My medical skills add experience

Chapter 168 One trick, eat all over the world.Zhou Can can do this

For any disease, as long as the etiology and pathological mechanism are diagnosed, and then the symptoms are treated, basically one cure can be used.

Unless it is a malignant disease, the medicine stone is weak.

For example, for most cancers, even if the location of the lesion is known, once it spreads, taking drugs can only relieve pain and delay death.There is no drug that can accurately kill cancer cells.

However, as human medical science and technology have become more and more developed, medicines have also become more and more advanced.

The advent of a variety of anticancer drugs has given hope to the cure of cancer.

Maybe one day, cancer will become like a small cold, which can be easily cured.

The real cause of the disease was found for the 7-bed patient, and after targeted medication, the therapeutic effect was really visible to the naked eye.

As long as there are no accidents, this patient will definitely be transferred out of the ICU soon.

Zhou Can feels that the value of his medical studies has been greatly reflected.

At this time, the doctors and nurses surrounding the 14 beds not far away began to disperse, all with serious expressions.There were tears in the eyes of two little nurses.

It seems that the patient is already in danger.

The family members quickly put on isolation suits and were ushered in by nurses.

It was an elderly man who was lying on the bed for rescue, and the specific illness was not clear.The family members did not cry bitterly, and the whole farewell process was simple and silent.The time is also very short, maybe 10 minutes or so at most.

After extubation, the patient swallowed his last breath and left this wonderful but painful world forever.

When the nurse finished handling the body of the deceased, the nurse came in with a cart, carried the body into a yellow body bag, and then pulled it out through the corpse door.A life ends here.

This time it was an old man who died, much better than a white-haired man giving a black-haired man.

"Well, the old man with advanced lung cancer has been in our intensive care unit for nearly two months. The attending doctor has told the family that the treatment is of little significance. But the family insists on treating the old man, no matter how much money is spent No regrets. Now that he is gone, it is actually a relief for the family and the patient."

After Dr. Hu came back, he took the initiative to tell Zhou Can the story of the 14th bed.

After Zhou Can heard this, he couldn't help feeling a lot of emotion.

In the intensive care unit, you can see the truest side of the family members.

For example, the patient who drank paraquat in bed 6 yesterday, his wife cried more than anyone else, but it is difficult for outsiders to know how sad he is.

The family members of the 14-bed patient did not cry or make noise, and the whole farewell process seemed very calm.

Seemingly indifferent, but far more filial piety than imagined.

Knowing that the old man is old and terminally ill, he is willing to spend huge medical expenses and insists on letting the old man live in the best ICU ward to receive the best treatment.

All that was spent was real money. Few family members were willing to spend this money when they knew they were losing money.

"The patient didn't know that he had cancer until he died. Otherwise, we should take the initiative to extubate."

Dr. Hu said again.

"For patients, if they know that they are terminally ill, they may choose to leave this world with dignity. The filial piety of family members seems to be very good, but if it is my parents who have reached this point, I will not hesitate to ask the doctor to withdraw Tubes. Lying in this dark place, believing that patients are tortured every day."

Zhou Can expressed his opinion.

"Hey, under the guidance of our Huaxia's ideology of etiquette and filial piety, it is easy for you to be called an unfilial son." After hearing this, Dr. Hu was stunned, and looked at Zhou Can as if he had reacquainted himself.

"My parents told me since I was a child that I don't have to care about other people's opinions, live my life well and stick to my heart, that's enough! For the sake of the so-called filial piety, my parents are lying on the hospital bed in pain. To live without dignity, it is better to free them earlier."

Zhou Can's thinking is indeed different from that of many people.

He seems to have understood many life philosophies that should not belong to this age.

Even in the eyes of the world, it looks deviant, but still doesn't care.

Patients in the intensive care unit have to be taken care of when they eat, drink and drink.

For example, the patients in bed 17 are also very old.I heard that he is a retired cadre, and the official is quite big.Looking at the present, we need a ventilator to breathe, and nasal feeding to eat.Pull urine by the catheter.

The person is awake, but the body is paralyzed and unable to move.

Eating, drinking, lassing, turning over, raising hands and feet, all need medical help.

Indistinguishable from a walking dead.

But the patient insisted on treatment. He heard that he had been very strong before retirement, and his family members did not dare to disobey.

It has been almost half a year since he was lying in the intensive care unit like this.

It's just a sigh of relief.

I really don't know what this guy is drawing?Knowing that it is death, why suffer that crime.

"Oh! I really can't see that you have such a deep comprehension at such a young age." Dr. Hu praised him, but his eyes and tone revealed that he did not agree with Tong Can's approach.

Everyone thinks differently and lives differently.

"Okay, let's not talk about the great principles of life. Today I will continue to teach you how to use the various instruments and how to administer medicine to patients."

Dr. Hu changed the subject and began to teach him more critical care medical technology skills.

"First of all, I must tell you that the purpose of the ICU is not to treat patients, but to save patients' lives."

Zhou Can nodded in agreement with this point of view.

The Department of Critical Care Medicine is doing everything possible to save the lives of patients.Treatment is the job of specialists.

Because doctors have limited energy and time, it is most important to strive to do one thing well.Doctors and nurses in the intensive care medicine department spend their whole lives trying to study how to better save the lives of patients.

"You worked hard to find a cure for the 7-bed patient yesterday. From my point of view as an intensive care doctor, I don't agree with it. Professional things should be left to professional people. Of course, you this time If you succeed, you may think that I said grapes are sour because I can’t eat grapes. I’m jealous of your meritorious deeds and so on.”

What Dr. Hu said was not unreasonable.

"I definitely don't think so. Although I haven't dealt with you for a long time, I know that you are a very good doctor."

Zhou Can was not flattering him, but speaking the truth.

Maybe everyone's position is different, and the ideas are naturally different.

"Thank you for your approval. I will continue to talk about the reasons why you don't agree with this. For example, giving this patient medicine now seems to be a simple intravenous infusion, but do you know? The ratio and dosage of the medicine given to the patient , as well as the speed of infusion or pumping, all need to be strictly calculated over and over again, and observed and adjusted at any time."

"A doctor who wants to learn all the first-aid skills and all kinds of medicines in the intensive care unit and use them proficiently will be difficult to achieve in less than ten years.
higher level.Our doctors here need at least two to three years to manage the bed independently.But those resident doctors often encounter various unsolvable problems.Then turn to those of us attendings for help. "

"Our attending physicians also have times when we are not sure. At this time, we have to ask the chief physician for help. In fact, the chief physician is not a god, and he will often encounter illnesses and rescue situations that have never been encountered before. They also need help. Keep learning, keep cultivating in this field, improve the success rate of rescue, and strive to reduce the death rate again and again.”

Dr. Hu said so much to Zhou Can openly and honestly, but it was actually full of goodwill.

"I just want to tell you that to do one thing well, a lifetime of energy is far from enough. Even the chief physicians also need to keep learning and study more in-depth in subdivided fields. For example, Director Liu, in The research in the field of respiration has already reached a very high level. But he did not turn to study other fields, but continued to cultivate deeply in the field of respiration."

"Judging from your performance in the past two days, the talent in medicine is extremely high. But a genius like you can easily make a serious mistake. Being ambitious and thinking that everything can be the best, in the end you can't chew more Xiang Neng can really achieve something. It's really a pity to get to that point."

Dr. Hu can be said to be well-intentioned.

Try to persuade Zhou Can not to follow the development route of a general practitioner.

lest nothing be accomplished in the end.

There is a truth in martial arts, which is called one trick, eat it all over the world.

It is better to master one trick than a hundred tricks.

"Thank you for your kind words. When I choose to specialize in the future, I will definitely choose one or two fields carefully. I won't think about becoming an all-round genius doctor."

After Zhou Can listened to Dr. Hu's words, he solemnly thanked him.

Dr. Xu also told him about this matter.

"Hehe, it's all right if you can listen carefully to the ramblings of my old comrade. As for your future career principles, I will never dare to interfere. Let me share with you some experience and insights from those who have been there!"

Dr. Hu saw that his attitude was quite sincere, which showed that he really listened to these words.

In this regard, Dr. Hu is very satisfied.

I'm afraid that some geniuses are headstrong and don't listen to the advice of their seniors at all.

"Okay, let me explain to you the dosage, pumping speed and other techniques for 7-bed patients!"

Next, Dr. Hu patiently explained to him the medication of critically ill patients.

Especially some drug contraindications.

For example, patients with asthma, what problems should be paid attention to when pumping medicine.

Or patients with renal failure, how to operate when taking medication, which data to closely observe, etc.

……

Zhou Can studied very seriously and even took a lot of notes.

It's just that there are too many things to learn, and it can't be learned in a day.

Now, for the three-month regular training in the intensive care medicine department of the hospital, he has deeply understood the foresight of Vice President Ye.

Not to mention acquiring proficiency, even if it is only a basic level of mastery, three months is still very tight.

Learning medicine from Dr. Hu today is like opening a new window for him.

I never knew that there are so many specialties in medication.

Time flies, working here, there is no break at noon.Even if it is a meal, it is quickly finished in just a few minutes.

The work pressure and intensity of medical care in the intensive care unit are really too great.

When I was busy until 6 o'clock in the afternoon, it was already time for the shift change, but the patient with [-] beds was in serious danger again.

Even a deputy chief physician in his 50s came over to help.

In the end even the ice blanket was used.

After working until after five o'clock, the patient's condition finally stabilized again.

"From the patient's symptoms and the fact that the patient's condition was under control after the use of the ice blanket, it can be inferred that the patient's intracranial hemorrhage must not have stopped. There must have been a severe intracranial hemorrhage just now. And his intracranial pressure is very high. Gao, it's really hard to say whether you can survive tonight."

The deputy chief physician looked worried.

"Director Yu, can we increase the amount of coagulation factors and platelets to help him stop the bleeding?"

Dr. Hu also had a sad face.

Yesterday, when I was in charge of the bed, I just sent one away, and today I sent another one away, then I really won the big prize.

The patients here, after the doctors and nurses tried their best to rescue them, still couldn't save them, so there is no responsibility.

But the high mortality rate is definitely not good for the doctors who manage the beds.

"At present, the patient's intracranial blood pressure remains high. Increasing the dose of coagulation factors will not help, and it is easy to form a cerebral embolism. Also, the patient must have had an acute cerebral hemorrhage just now, which has a lot to do with the sudden increase in blood pressure. His The systolic blood pressure has exceeded 180 mm Hg, and I think that we should actively use intravenous antihypertensive drugs to intervene."

The level of deputy chief physician Yu is obviously higher than that of Dr. Hu.

The treatment plan given goes straight to the core of the problem.

"You seem to have something to say? If you have any suggestions, just say it. Don't worry about low titles and junior qualifications."

Deputy Director Yu caught a glimpse of Zhou Can's hesitant expression, and encouraged him to speak boldly.

"I think surgery should be the most radical solution."

Zhou Can had a very bad premonition.

This patient will most likely not survive tomorrow.

For critically ill patients, the night is more difficult than the day.

Just like many elderly people are afraid of winter.Many old people die in winter.Because of the cold temperature in winter, for the elderly with weakened blood circulation, it is more likely to become the last straw that overwhelms the camel.

"Surgery is indeed the best way. It's just that you have seen the patient's condition, and it doesn't meet the surgical criteria at all." Director Yu said helplessly.

"What if endoscopic surgery is performed on the patient?"

Zhou Can already had an idea.

Dozens of difficult major surgeries have been successfully completed in Shenwai, including many intracranial surgeries.This also gave him a certain amount of judgment experience.

Judging from the patient's current physical signs, the endoscopic surgery is between the red lines.

Barely doable, but very risky.

"The risk of endoscopic surgery is still extremely high, and few doctors are willing to do it. Because this surgery requires at least a supernatural chief physician to do it, they probably won't agree. And if it is done, tonight is more meaningful. There are only a few chief physicians in Shenwai, and they can't make it in their schedules if they arrange major surgery temporarily."

The deputy director Yu didn't put on airs at all.

Patiently explained to Zhou Can the difficulties of the operation.

He mentioned that the operation tonight is more meaningful, which means that he has no confidence in the patient getting through tonight.

Deputy Director Yu didn't have the energy arrangement for this matter, but Zhou Can did.He has been trained in Shenwai for two months, and has good friendship with the two directors of Shenwai.If he personally takes the lead, it should be successful.

(End of this chapter)