My medical skills add experience

Chapter 245 Mr. Luo's difficult problem, those who are difficult will not, and those who will meet are not difficult.

When Yu Xin heard Zhou Can speak so seriously, she suddenly became nervous.

"I, I'll go to the ward to have a look right away! That aunt is really serious, why doesn't she listen to persuasion!" She lifted her foot and walked out.

"Doctor Zhou can't persuade you, and it's useless if you go. Boss Luo is better at dealing with this kind of thing, you can ask him for help."

Doctor Chi said to her.

Hospitalization always takes care of almost everything.Dealing with various doctor-patient disputes and eliminating potential hidden dangers are all things he often does.

Luo Shengsheng must have rich experience in dealing with this kind of family members.

Logically speaking, Luo Shengsheng lived in the hospital on duty all day long, so he must know something about the situation of the family members in bed 73.But he didn't care about it.

In the final analysis, it's none of your business, let's hang on high.

Even if something happened to his family, he would not be responsible.

"Hey, say Cao Cao, Cao Cao will be here! Isn't President Luo here?"

I saw Luo Shengsheng walked into the office quickly, with a tired and unhappy look on his face.

"Is there something wrong with one of the patients?" Luo Shengsheng picked up his cup and took a few big gulps.

"The family member in bed 73 was infected with salmonella and was seriously ill, but the family member refused to see a doctor, and kept lying on the bedside to resist. What do you think is going to happen?"

Duan Zifu rushed to help Yu Xin explain the situation.

Luo Shengsheng's expression didn't change after he finished listening.Sure enough, he already knew about this.

Come to think of it, this is what the hospital always does.

Inside and outside the Department of Gastroenterology, there are more than 100 beds for patients, which bed does Luo Shengsheng not know?

"What else can I do? Can you push the head of a [-]-jin buffalo without drinking water? The family members themselves are not in a hurry. We doctors really don't need to worry about salty carrots. Wait until the female family member suffers. If I can't stop, I will obediently register for medical treatment."

Luo Shengsheng said nonchalantly.

"But...what if a family member dies in the hospital? Will it affect the doctor in charge of the bed?"

Duan Zifu really thinks of Yu Xin everywhere.

Ask her what worries her the most.

"It will have a little impact, but not much. After all, we doctors can only advise patients to seek medical treatment as soon as possible. If the patient doesn't listen to advice, no one can do anything about it. You don't need to talk to that family member, she will figure out a way by herself."

The method Luo Shengsheng gave was just two words, lie flat.

Just let the family members die in the hospital.

"Mr. Luo, is there a better way?"

Yu Xin couldn't help asking.

Duan Zifu's mind was a little tricky, so he almost agreed to lie down.But she is an aspiring doctor, and she is not willing to watch her family members have accidents.

She believed that Luo Shengsheng must have a better way.

He just didn't want to help her.

"Yes, of course there are better ways than this. For example, continue to persuade family members to seek medical treatment, or find other ways to help family members correctly understand the current illness, etc."

Luo Shengsheng said a few words briefly, drank the water, operated on the computer a few times, and then checked carefully.

After watching for less than a minute, he got up and walked out.

"The patient in bed 16 needs an abdominal puncture, which is not going well. I have to go there and continue to fight. What's the matter with you, try to find a way to solve it yourself, understand?"

After finishing speaking, he ignored Yu Xin and Duan Zifu, and walked to the door of the office in a few steps.

Luo Shengsheng probably went back to the office to temporarily check the information related to the piercing on the Internet.Either learn the technique of piercing, or look at the diagram of the abdominal viscera.

Seeing the situation, Yu Xin could only think of a way by herself.

However, she has no good way at all.

You can't drag your family members to see a doctor by force, right?

I'm afraid I have to ask Mr. Luo for help in this matter.

"Wait a minute. Mr. Luo needs to perform abdominal puncture on the patient, right?"

Zhou Can called Luo Shengsheng to stop.

"Doctor Zhou also has something to ask me to solve?"

Luo Shengsheng stopped and looked at Zhou Can.

His attitude is much more polite than that of Yu Xin and Duan Zifu.

"I happen to be more experienced in piercing, and I will go there with Mr. Luo to help."

Zhou Can smiled and offered to help Luo Shengsheng.

Usually he would not be so proactive, but this time he also wanted to help Yu Xin, a member of the same group.

That aunt is too difficult to persuade, and only Mr. Luo can handle it.

"This patient's peritoneal effusion is relatively serious, but the effusion is close to the chest cavity, where the organs are dense and the puncture is extremely difficult."

Luo Shengsheng didn't trust Zhou Can's puncture technique very much.

Although Gui Peisheng must learn the four major puncture techniques, most of them end in failure when they practice it.

After three years of regular training, many people still cannot master the puncture technique proficiently.

Chest puncture, abdominal puncture, lumbar puncture, and bone marrow puncture, none of them are easy to operate.They are all extremely difficult, making newcomers daunting.

Zhou Can's puncture technique is now at the fifth level, which is two full realms higher than that of Luo Shengsheng, a resident doctor.

Luo Shengsheng's inability to puncture may be a trivial matter in Zhou Can's eyes.

"It's okay, let's follow Mr. Luo to have a look first. If you can't help me, you can follow me to learn more, right?"

Zhou Can followed Luo Shengsheng out.

All the way to the ward, I saw an old lady with a big belly lying on the 16th bed.His body was skinny, except for his terribly big belly.

People who didn't know thought that the old lady had a medical miracle and became pregnant.

At this moment, the old lady's abdomen still has the marks after disinfection.A nurse was busy at the bedside, and the patient appeared to be in extreme pain.

There were scars left after the puncture on the abdomen, but the bleeding stopped.

The puncture itself is a minimal incision.

"Doctor Luo, do you think you can help her get another puncture now? The patient has been crying and dying of pain."

The nurse said to President Luo.

The two family members stood by the hospital bed and watched anxiously.

"Okay! Don't worry, her peritoneal effusion is very special. The organs are squeezed and displaced, and the puncture is extremely difficult. I can only say that I tried my best. If any doctor came to operate, it would be difficult. This result."

While agreeing, Luo Shengsheng began to put on sterile gloves and lightly pressed the patient's abdomen again.

Zhou Can took the film to check.

The effusion is not only serious, but also close to the chest cavity.As Luo Shengsheng said, some organs were affected by the effusion, and they were squeezed and displaced.

No wonder Luo Shengsheng said the piercing was difficult.

Luo Shengsheng, wearing sterile gloves, was always looking for a suitable puncture site. After Zhou Can watched the film, he checked the actual condition of the patient, and he already had a bottom line in his mind.

However, it would definitely not be good to directly steal Luo Shengsheng's limelight at this time.

Trees need bark, people need faces.

Pay special attention to protecting the dignity and face of others at all times.

If you embarrass others and you can't step down, even if you help the other party, you will only gain hatred.

Zhou Can had to wait for a suitable opportunity.

Finally, under the anxious eyes of his family members, Luo Shengsheng began to perform the puncture again.After one injection, the peritoneal effusion was successfully drawn out, and a happy smile appeared on his face immediately.

I thought it was a success.

The result was the same as last time, only a little effusion was drawn out and then stopped.

The patient's abdomen swelled so high, like a pregnant woman in labor.Only a few milliliters of effusion was induced, which had no effect on slowing down the condition.

"Mr. Luo, can I try it? You will guide me by the side."

Zhou Can felt that the time was almost here.

Seeing that Luo Shengsheng's face showed a complete loss of confidence and frustration, he only had one way to go, and he asked a senior doctor to come and help.

If it was so good, he would have asked Dr. Chi to help him when he returned to the office just now.

For regular trainees like Zhou Can, or interns, if the puncture fails, they can confidently ask the superior doctor for help.He is a senior resident doctor, and he has already started to attack the person in charge. He can't even do a abdominal puncture, and it will only make people laugh if it spreads.

The superior doctors' impression of him will also be reduced.

Everyone will think that his operational ability is weak.

This is a very bad thing.

"You... operate carefully, and don't act too hastily."

Luo Shengsheng hesitated for two or three seconds, and finally agreed.

He also heard something about Zhou Can in other departments.I only know that Zhou Can is very good, and he is highly regarded by the chief physician in many departments.At present, it has become the key training object of the hospital.

In fact, as early as when Zhou Can was transferred to the intensive care medicine department, he had already been designated as a key training object by the hospital.

After the last rotation in general surgery ended, it was even more extraordinary.

It has been included in the famous doctor building plan from ordinary key training objects.

In the past, when he was transferred to the surgery room, Director Xie could do something to suppress him.Now, as long as Director Xie's brain is not burned out, he will never do such a thing.

It's not that I don't want to, but that I can't do it.

To suppress Zhou Can again would be to put eye drops on the senior management of the hospital.The chief of a department of a major surgery is half a level lower than the vice president.

Really ignorant, ignorant, being dismissed is just a matter of a seminar.

Therefore, Director Xie has been very quiet recently.

"Can't you hire an experienced old doctor to do the operation? My mother has already received two injections, but the puncture was still unsuccessful. You ask an intern to do the operation, which is too disrespectful to the patient. "

The family members protested with black faces.

Luo Shengsheng failed two punctures, and the family members were already quite dissatisfied.

Now he actually agreed to let a young doctor whose position is lower than Luo Shengsheng's to perform the operation. This is obviously using the patient as a guinea pig for practice.

The family was immediately outraged.

"This is Dr. Zhou Can who has been transferred to our department. He is not an intern, but a legal doctor with a medical license. Also, he is very famous in the field of surgery and stronger than me, so he is invited Come to puncture. As for what he said to let me guide, it is to save face for me."

Luo Shengsheng is very good at dealing with family members.

A few words put out the anger of the family members.

"Doctor Zhou, please operate!"

At this time, Luo Shengsheng was already on the verge of riding a tiger, and he only hoped that Zhou Can would not be framed.

Otherwise, the family members will be very difficult to explain here.

Zhou Can nodded, without hesitation, but calmly, holding the needle and stabbing at the puncture point he had chosen earlier.

Fast and hard.

Luo Shengsheng's heart almost jumped out of his throat.

It was so scary.

How could this be a puncture? It was clearly the injection of pigs and cows that made it so violent.

This is human!
Moreover, the puncture site is still close to the chest cavity, and the important organs are densely packed.

If there is a hemorrhage in the liver, stomach bleeding or something, it will end.

The calm expression on the face of the family members has become extremely frightening, and the anger surged on the face again.

But before they got angry and cursed, the nurse shouted in surprise, "It's coming out, it's coming out, the effusion has been drawn out."

After successful puncture, bright yellow liquid flowed out from the catheter.

When it comes out, it is almost jet-like, which is completely different from Luo Shengsheng's previous puncture results.

After Luo Shengsheng's two punctures, although bright yellow liquid could flow out of the catheter, the speed of the flow out was extremely slow.

[Injection experience +1.]

[You have successfully completed an ultra-difficult paracentesis, reward injection experience +100.]

The system never seems to be stingy.

When the reward is 100 experience points, it will never be discounted.

"This, what kind of fairy operation is this? Is this a success?"

Luo Shengsheng was dumbfounded, and felt that the puncture techniques he had learned before were all fake medical skills.On the contrary, it was Zhou Can's seemingly violent operation, but in retrospect, he was handsome and efficient.

Could it be that the correct operation of puncture should be as vigorous as Dr. Zhou just now?
It seems that the next time I puncture a patient, I can't be so delicate.

But when Luo Shengsheng calmed down and saw clearly where Zhou Can had pierced, he became restless again.

At this puncture point, important organs intersect, and large blood vessels pass through.

At that time, it wasn't that he hadn't thought about choosing this part for puncture, but he just gave up as soon as he considered the danger.

Puncture at this point, if he were to operate it, not to mention being as fierce as a tiger, even if the puncture was done carefully, it might injure organs or blood vessels.

How did Zhou Can do it?
What came out of the catheter was indeed fluid, not any blood.This means no organs or blood vessels were injured.

The scariest thing about performing a paracentesis at this site is that red blood spurts out of the catheter as soon as the needle is inserted.

When this happens, you win the lottery.

The large blood vessel was pierced.

This is also the practical reason why the teaching teachers are unwilling to let interns and regular trainees get started with any slightly higher risks.

In case something goes wrong, the teacher will not even have time to cry.

"Is this all right?"

The family members also had complex expressions and were full of emotions in their hearts.

Seeing that the doctor named Luo failed to operate twice, they also knew that the puncture must be extremely difficult.It's just that I didn't expect that after the seemingly younger Dr. Zhou came on stage, it would be done with one injection.

And the speed was so fast that it was too late for people to stop.

It happened to be successful.

They all began to wonder if Luo Shengsheng was acting there before?

The eyes of the family members looking at Zhou Can have changed from suspicion and anger at the beginning to respect and gratitude.

For family members, whoever can cure their relatives is their benefactor.

"It's the first time I've seen Dr. Zhou's puncture operation so lightly! The level is so high, I'm afraid it's not inferior to those chief physicians!"

Nursing nurses are mostly young girls.

This female nurse is only 23 or [-] years old, very young.

Seeing how powerful Zhou Can's piercing skills are, she adored Zhou Can.

He even smiled and took the initiative to chat and show his favor.

"Hehe, the beautiful nurse has won the prize! I'm still far from the director's level."

Zhou Can's current injection skills are at the level of a deputy chief physician. To be promoted to a chief physician, he needs a full 10 experience points.This is an extremely scary number.

It's still a long way to go.

As many of his medical skills were promoted to the fifth level, the upgrade speed of these medical skills began to become very slow.

this is normal phenomenon.

It takes many doctors 30 to [-] years to reach the level of chief physicians, and this refers to the very few outstanding ones.

As for the kind of doctors with dull talents, they can only be at the attending level for the rest of their lives.

"I just saw the patient's radiograph. Her peritoneal effusion will continue to produce fluid until the lesion is not resolved. It is best to keep this drainage tube. However, special attention must be paid during the nursing process. When drainage When no fluid flows out of the tube, the tube should be withdrawn in time to avoid abdominal infection."

Zhou Can reminded the nurse.

For the care of patients, the hospital has never clearly stipulated that only nurses can operate.

Basically, doctors and nurses work together to manage patients well and ensure that patients are discharged smoothly after recovery.

"Mr. Luo, the patient's puncture has been completed, and the family member of the 73rd bed may have to ask you for help!" Zhou Can made a request to Luo Shengsheng.

(End of this chapter)