【My medical skills can add experience points】【】
Eight hours after cardiac surgery should be the most dangerous. Generally, if there is no obvious abnormality for more than 12 hours, it means that the operation is successful.
It looked like they had completed the operation at around eleven o'clock last night, and it has been more than eight hours now.
At present, everything is normal for the child, and with Director Xueyan's experience, it is natural to judge whether the operation was successful.
"I believe that cardiothoracic surgery will get better and better. If the teacher is lucky, he will be relieved to see that the cardiothoracic surgery is gradually getting on the right track under your leadership and starting to recover."
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Zhou Can is also happy for the progress of cardiothoracic surgery.
"I alone don't have this ability. Thank you for helping me all the time. I was able to withstand the joint efforts of the Provincial People's Hospital, Xinxiang Hospital, and the Third Hospital to defend the basic business of the Tuya Cardiothoracic Surgery Department. , To be honest, every time I think about it now, I still feel incredible."
She is full of gratitude to Zhou Can, and even more so.
Over the past year or so, she has grown so much.
Medical skills, surgical capabilities, management capabilities, and ability to deal with various crises are all different.
Compared with her, Zhou Can's progress is even more astonishing.
With the efforts of Zhou Can, the emergency department has completed the first step of counterattack.
A 100-level laminar flow operating room that can perform at least two operations at the same time, with supporting facilities and rooms such as a lounge and a large storage room. On the surface, it looks like a Class 100 laminar flow operating room, but it is actually equivalent to two.
The application for the laparoscopic operating room has also been approved, and the current construction project has landed and is under construction.
If there are no accidents, it should be able to be officially put into use after passing the acceptance test in three months.
Inpatient wards in the emergency department have also seen two rounds of expansion.
At present, the inpatient ward is divided into two areas for surgical patients and medical patients. There are a total of 30 official beds for surgical patients and 10 for internal medicine. As for the temporarily added expansion beds, it goes without saying.
Great flexibility.
Doctors and nurses in the emergency department have also undergone two rounds of expansion.
They are all small-scale additions or recruitments.
Director Lou and Deputy Director Han were also probably worried that their crotch would be hurt by taking too many steps.
There is also the issue of employment costs, which is directly related to the operating costs of a department. The hospital pays wages uniformly, and it is absolutely impossible for a department that generates millions of dollars a month to support a group of idlers.
Zhou Can came all the way to the Pediatric Outpatient Department, still sitting in the No. 17 outpatient clinic.
Now, this outpatient room is his special consultation room as long as it is Wednesday.
"Doctor Zhou, Doctor Zhou, you are here just in time. Come and help me consult a patient."
Director Zhuang of the Pediatric Department seemed to be waiting for Zhou Can's arrival.
As soon as he saw him coming, he immediately invited him over.
"Where's the patient?"
Zhou Can found that there were no patients in Director Zhuang's clinic.
"Hey, isn't there still ten minutes before work time! I have some information here, please help me to look at it. This child was undergoing cardiac surgery in the Third Hospital, and the situation seems to be a bit bad now. The grandfather of the patient Entrusted the relationship to find me, and asked us if Tuya can accept it?"
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【My medical skills can add experience points】【】
Doctors often encounter such irresistible favors.
Some family members or acquaintances or relatives who have a strong relationship say hello, I am really embarrassed to reject it.
However, the diseases of the patients they want to entrust may not be the field they are good at. In this case, the entrusted doctor can only bite the bullet and seek help from medical colleagues in related fields.
Relationships are sometimes so complicated.
Many people think that officials and public servants are the group of people who are most likely to encounter various entrustments. In fact, doctors are not much better, and they are also the hardest hit areas.
People eat whole grains, and that is when they get sick.
As long as the condition is a little serious and I want to go to a big hospital for treatment, I will do everything possible to find acquaintances through various connections.
If you really can't find acquaintances, then forcefully stuff red envelopes.
In short, those family members and patients always feel uneasy without finding an acquaintance.
"The third hospital performed cardiac surgery, and now there is a problem after the operation. Do you want to be transferred to our hospital for treatment?"
As soon as Zhou Can heard this, he knew it was not a good thing.
Most hospitals are unwilling to accept such 'rotten patients'.
Because after receiving it in the hands, it will be famous if it is cured, but it can also bring certain benefits to the hospital. But if you mess up, you may turn against each other and cause trouble.
It is easy to sue and lose money.
Moreover, hospitals that are capable of performing cardiac surgery are not bad in themselves. Why do you think you can handle a disease that even they can't handle?
Director Zhuang is in his fifties, so it's impossible for him not to understand the truth.
"I also knew that the risks involved were huge, so I didn't agree easily. But the person the patient's grandfather entrusted was my mentor, and I really couldn't help it, so I bit the bullet and asked him about it."
Director Zhuang has already prepared all the patient's information.
Zhou Can didn't ask any more questions, and took the information to check it carefully.
The patient was a newborn, only six months old. Congenital atrial septal defect, belonging to the primum type. In the third hospital, atrial septal defect repair operation was done.
During the physical examination, the child found a heart murmur, and then went to the doctor.
After examination, it was found that the child had typical symptoms such as shortness of breath, hyperhidrosis, and limited activity. However, congestive heart failure was not detected.
There were also no concurrent atrial arrhythmias.
Logically speaking, there should be no risk in this child's operation.
At least in Zhou Can's opinion, when Director Hu Kan was alive, the mortality rate of this type of operation was extremely low, and accidents were almost impossible.
The child's grandfather is quite well connected, and he chose to have the operation in the Third Hospital, so there is no need to ask. The operation on this child must have been performed by the Japanese cardiologist.
Zhou Can felt a long time ago that the Japanese psychiatrist might not be as powerful as he imagined.
It may be due to the hype, coupled with the Chinese people's admiration of foreigners, this made the Japanese expert a myth.
"What is the patient's condition now?"
"The main symptom should be heart failure."
Director Zhuang seems to have carefully asked about the current situation of the child. When he answered, his expression was extremely serious.
"Heart failure is really fatal! The child is so old, no wonder the Third Hospital has no solution." Zhou Can can think of the Japanese expert in the Third Hospital with his toes, but now he is probably at the end of his rope and helpless.
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【My medical skills can add experience points】【】
"Doctor Zhou, I know that you are Director Hu Kan's favorite student. Director Hu's skills in cardiothoracic surgery have been passed on to you. Cardiothoracic surgery can stabilize the situation, and you are the most responsible. Tell me the truth, Can we treat this child? At present, the third hospital has given the family the truth, because of serious postoperative complications, the survival rate will not exceed 20%. They suggested that the child be transferred to the imperial capital for treatment. "
When Director Zhuang said these words, there was a hint of anger on his face.
"The child is still so young, and he has serious postoperative complications, and then sent him to a big hospital in the imperial capital for treatment. Isn't that going to kill him? It's been a long and bumpy road, and he still has a breath. , it will be gone immediately. They are completely shirking responsibility."
Not to mention the long distance, first of all you have to guarantee that the person will be sent there, and whether the big hospital is willing to accept it.
It is estimated that even Zheng Da's hospital would not dare to accept such patients easily.
You know, Zheng Da's hospital has a notoriously high survival rate for critically ill patients. There are many critically ill patients who have been treated in other hospitals. Their lives are already hanging by a thread, and they are preparing for funeral at home.
It is not uncommon for people to be rescued after being sent to Zheng Da for rescue.
"Director Zhuang, we are all on our own, so I'll just say something straight." Zhou Can's expression became serious.
"It's okay to speak up!"
Director Zhuang nodded repeatedly.
"Whoever picks up this child is unlucky. From the time point of view, it is already the fourth day after the operation. According to experience, even if sent to the intensive care unit, it is difficult to survive ten days. In most cases, it will appear in seven or eight days. High mortality rate. You also said that this child was greeted by your mentor. If the accident does not cause trouble, the success rate of our treatment should be about 40%. I mean it was transferred this morning. And we need to ensure that the rescue drugs they use are not seriously overdosed."
Zhou Can paused, then continued.
"If symptoms appear on the first day after surgery, they will be sent in time, and the survival rate will be at least 70%."
The chances of being transferred on the first postoperative day are too low.
The Third Hospital would not agree, and the family would never have imagined the current result.
Now that the mess has come out, the hospital is eager to get rid of the blame and push patients to transfer. The family members were also full of despair. They realized that the strength of the Third Hospital was not as high as imagined, and they were eager to find a new life for the children.
"Turn around, can you help check in the rescue?"
Director Zhuang didn't know why, but he was full of trust in the young man in front of him at this moment.
Maybe it's Zhou Can's good performance all the time, plus his eyes, tone, and demeanor when he talked about the treatment just now, which reveals Zhou Can's confidence.
"Okay, when the time comes, people will turn around, go through the admission procedures, and just call me over for a while."
Zhou Can agreed without hesitation.
"Remember, when the child is transferred to another hospital, we must find a way to get all the information about the operation records, postoperative doctor's orders, specific postoperative medications, and rescue measures. This will be very beneficial for our side to take over the rescue. It is also convenient to divide Responsibility. Otherwise, I guess the cardiothoracic department would not accept this child."
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【My medical skills can add experience points】【】
If he said he would not accept it, then he really would not accept it.
This kind of thing, not to mention Director Zhuang, even Director Tang Fei from the Department of Pediatrics is useless.
Unless the pediatrics itself accepts the child.
But this is impossible.
Unless Director Tang Fei and Director Zhuang are going to use their jobs for charity.
"Go ahead, thank you!"
Director Zhuang was very grateful to him.
The favor owed, Zhou Can will automatically pay back when Zhou Can needs it in the future.
Just like Shangguan Yan from the Second Affiliated Hospital of Tuya owed Zhou Can a favor, now the two are in contact from time to time. During the holidays, Shangguan Yan took the initiative to send blessing text messages to Zhou Can.
The hardest thing in the world to repay is the debt of favor.
Zhou Can went to the No. 17 outpatient room for a consultation, so he didn't mention it.
The family members who sought medical treatment had already formed a long queue. Seeing Zhou Can enter the consultation room, family members who knew Zhou Can immediately greeted him enthusiastically.
Those who don't know Zhou Can's family members whisper in their hearts, this Dr. Zhou is so young.
"Doctor Zhou, my child broke his hand, can you take a look at him first? I heard that you can complete the bone setting in a few seconds. The treatment fee will not be less than a penny, I just ask you to help give priority to treatment Take a look at my child."
A woman in her forties stopped Zhou Can.
She was carrying an eight or nine-year-old boy, whose left arm was just hanging down. The child's face is full of pain.
Zhou Can glanced at the patient and could easily see that the boy must have dislocated his joints. Just as the woman said, with his current bone-setting technology, he can easily take it back without taking a film.
It only takes a few seconds.
"Doctor Zhou, please!"
The woman cried and knelt down to him.
"Don't be like this, don't be like this, get up quickly."
Zhou Can quickly pulled the woman up.
"If you don't agree, I will kneel here and won't get up, please..." The woman was crying quite sadly, which moved the people around her even more. In order to let the child relieve the pain earlier, he did not hesitate to kneel down to the doctor in public.
He even cried so sadly because he felt sorry for the child.
This is great maternal love.
"It's only a few seconds anyway, doctor, why don't you treat him!"
"Yes, this child is too pitiful! Treat him!"
Under the control of sympathy, some family members spoke out to help the woman and the little boy to intercede.
"Sorry, it really only takes a few seconds for me to give the patient bone-setting treatment, but there is a premise. I need to see the film before I can do such an easy operation. I am very sympathetic to your child, and I feel the same for his pain. But now I There is really no way to treat him. If the family members ahead of you agree, I will give your child the priority to apply for the examination, which is no problem."
Zhou Can's heart was as hard as a stone, and he remained unmoved in the slightest.
That's because this kind of person kneels down and cries at every turn, and pretends to be a poor family member or patient who has tricked him many times.
How pitiful this kind of family members are when they kneel down now, how difficult it will be when they complain to you.
Doctors can be kind, but they must never be sympathetic.
"A dislocated arm is not a particularly fatal thing, is it? My daughter had a high fever all night ~www.mtlnovel.com~ vomiting and diarrhea, we came to line up very early, I don't agree to let her jump in line."
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【My medical skills can add experience points】【】
A father who took his daughter to see a doctor directly rejected the kneeling woman's request to jump in line.
"Yes, I don't agree either. Whose child doesn't have a life? Who comes to the hospital to see a doctor if he is not sick? It is only fair to follow the rules."
Another family member objected loudly.
This is the true portrayal of the real family.
Everyone has their own one-acre three-point land, whoever touches their interests, they will be anxious with whoever.
"Why don't you two have any sympathy at all? What's wrong with your daughter having a fever? How can you compare with my son? If your daughter's arm is broken, I promise to give you priority in seeing a doctor."
Kneeling women saw the idea of prioritizing medical treatment being rejected.
Immediately turned into a shrew, and began to scold the first family member who disagreed.
"And you, you look like a dog in your clothes, why are you so ugly? It won't hurt you to let my son see the doctor first, right? The doctors have said that it only takes a few seconds."
When the women quarreled, even three Wang Langs could scold them to death.
She fought the second battle, and the two family members were stunned by her scolding.
And that vixen's posture made Zhou Can terrified just looking at it.
He secretly rejoiced that it was a good thing that there was no sympathy just now, and he didn't agree to this woman.
The growth of a doctor is definitely not only the accumulation of medical skills, but also how to deal with family members and learn how to protect themselves.