them is not good. If you don't go through the back door, and if you don't manage it in place, the devil will use you.
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【My medical skills can add experience points】【】
But if going through the back door can decide everything, which company is willing to spend a lot of money on research and development to improve quality?
The start-up cost of ecmo is more than 70,000, why is it so expensive?
Because the set of pipes needed for starting up can only rely on imports. It is a one-time consumable.
After starting up, the daily operating cost is about 10,000 to 20,000.
For patients without medical insurance, if their family's economic conditions are not good, they really can't afford it.
A small dose of high-grade antibiotics costs more than 1,000 yuan. For patients with serious illnesses, six doses are used at a time, which is more than 6,000 yuan.
Sometimes, not having money really means not being able to live.
"Do you know what I admire most about you? I like that you have worked for so many years and still have a bodhisattva heart. It is not easy. Most doctors will become cold and heartless after trying a few times. You can always maintain It's really not easy to have the heart of a doctor and a parent."
After hearing the specific situation, Director Tan appreciated Zhou Can's medical ethics very much.
"Hey, it's really nothing. To borrow a golden sentence from the Internet, it's obvious that I'm not doing well myself, but I just can't see the suffering in the world. People, with a conscience, you can't do things that are ignorant."
Zhou Can didn't care about it at all, he just thought it should be like this.
If a person loses even his conscience, can he still be considered a person?
Not much different from the beast.
"I came here to ask you for help this time. I didn't want to ask you to come over for a consultation. I just wanted to ask you to help me get some sterile maggots of Lucilia sericata from the college laboratory. The number of about one thousand should be enough. "
Treating rot wounds with live maggots was often used in Western battlefields when antibiotics were not invented in the early years.
It works pretty well.
Discovering this cure was also a chance.
Back then, Western countries were fighting, and when soldiers were wounded, they lacked medical care and medicine, and the wounds became infected and festered, and began to rot.
Due to the tight front and weak logistics, many soldiers could not receive timely medical treatment and care. So much so that the stench of their rotting wounds attracted hordes of flies. Those flies sucked on the carrion and pus from the wound and laid eggs in large numbers.
Because of the hot weather, a large number of maggots quickly hatched on the wound.
After a period of time, the military doctors on the battlefield discovered a miraculous phenomenon. Soldiers who received good care and had no maggots in their wounds recovered slowly. On the contrary, the wounds of soldiers with maggots healed quickly.
After observation, the military doctor found that after the maggots had eaten up the carrion on the wound, they would discharge some liquid.
These fluids appear to have an antiseptic effect and also promote rapid wound healing.
Therefore, the use of maggots to treat rotten wounds was gradually used in medicine.
When Director Tan heard Zhou Can coming to beg for maggots, he was stunned for a moment, and then his eyes widened.
"You kid is really a genius! You have thought of this method. For this special case, using sterile maggots in the laboratory to treat it is really possible to have a miracle. Okay, this matter is not difficult, I will make a call Call, let over there send a thousand maggots of Lucila sericata over there."
Director Tan readily agreed to the matter.
It was also the first time for the two medical students to hear about this miraculous treatment method, and Bi was very curious. The impression of Zhou Can is also much deeper.
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【My medical skills can add experience points】【】
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"Thanks! I won't bother you anymore!"
Zhou Can has been trained in internal medicine for more than a year, and he is already quite familiar with Director Tan.
The relationship is not particularly close, at least passable.
"This kid, he really slipped away after wiping his mouth after eating! It's a pity, it would be great if he could come to our internal medicine department for development."
Director Tan looked at Zhou Can's back, smiled helplessly and shook his head.
"Teacher, this Dr. Zhou seems to be very powerful! Which department is he from?" A student next to him couldn't help asking about Zhou Can's background~www.mtlnovel.com~He is a doctor in the emergency department. He is also the most talented medical student I have ever met, and the key point is that his moral character is very reliable. If you have the opportunity in the future, you can learn more from him. "
Director Tan spoke very highly of Zhou Can.
The two medical students nodded and said nothing more.
It was the first time they had met a young doctor whom Director Tan praised so highly. If they knew about Zhou Can's legendary experience, they would probably also admire this senior from the bottom of their hearts.
After Zhou Can returned to the emergency room, it didn't take long for someone to bring him a thousand maggots.
At this time, he has finished the ideological work for the patients and their families.
In order to achieve a satisfactory therapeutic effect, reduce the interference of family members on the treatment process. Zhou Can proposed that only one family member should accompany him.
In the end, the patient's wife stayed behind to take care of her.
Watching Zhou Can pour live maggots on her husband's wound, she looked terrified. Patients themselves also need to bear psychological and physical discomfort.
After all, these live maggots were crawling around on the wound, constantly gnawing at the wound, which was enough to make one's hair stand on end.
It is difficult for ordinary people to accept the feeling of being bitten by maggots, and they have a natural fear of maggots.
Just imagine, what does it feel like when a caterpillar crawls on the skin?
Cold, nauseous, itchy.
Up to a thousand maggots crawled around on the body, constantly gnawing at the body. Only those who experienced it could understand the fear.
In order to prevent patients or family members from interfering with the treatment, Zhou Can also specifically asked the doctors and nurses in charge of the ward to pay more attention. He certainly won't be here forever.
There are still a large number of patients waiting for him to undergo surgery in the operating room.