My medical skills add experience

Chapter 334 Let go of the shopkeeper and seek help from cardiothoracic surgery

"Let me tell you, this doll's congenital heart disease will definitely require surgery, and his surgery is very complicated and the risk is extremely high. If you are willing, we will first find a way to admit the child to the hospital. The specific surgical plan will definitely require It can only come out after a multi-party risk assessment and discussion."

Director Zhuang must have understood that this case of congenital heart disease is not curable after watching the film.

He mentioned that it needs to be evaluated and discussed by multiple parties. If he guessed correctly, it is very likely that a doctor from cardiothoracic surgery should be invited for a joint consultation.

"Yes, we are willing!"

The family members were worried that something might happen to their child, and they no longer dared to confront the doctor.

Even the mother of the child is honest.

"Doctor Zhou, this patient is treated by you. I'm afraid I have to ask you to stop to the end and continue to follow up. The formulation of the operation plan, the linkage of various departments, and the consultation all need to be in charge of you."

After Director Zhuang settled the matter with his family, Zhou Can was dumbfounded by one sentence.

"This, this is not appropriate! I'm just training, such a major operation must be performed by you, the chief physician!" Zhou Can would have cursed if he hadn't been intimidated by the other party's identity.

Director Shang of the Department of Gastroenterology is enough to exploit people.

All kinds of things are directly on him.

Now, as soon as Director Zhuang came up, he directly pressed a child with congenital heart disease to him.This is a level four major surgery, it's too scary.

Although Zhou Can has a tiger running in his heart, he thinks that if Director Hu Kan from the Department of Cardiothoracic Surgery can be invited to guide him, maybe it is not impossible to challenge this operation.

"I will do my best to assist you! You young people are full of drive, and you are at the age where you should break through and fight hard. That's it."

In front of the patient's family, Director Zhuang shamelessly assigned the task to Zhou Can.

Officials crushed people to death.

He is the chief physician, and he was authorized by Tang Fei, the director of pediatrics. Zhou Can really wanted to cry without tears.

At this time, Zhou Can could only look to his family members for help.

Winking at the children's parents and grandparents.

I hope these family members will come forward to help and say something.

Finally someone understood Zhou Can's meaning.

The child's grandmother said in a sharp voice, "Director Zhuang, my wife has a lot of mouths, so don't take offense!"

"Elder Sister, if you have anything to say, just say it!" Director Zhuang is about ten years younger than the child's grandmother, so it's perfectly fine to call him Eldest Sister.

"You see, although Dr. Zhou is very good, he is too young and lacks experience. My grandson has a serious congenital heart disease. Experts from the Provincial Children's Hospital said that the operation is close to death. In order to increase the success rate of the operation, It’s definitely safer for you to preside over it yourself.”

Old people don't speak as aggressively as young people.

Quite tactful.

After hearing this, Director Zhuang explained in a serious manner, "I didn't say to ignore this matter, it's just that Dr. Zhou took the lead. This approach is also in line with the first visit system of our hospital. Besides, Dr. Zhou looks young, His surgical experience is not necessarily less than mine. There is a saying that old people are not age, but state of mind. Age does not represent everything. Especially in our doctor industry, technology is changing with each passing day, and outstanding young doctors are better than us in many ways. These older doctors have an advantage."

"Not to mention anything else, the physical strength required for an operation is beyond your imagination. Let me tell you another secret, this kind of large-scale operation has never been done by one person, but by a whole surgical team, so you Don't have any worries."

After Mr. Zhuang's explanation, the family had no objection.

Zhou Can couldn't ask others for help this time.

He will be responsible for this patient to the end.

First of all, find a way to coordinate a bed for the child.If the child is transferred to cardiothoracic surgery for treatment, the pediatric department will definitely not agree.

The benefits of a congenital heart disease operation are considerable.

Even the simplest congenital heart disease treatment costs more than 1 yuan.The condition of this child is so serious, the operation is extremely complicated, and the cost of operation and treatment is likely to exceed 12 yuan.

There is no way to estimate the specific cost for the time being, and a more accurate cost result can only be obtained after the surgical plan comes out.

Although the cost of the operation is high, for a family, as long as the child can be saved, it is estimated that selling a car or building will be treated.

"Director Zhuang, how would you like to arrange this child directly to your neonatal department? They won't agree to let him live in another department!"

Zhou Can's arrangement has a deep meaning.

Didn't Director Zhuang ask him to preside over the treatment of this child?no problem.But if the person is arranged to live in the neonatal ward where Director Zhuang is, Director Zhuang will not be able to be the shopkeeper.

"can!"

Director Zhuang and Zhou Can looked at each other and agreed readily.

"You should at least make sure to do the ward rounds once a day!"

He added one more condition.

"no problem!"

Zhou Can also readily agreed.

Both of them are smart people, and they easily understood each other's intentions.

After the discussion is over, the patient will be admitted to the hospital. Director Zhuang will naturally coordinate the matter of lack of beds.Zhou Can arranged for the child to be admitted to the neonatology department, but it was not for nothing.

Moreover, Director Zhuang also had to watch over the bed every day.

……

Back at the Department of Gastroenterology, it was only 2 minutes before twelve o'clock at noon.

Director Shang also told Zhou Can to help the Department of Gastroenterology more, but ended up staying in the Pediatrics Department for more than an hour.After a while, Director Shang knew about it, so he might have to talk about it.

Zhou Can simply went to the cafeteria to have lunch, and then returned to work in the Department of Gastroenterology.

Around one o'clock in the afternoon, Director Shang came.

He was very happy to see that Zhou Can was treating the patients in his group.

"Xiao Zhou, it's not bad! After finishing this case in a while, go to the outpatient clinic to sit with me. It's almost one o'clock, and I will take them to the outpatient clinic first."

Zhou Can was secretly happy that this level has passed.

But the child with congenital heart disease had to find a way to work out the operation plan.

He made up his mind, got off work, and went to the cardiothoracic surgery department to ask Director Hu Kan for help.

……

The afternoon consultation passed quickly, and I learned a lot of useful knowledge with Director Shang.

Director Shang is strict with his doctors, but he is also very patient when teaching them.Zhou Can has also benefited a lot from sharing his valuable experience in diagnosis and treatment with them.

After work, Zhou Can went straight to the cardiothoracic surgery department.

The same building, the same busy scene, but he clearly felt some changes.

I can't say it, but the atmosphere of this department seems to be no longer the familiar one.

After all, it has been more than a year since I left cardiothoracic surgery.

"Doctor Zhou is here! Long time no see!"

A passing doctor greeted him with a warm smile.

"Hehe, it's been a while since I've been here. There's nothing I can do about it. I'm so busy every day. Is Director Hu Kan off work? I'm here to ask him about medical issues."

Zhou Can asked.

"Director Hu's health is not as good as before, and he seldom performs surgery himself. But as long as his health permits, he will come to the department to work every day. Either he is in the outpatient clinic, or he guides other doctors to perform operations in the operating room. You don't know, We didn’t do well in the operation, as long as you are scolded, Director Hu will mention your name.”

Zhou Can couldn't help feeling worried when he heard that Director Hu Kan was in poor health.

Director Hu Kan's age is actually not very old, at least in this good era when the average life expectancy is 78 years old, around 60 years old is really not considered old.Many well-maintained men are still as good as boys at the age of 60.

Doctors are the people who know how to preserve health best in the world, but they are also the group of people who are the least able to preserve health in this world.

Especially for surgeons, it often takes seven or eight hours, or even more than ten hours, to perform an operation.By the time the busy work was over, it was already past meal time.

There is also the problem of drinking water. No matter how thirsty you are in the operating room, you can't drink water.

Then rest is also irregular. At three o'clock in the middle of the night, no matter how soundly you sleep, when you hear the phone ringing, you will immediately feel nervous.I'm afraid that something will happen to the patients in the department.

It is not uncommon to run back to the hospital in the middle of the night to rescue patients.

According to statistics, the average life expectancy of a doctor is only 54 years old.This is a very scary statistic.

If it is announced, it is estimated that many teenagers will give up the idea of ​​studying medicine.

"What are you mentioning me for?"

Zhou Can didn't understand what other doctors' scolding had anything to do with him.

"Praise you for your high talent in surgery, and your rapid progress in your studies! Director Hu also said that it is a very happy thing to have an apprentice like you. Oh, by the way, you are lucky today. Director Hu is still in the office, but after listening According to the conclusions of the doctors, it is estimated that they are about to get off work. Hurry up and go there!"

"Okay, thank you! Goodbye!"

Zhou Can walked quickly to the doctor's office.

The door was ajar, and the sounds of doctors discussing cases came from inside.

In many practical departments, it is never the kind of formal reports and speeches that make the summary, but the simplest case discussion.

Sometimes they even get red-faced and red-faced, just like arguing.

Boom boom boom!
Zhou Can knocked on the door politely.

Although he is familiar with many doctors in cardiothoracic surgery, he must have the proper courtesy.

"Please come in!"

A slightly old but calm voice came.

It was Director Hu Kan's voice.

Pushing the door open and walking into the office, I saw Director Xueyan and others showing surprise expressions.

"Wow, Doctor Zhou is here!"

"Hello Director Hu! Director Xue, Director Le..."

Zhou Can smiled and greeted these old acquaintances one by one.

In private, he called Director Xueyan Sister Yan.The relationship between the two is very close.The basic medical knowledge that Zhou Can learns every day was formulated for him by Director Xueyan.

When encountering difficult problems, he will often consult Director Xueyan for advice.

"But I haven't seen Xiao Zhou for some days. I don't need to guess to know that he must have come to ask us for help." Director Hu Kan looked very pale, but his mental state was not bad.

In particular, the arrival of Zhou Can added joy and made him very happy.

"Hey, Director Hu is still so predictable, I can't hide anything from you. I tried to see a day in the pediatric department yesterday, and I saw a boy with congenital heart disease, less than four years old. The child's condition is very serious. Seriously, now the skin of the whole body is severely cyanotic, and even a hypoxic coma has occurred. The family members have agreed to be hospitalized for surgery. There is a solution, I can only go here to find the teachers to learn from."

Zhou Can can feel that many old acquaintances in cardiothoracic surgery still treat him the same.

The look in his eyes is also very friendly.

It's such a great feeling to have this friendship.

"You kid is still acting like a good boy here! What are you trying to do? All the young doctors sitting here are eager to have the opportunity of you. Tsk tsk, Director Tang Fei of the Department of Pediatrics is really willing to give me the opportunity to exercise. When it comes to you, even the simplest congenital heart disease operation is a major operation. The risks involved are huge, and if something goes wrong, it’s not your turn to be responsible for it. Be content, kid.”

Director Hu Kan couldn't help scolding him with a smile after hearing this.

"I'm sure I'm content! It's just that I'm quite terrified. If I mess it up, Director Tang Fei and others will be so sad! Fortunately, there are teachers from the Department of Cardiothoracic Surgery behind me to help me, so I don't feel so panicked. "

Zhou Can replied with a smile.

How could he be so clueless?
Don't look at Director Zhuang's desire to be the hands-off shopkeeper, it seems that he is lazy and a little irresponsible.In fact, as director Hu Kan said, Zhou Can is just a regular trainee, and if something happened, it must be the tall man who took the lead.

Director Zhuang and Director Tang Fei are the main persons responsible for this operation.

Their pressure is probably much greater than that of Zhou Can.

"Did you bring the materials? Just because everyone is present, let's discuss together!" Director Hu Kan looked at the bag Zhou Can held in his hand.

"Bring it! Everything comes on a first-come, first-served basis. I'll wait for you to finish discussing the work before asking you to help me solve the problem."

Zhou Can didn't dare to overwhelm the host.

"We've finished our discussion just now. Doctor Zhou, bring out the information!" Director Le spoke for him.

"What are you talking about, hurry up!"

Director Hu has already started urging.

"Then I won't be polite!"

Zhou Can took out the patient's information and first handed it over to Director Hu Kan for review.

Then spread to several chief physicians.

As for the other attending and resident physicians, they gathered around their senior physicians and watched together.

Definitely need to maximize time savings.

Learning is even more about being proactive.

"Everyone has basically read the inspection report, please don't express your opinions, let me see if Xiao Zhou has made any progress!"

Director Hu Kan locked his eyes on Zhou Can.

"Let's talk about your surgical thinking and plan first."

Zhou Can didn't hide it, and directly stated his operation plan.

"I'm going to establish extracorporeal circulation for the patient first, and then do the total caval-pulmonary artery connection... After the first stage of surgery, about 24 hours later, I will perform another operation, remove the tunnel baffle in the atrium, and keep the upper The vena cava-right pulmonary artery anastomosis seals the roof of the right atrium..."

After listening to Zhou Can's operation plan, the whole office was so quiet that a needle could be heard.

Director Le looked at him with an extremely exaggerated expression of admiration.

Director Xueyan showed a knowing smile.Zhou Can's surgery plan today is so clever, which involves a lot of basic medical knowledge, which shows that he is not lazy at ordinary times.The study plan she helped Zhou Can formulate, he must have been studying pragmatically.

After digestion and deep thinking, the two high-level attending physicians looked at Zhou Can with exaggerated expressions of shock.

"This kid is amazing. Although this surgical plan is not perfect, it tests all aspects of surgical skills, basic medical knowledge, and even some advanced medical knowledge. What's more frightening is that knowing these knowledge and skills is not enough. It needs to be integrated into practice.”

so amazing.

(End of this chapter)