My medical skills add experience

Chapter 244 Miserable Patient, Bian Que Sees Cai Henggong Three Times

The nurses in Shenwai really don't have many people to talk to. Zhou Can trained there, and he knows the urine behavior of Shenwai very well.

As for the doctors outside of the gods, they are all eye-catching and arrogant.

All of them are 'Long Aotian' level characters.

In addition, Shenwai is very busy, if you just invite a resident doctor and attending doctor to come over for joint diagnosis and treatment, it will not be a big problem.But this operation requires at least one deputy director-level supernatural surgeon to operate, which is a bit difficult.

Please be sure to please move.

But people put on a show, and no one can find fault after two or three days.

After all, the patient who needed to be treated was a chronic disease, and it made sense to have the surgery a day or two later.

Only the emergency department has the privilege of asking the chief physician for consultation at any time.

However, the doctors and nurses in the emergency department are often frustrated when they invite people.

"Some nurses are just of that quality, calm down." Zhou Can knew he had made a slip of the tongue, and quickly comforted Director Shang.

"The lesion has been detected, but because the chief physician of Shenwai is not good at coordinating, the patient's treatment time is wasted, what do you think is all this!"

Director Shang was still furious.

"Tomorrow, I have to talk to Director Wu of Shenwai, this little nurse who answered the phone is too annoying. I am also the director and chief physician of the Department of Gastroenterology, and I don't even have the least respect."

To reach the level of chief physician, even the most low-level third-level chief physician, has a very high status in the hospital.

The weight of gastroenterology is definitely not as good as neurosurgery.

However, Director Shang is at least equivalent to one of the princes. If he really cares about that nurse, that nurse may not have good fruit to eat.

When there was a commotion, the hospital stood 100% on Director Shang's side.

Zhou Can didn't say anything more.

After get off work, I went to the cafeteria to eat, and delivered meals to the stomach cancer patients in bed 71, and then went back to the apartment to practice medical skills and read books, so I didn't mention it.

After entering internal medicine, the pressure is even greater than when I was in surgery.

Because of the initial trust of Director Shang, the patients who took over were asked to prescribe not only the doctor's orders on admission, but also the doctor's orders during the hospitalization process.It can only be said that Director Shang has a really big heart.

Looking at this trend, it is estimated that the patient's postoperative doctor's order will also be handed over to Zhou Canlai.

It's pretty much standalone tube bed plus most of the decentralization.

Many teachers who are more cautious, at most let Gui Peisheng write medical records, course of disease, discharge from hospital, and talk before surgery.More often, Gui Peisheng would accompany the patient to do the examination, get medicine, help the patient get the report, send it to the medical department to sign, and so on.

There are even some over-the-top chief physicians who will ask Gui Peisheng to help him make tea, mop the floor, and buy meals for him.

The teachers who lead the teaching are more intensive in cultivating regular trainees. At most, they will give oral medical orders, and then ask the students to write laboratory tests or something.

Since Zhou Can took over the first patient yesterday, Director Shang has not taken care of him.

Needless to say, the doctor's order for admission, and the medication after hospitalization are also handled by Zhou Can.

You know, except for the Department of Critical Care Medicine, all the departments that Zhou Can trained were surgery.

According to the doctor's order alone, I only exercised for a few days in the last month of general surgery.

In the past, whether you were chief physicians or attending physicians, although you trusted him very much and knew that he was very capable, because Zhou Can did not have a medical certificate, everyone had a tacit understanding and never let him prescribe medical orders alone. .

One is procedural non-compliance, and the other is fear of accidents.

If there is a problem with the prescribed doctor's order and the patient has a problem after taking the medicine, the responsibility will be great.

Therefore, Zhou Can was transferred to the Department of Gastroenterology this time. As soon as he entered the department, he was asked to prescribe the doctor's orders alone and operate with full authority. He was under great pressure.

I also deeply feel that the knowledge of pharmacology is insufficient, so I go back to the apartment after get off work every day and spend as much time as possible to read books.

……

When Zhou Can went to work the next day, the first thing he did when he arrived at the hospital was to go to the ward to check on the four patients he was in charge of.

As soon as I entered the ward, I saw a woman with gray hair in front of the 77th bed.

Age should be about 50 years old.

The crow's feet in the corners of the eyes are very deep, the legal text is also extremely heavy, and there are also wrinkles on the forehead.

As humans grow older, aging is simply irresistible.

Skin wrinkles are the most easily observed signs of aging.

As for the graying of hair, modern people's lives are under great pressure, and many people have graying hair at a young age.This can no longer be used to judge a person's age.

The female patient on the hospital bed should have cried, and her eye sockets were still wet.

It's just that her face is full of happiness at the moment.

If I guessed correctly, the female patient's mother finally rushed over from other places.

"Doctor Zhou, good morning!"

The female patient greeted Zhou Can with a smile.

It can be clearly felt that she has become much more cheerful.In the eyes and on the face, there is a kind of positivity that has never been seen before, which is the look of hope for the future.

"Morning! This is your mother, right?"

Zhou Can asked with a smile.

"Yes, my mother arrived at the hospital at eleven o'clock last night."

When she looked at the woman, she was full of nostalgia and a trace of regret that could not be concealed.

In this world, only parents will treat their children unconditionally.

Parents are the real Buddhas.

No matter how miserable their children are outside, how flawed they are, or how rebellious they are, they always love their children unconditionally in their hearts.

"Auntie, hello! It's hard work coming here from other places, isn't it?"

Zhou Can greeted the woman friendly.

"It's just that it takes a long time to take the train, and the transfer was delayed for several hours. Otherwise, I should have arrived at the hospital earlier. I heard from my daughter that yesterday you paid for her meals out of your own pocket. Thank you so much. By the way, how much is it, I will give it to you now."

The woman wanted to stand up, but Zhou Can realized that she was leaning on crutches.

There seems to be a problem with one leg.

No wonder it has been sitting on the pony that comes with it.

"Auntie, it doesn't cost much to buy food, so you don't have to pay. I've already told your daughter to actively receive treatment. When she recovers, when I go to your hometown, she just treats me to a good meal. "

Zhou Can quickly waved his hand to signal the woman that you are welcome.

"Okay, okay! If you really go to our Shiniu County, I will definitely treat you to the most delicious local specialties." The woman agreed with a smile, and was full of gratitude when she looked at Zhou Can. "Oh, my daughter has been stubborn since she was a child. When she was only a little over one year old, I divorced and took her to live alone. Later, when she was only 17 years old, a middle-aged elderly The man was deceived by his rhetoric. He refused to listen to my advice and married that old man..."

The woman talked about her daughter's misfortune.

"When she got married, I said, if you want to get married, don't call me your mother anymore. She hasn't contacted me in these years. My legs and feet are not convenient. I want to go to see her, but I am worried. It made her husband's family look down on her, and it will be difficult for her to live in her husband's house. It's just that she didn't expect her husband's family to be so vicious. During her pregnancy, she often didn't give her food, and often only gave her some leftovers Fan... she is too stupid."

The woman wiped her tears as she spoke.

"Two days ago I received the first call from her in four years. When I heard that she had stomach cancer, I was stunned. After her husband's family sent her to the hospital, she left directly. Now the phone call is gone. I couldn’t get through, and I made it clear to her that I would not bear her medical expenses and let her fend for herself.”

To put it bluntly, she was abandoned by her husband's family.

This girl, who is so beautiful, married an old man and ended up like this.

It was so miserable.

Not to mention Zhou Can, even the other patients in the ward were filled with righteous indignation.

Good people in this world can be very, very kind, and bad people can be vicious, wicked, and ruthless, and they can also be unimaginably bad.

"Have you ever received a marriage certificate?"

Zhou Can asked the girl.

"I have received it before. Ever since I got sick, I was forced to divorce. I disagreed, so he and his family beat me to death." When she talked about these things, her voice was several times whimper.

No wonder she has so many traumas on her body.

This husband and his family are simply not human beings, but beasts.

"It's okay to leave, we are orphans and widowed mothers, and I am a disabled person, so I can't fight against those villains. Over the years, I have saved a little money from work, which was originally intended to be used for the elderly. Now that she has this disease, As long as there is a glimmer of hope, I will ask the hospital to save her. Even if it is a waste of money, we will treat her."

The woman said to Zhou Can.

They are two weak women, and the woman is disabled, which already belongs to the lowest vulnerable group.

Even though the woman hated her daughter's ex-husband's family deeply, she still chose not to pursue it.

It's not that he doesn't want to ask for an explanation, but that he knows he can't afford to offend him, so he can only smash his teeth and swallow his blood, and swallow this breath.

The world of adults has too much helplessness.

"Her current stomach tumor is still in its early stage. As long as it is operated in time and supplemented with radiotherapy and chemotherapy, it has a high probability of being cured. If you agree, I will report it to the superior doctor and arrange surgery for her as soon as possible."

Zhou Can doesn't comment on other people's private affairs.

Instead, talk only about treatment-related matters.

This is also a practice principle taught by his teachers.

Doctors only care about treating diseases, and don't care about the private affairs of patients and their families.There are too many injustices in the world, and it is impossible to manage them.

Almost all cancers should be operated as soon as possible as long as they are confirmed and there is still a chance for surgery.

The longer the delay, the worse it is.

The spread of cancer cells, in addition to spreading to surrounding lymph nodes, adjacent organs, and tissues, will also spread to distant parts of the body along with the blood.

"Agreed, we agree. Please ask the hospital to arrange surgery for us as soon as possible."

"Okay! I'll see Director Shang later, report this to him, and arrange for you as soon as possible. The specific treatment fee is not clear yet, but you have to be prepared. Before the operation, the hospital will require prepayment of the treatment fee The cost of her treatment mainly includes two parts, the operation fee for gastric cancer removal, and the chemotherapy fee after the operation. At least about [-] yuan should be prepared, and the total treatment fee may exceed [-] yuan. If you have medical insurance, you can reimburse a large part of it. .”

Zhou Can told them in advance how much money to prepare.

The most important thing in cancer treatment is money.

Gastric cancer resection, if the tumor is small and the operation goes well, may only cost about [-].If the tumor is large and requires an open surgery, at least [-] yuan will go up.

The girl couldn't even get enough to eat at her husband's house and could only eat leftovers, almost certainly not paying her medical insurance premiums.

Without medical insurance, all treatment expenses have to be paid for by oneself.

This is why buying health insurance is important.In case of a serious illness, unfortunately, it can be cured.

Some serious diseases cost hundreds of thousands of treatment fees, which is really beyond the reach of ordinary families.Even if they can bear it, the family may return to poverty due to illness.

Zhou Can checked 77 beds of gastric cancer patients and 79 beds of liver cirrhosis patients.

Currently, the patient's condition is similar to yesterday's.

There was no significant deterioration of the condition.

I really hope Director Shang can agree to give this patient an venous angiography sooner.

Early detection of the cause can lead to early treatment.

The chief physician generally doesn't care much about patients with such a mild condition.

Because they worry about some key patients.

Later, Zhou Can may have to take the initiative to ask Director Shang to mention the 79-bed patient for examination.

After checking this ward, he went to the 71-bed patient ward.

It was agreed yesterday that surgery will be arranged for the patient today.

Zhou Can made a pre-operative explanation to his family members.

As for the preoperative talk and signing, we will have to wait until a little later.

Checked out the beds I managed.

Zhou Canshun took the other two Gui Peisheng in the help group to check other beds.

The symptoms of the patients in the 72nd bed were fairly stable, and the patients in the 73rd bed were as expected, and their condition had begun to improve significantly.There is no more continuous hum ah hum.

It shows that the patient's stomach is no longer so painful.

On the contrary, it was the patient's wife, that is, the aunt who didn't listen to persuasion, lying on the edge of the bed, humming twice every few seconds.

His face looked particularly frightening.

Pale and pale, without a trace of blood.

Even the groan was weak and weak.

"Auntie, Auntie, are you okay?"

Zhou Can gently pushed her.

"Woo... I have a severe stomachache, dizziness, and intermittent chills. Doctor, can I trouble you to bring a bottle of boiled water? I really can't walk."

She must have run to the toilet a lot in one night.

And with continuous severe diarrhea, people will soon become dehydrated and lose strength.

"Okay! It's the water bottle, right?"

"Hmm! Thank you..."

Big Mom nodded weakly.

Zhou Can fetched a bottle of boiling water for her, and poured a glass of water for the couple.

Seeing his aunt sick like this, he couldn't help but feel worried.

It's not a good thing to feel cold.

In the words of Chinese medicine, this is called cold evil entering the body, and there will be stagnation of qi and blood stasis, and the imbalance of yin and yang in the body.

"You are so sick, you should hurry up and make an appointment! This illness cannot be delayed!"

Zhou Can persuaded again.

It really felt a bit like history repeating itself, Bian Que met Cai Henggong.

The first time he died, the second time he was not cured, and the third time he was already terminally ill, and there was no cure for it.

Under normal circumstances, salmonella infection will cause diarrhea, fatigue, nausea, vomiting and so on.But like aunt, in just over a day, people have become so sick that they can't turn on the water by themselves, and it is difficult to even raise their heads.

This is unimaginable.

It also shows that her body's defense against salmonella is likely to be completely lost.

"It's okay, I'm in good health, and the anti-antibody passed. Isn't my husband much better today? I'll definitely get better when I wait until tomorrow."

Aunt still refused to seek medical treatment.

Zhou Can didn't persuade him anymore, but went directly to the corridor and looked at the vomiting patient admitted yesterday evening.

The condition did not deteriorate further.

But with such a big bug in the patient's head, the sooner it is dealt with, the better.

It has been delayed for a long time, and I am really worried that there will be a big problem.

In the unlikely event that the bugs become agitated and move to the brainstem area, the patient may need to be sent for rescue in minutes.

Let's see the result of Director Shang's coordination with Shenwai later!

If it doesn't work, Zhou Can will probably show his old face again and come forward to help coordinate.

Back at the office, I just ran into Yu Xin and Duan Zifu.

"Good morning, Doctor Zhou!"

"Morning everyone!"

Zhou Can found that there were already five doctors in the office, and even Dr. Chi was greeting him with a smile.

He can only respond in this way.

"Doctor Yu, I went to the ward for rounds just now, and saw that the aunt in bed 73 had become so ill that she couldn't even lift her head up. I advised her to register for a doctor's appointment, but she refused. I think this is very dangerous. , you can’t delay. You have to report the situation to the deputy director of the department or director Shang. If the family member accompanying the bed dies in the hospital, it will be a big deal.”

Zhou Can walked all the way from the emergency department and saw all kinds of strange things.

The patient was fine, and the family members accompanying the bed died suddenly in the hospital for no reason. It really happened.

There was even a doctor in the cardiothoracic surgery department persuaded a family member because he smoked in the elevator, and then the family member got very angry and scolded the doctor.

In the end, without cursing a few words, the family members suddenly fell to the ground clutching their chests.

Afterwards, the family members died of a heart attack.

What's even more ridiculous is that the relatives of that family member sued the doctor involved.

(End of this chapter)