My medical skills add experience

Chapter 248 Acquaintances are easy to handle, this matter is really hard to explain
Under normal circumstances, the safe dosage for adults is about 50-40ml of 100% glucose solution intravenously.

Zhou Can had given him the maximum dose.

If the patient eats normally, there is no need for intravenous injection at all, and sugar water, candies, biscuits, etc. can be taken directly orally.

After treatment, the patient slowly woke up and his body returned to normal.

It just looks very weak.

If you don't help him cure the vomiting disease, he will have an accident sooner or later.

Patients cannot eat, which will lead to calorie intake lower than energy consumed by exercise and metabolism, and the stored energy substances will be continuously converted into glucose for energy by gluconeogenesis.

However, the energy reserve in the patient's body is limited. If no energy supplement enters the body for a long time, the stored energy will be converted into glucose due to consumption. Finally, hypoglycemia will occur in the body after there is no excessive glucose consumption.

This type of hypoglycemia caused by starvation is extremely common.

Some people have not been able to find a job for the time being due to their lack of money, or they are under great financial pressure, so they are reluctant to spend money on food.

In the end, he fainted from hunger in the street.

In this case, if there is sugar, give the patient one to keep in his mouth, and he will recover slowly.

Then let the patient eat in time to replenish energy.

"Give him a nutritional infusion first!"

Zhou Can issued another doctor's order.

I don't know how Director Shang is coordinating?

All the lesions of this patient have been detected, and the operation of craniotomy to extract worms is not complicated, and it can be cured in time.

He decided to take the initiative to go to Director Shang's office to ask.

This is also the responsibility of the patient.

All the way outside Director Shang's office, he heard a muffled "bang" sound coming from inside.It sounds like you're hitting a table or throwing something.

It seems that Director Shang has suffered a lot.

Boom boom boom!
Zhou Can hesitated outside the door for a few seconds, and finally decided to knock on the door.

"Please come in!"

Director Shang's calm voice sounded.

Pushing the door open, I saw a thick book dropped to the ground.

Zhou Can bent down to pick it up naturally, put it on the table, and then said, "Director Shang, just now the patient with parasites in the brain fainted due to hypoglycemia."

"How is the man now? He is vomiting badly and can't eat normally. You quickly inject him with glucose solution intravenously, first use 60 ml. Use 50% diluted glucose solution."

Although Director Shang was still panting heavily with anger, he immediately became nervous when he heard that the patient had a problem.

And quickly and calmly gave a treatment plan.

"The medicine has already been used, and the patient has basically returned to normal. I am worried that the bug will burrow into his head. It would be a pity if something unexpected happened. Shenwai promised to send someone Are you here for surgery?"

Zhou Can secretly guessed that this matter might not go well.

Director Shang was so angry that he threw things just now, probably because the coordination of this matter was not smooth.

"Don't mention it! The grandsons of Shenwai are all masters of bureaucracy. I said that I wanted to find Director Wu, but he told me that Director Wu was performing an operation on a patient. Let me tell you something first." , and they will tell you when the time comes.”

Director Shang got angry when he mentioned this.

And the more he talked, the more angry he became.

He was slapped in an official tone by a little nurse yesterday, and the person he was looking for today should be of a higher level, but in the end he was still perfunctory and procrastinated.

"It's really annoying. I also know your difficulties, so just wait a little longer. I prescribed a nutritional infusion for the patient just now, and I have to go to the ward to take care of it. You are busy."

After Zhou Can came out of Director Shang's office, he secretly thought that he had to draw a thread and build a bridge for this matter.

Procrastination is not good for patients and for gastroenterology.

He is fairly familiar with the chief physicians of Shenwai, and Director Wen has the closest relationship with him.Wu Baihe was also able to speak, but in the end it was a little bit worse.

Zhou Can thought for a while, and decided to try with Director Wen first.

As for helping Director Shang to vent his anger and clean up the nurse who answered the phone, that's fine.

Isn't there an old saying that a prime minister can punt a boat in his belly, but a general can run a horse on his forehead!
There is no one who is not angry in life.

Zhou Can went all the way to the end of the corridor, and then dialed Director Wen's cell phone.

"Director Wen, hello, I'm Xiao Zhou!"

"I know, I know, I have kept your number! A few days ago I was still talking about you boy, but today I finally got a call from you boy. It is really not easy. How is the training recently? Is it going well?"

Director Wen's attitude towards him was as friendly as ever.

full of concern.

"Thanks to you, the regular training went smoothly. It's just that yesterday I received a patient with parasites in the brain and needed a craniotomy to get the worms. My Department of Gastroenterology is not capable of doing this operation. No, I thought Calling for your help."

Zhou Can never beat around the bush when talking to these close people.

So as not to be scolded.

Telling things directly is most popular with them.

"Craniotomy to remove parasites? You are fully capable of this kind of minor surgery, and you still need to ask me to help?" Director Wen knows Zhou Can's ability very well.

When Zhou Can was trained in Shenwai, his surgical ability was already quite powerful.

With Zhou Can's progress rate, after such a long time in the past, he has rotated training in multiple departments, and his surgical ability will only become stronger.

Not to mention the craniotomy to take out the parasites, even more difficult operations, Zhou Can is also competent.

"Aren't I not good enough? Craniotomy is a major surgery of the third or fourth level, at least the level of the deputy chief physician is required. If you have time to come and guide me in the operation, it will be perfect."

Zhou Can said with a smile.

He grows too fast, and he will also have some troubles.

For example, because of the low professional title, there is no admission qualification for major surgery.

Insufficient working years and qualifications, unable to apply for opening a personal clinic number, etc.

"What kind of parasite? How long do you estimate the operation will take?"

When Director Wen asked this question, it was obvious that he was going to help him.

"Sparganum, currently only one can be seen through brain CT. The operation time, if everything goes well, can be resolved within 10 minutes at the shortest. If the craniotomy is required, it should be resolved within three hours."

Zhou Can estimated the operation time.

The body of that sparganus should be very long, part of it is in the cranial cavity, and part even drilled out from the space of the skull, just under the scalp layer.

During the operation, if it does not run away, Zhou Can can directly clamp the part of its body below the scalp layer and pull it out entirely.However, this has certain risks and needs to be operated on a case-by-case basis.

If it would tear its body apart, it would definitely require a craniotomy to extract the worms.

Many parasites have powerful regenerative abilities like earthworms and leeches.Even if the body is broken into many segments, they can still regenerate multiple new lives through the residual limbs.

Therefore, when removing parasites, doctors will try their best to remove all their bodies.

It is impossible to let the severed body remain in the patient's body.

"When can the patient be operated on?"

Director Wen asked again.

"If you can agree to come and help, I can discuss it with the superior doctor now. It mainly depends on when it is convenient for you."

Zhou Can sighed in his heart that connections are really important.

If it weren't for his close relationship with Director Wen of Shenwai, this matter would have to drag on for at least another day or two.

It is quite difficult to coordinate the joint operation with chief physicians from other departments.

It can be done for sure.

But waiting for two or three days, or even longer, will undoubtedly increase the risks in all aspects.The cost of treatment for patients will also increase a lot.

"After six o'clock this afternoon, if you can make arrangements, then send the patient to the operating room outside Shenwai. Then I will work overtime and help with the operation."

Director Wen didn't even ask more about the patient's situation, out of trust and care for Zhou Can, he agreed directly.

The time is also very short, just on the same day.

The price is that Director Wen needs to work overtime.

I have to say that Zhou Can's face is really great.

As for the arrangement of the operating room, this also needs to be coordinated by Director Wen himself.

In a society of human affection, with the care of acquaintances, many things that were originally difficult can become simple and easy.

"Thank you for helping me so hard! I'm really sorry to trouble you all the time."

It's really not the first time that Zhou Can troubled Director Wen.

The other party readily agreed to help each time.

"You don't have to be polite with me. Train your medical skills in all aspects, and strive to practice them as soon as possible. We old guys are very much looking forward to the day when you officially take up the post!"

Director Wen did him a favor and didn't try to reciprocate.

Instead, I hope that Zhou Can will be promising in the future and become a great doctor.

After finishing the call, Zhou Can still felt warm in his heart.

He is very lucky. Since he was trained in Tuya Hospital, he has met many very good superior doctors.One by one, they tried their best to help him and train him.

The matter has been negotiated, and then just talk to Director Shang, and the patient can be arranged for surgery in the afternoon.

I believe both Director Shang and his family members will be very happy.

He came back to Director Shang's office, only to find that Director Shang had left.

It happened that Duan Zifu came from the direction of the ward.

Zhou Can hurriedly asked, "Doctor Duan, have you seen Director Shang?"

"I just left, and I seem to be rushing to go to school. Let's find Deputy Director Shi first if we need anything."

In Director Shang's group, Deputy Director Shi is the only deputy chief physician, and his qualifications are fairly old.In the absence of the team leader, director Shi basically handles major and minor matters on his behalf.

"Okay, then I'll go to Director Shi."

Zhou Can is much more sophisticated than Duan Zifu, but he doesn't know how to call the deputy director Shi on the left and the deputy director Shi on the right.

What a shock to be heard by others!
He found Deputy Director Shi who was about to go to the outpatient clinic.

"Director Shi, just now Shenwai agreed to operate on the patient with brain parasites, and asked us to send the patient to Shenwai's operating room at [-] p.m.."

Craniotomy requires some specialized equipment.

The interventional operating room of gastroenterology is only suitable for interventional surgery.

When doctors perform interventional operations, among other things, just wearing a lead suit weighing twenty kilograms is enough to make people uncomfortable.

Some lead clothing weighed as much as [-] jin, and the average female doctor couldn't wear it at all.

Older male doctors wear them like a suit of heavy armor.In this case, surgery on the patient is much more burdensome to the body.

Therefore, for operations that cannot be performed by internal medicine, you only need to ask for help from other departments.

It is generally required to pull the patient over.

No surgeon is willing to go to the interventional operating room of internal medicine to receive radiation.

"Oh! Did Shenwai finally agree? When Director Shang left just now, he was still complaining that the doctors and nurses in Shenwai were too difficult to deal with. It seems that it is better to find the leadership of the hospital."

Deputy Director Shi was surprised and finally agreed. He was very happy.

Zhou Can couldn't help being slightly startled when he heard this.

"Could it be that Director Shang found the leadership of the hospital and complained to Shenwai?"

The chief physician's temper is really big.

After being pissed off by the nurses and doctors outside of the gods, she directly complained to the hospital leaders.

Director Shang is not the only one who has done this kind of thing, Director Xie has also done it.

Just like a child who has been wronged, he likes to go to the teacher, and it makes sense to go to the parents to complain.

Sometimes, these chief physicians with extremely high status and high academic and medical skills also have a childish side.

"The Vice President Ye who was looking for must have been scolded by God, so he quickly agreed to this matter."

Deputy Director Shi said rather relieved.

Zhou Can's lips moved, but he finally swallowed back what he wanted to say.

It seems that I am still too young.

If I had known, I wouldn't have called Director Wen for help.

Now that Director Shang made such a fuss, how can he explain it in front of Director Wen?
……

In the afternoon, Zhou Can received three new patients.

It is equivalent to managing seven beds in total.

Director Shang went to school for class and never came back.Deputy Director Shi is in the outpatient clinic, and he, Duan Zifu and others are busy in the inpatient department.It is equivalent to doing logistics.

After staying up until [-]:[-], Zhou Can had handed over all the patients in his hands to Luo Shengsheng, the hospital chief.

The fashion director also rushed back to the department after class.

Zhou Can and three graduate students under Director Shang pushed the patient whose brain was infected with parasites to neurosurgery.Director Shang personally led the team.Family members are by the side.

When a group of people came to the neurosurgery department, Zhou Can was on the road thinking about how to explain to Director Wen later.

"Hello, we are doctors in the Department of Gastroenterology, and now we have brought the patient with a parasite infection in the brain. May I ask which operating room is the patient operated on?"

Director Shang asked the nurse at the nurse station expressionlessly.

"Director Wen has already made arrangements, and it's in operating room No. 2. Dr. Zhou, do you want me to take you there?"

Hu Shuiling, the nurse in charge, saw that Zhou Can was there, and greeted him with a smile.

In her heart, Zhou Can's status is much higher than that of Director Shang of Gastroenterology Department.

Zhou Can is highly valued by many chief physicians in Shenwai. Just one word may affect her future.

But no matter how high Director Shang's status is, he is still only the director of the Department of Gastroenterology after all.

For her, a supernatural nurse in charge, it's beyond her reach.

Therefore, she didn't care much about Director Shang.

Zhou Can even wondered if Director Shang called yesterday, did Hu Shuiling answer it?

"No, no, we can go there by ourselves. You are busy."

Zhou Can is very familiar with Shenwai's operating room.

Push the patient to the operating room.

"Hmph, it was difficult to deal with these supernatural people before. Now I know how to be honest. Look at their enthusiastic attitude, it's really relieving." Director Shang snorted.

Seeing that everything has been arranged in the neurosurgery department, and the attitude of receiving them is quite warm, Director Shang feels very relieved.

After the bad breath in my heart came out, I felt much more comfortable.

He also thought that the change in Shenwai's attitude was due to the complaint, but he didn't know that it was the result of Zhou Can secretly asking Director Wen for help.

The patient was quickly pushed into the operating room, and the anesthetist was already in place.

It was the official doctor whom Zhou Can hadn't seen for a while.

An official doctor is enough for this level of surgery.

Dr. Feng will personally dispatch only for major operations with extremely high risks.

"Long time no see, Doctor Guan!"

Zhou Can greeted with a smile, and at the same time took the initiative to help the patient perform anesthesia surgery.

"It's been a while. I heard that you entered the internal medicine department, and sometimes I miss you." With his help, Doctor Guan can indeed relax a lot.

Zhou Can is almost fully capable of performing most anesthesia operations by himself.

Either general anesthesia or spinal anesthesia.

"When I finish my internal medicine training, I will definitely have a lot of chances in the future. I'm afraid that you will see me every day and think I'm annoying."

As long as Zhou Can returns to the emergency department, he will definitely form a surgical team.

At that time, it is really possible to meet with the official doctor every day.

(End of this chapter)