My medical skills add experience

Chapter 409 Hospitals Pit Each Other, Terrible Gangrene Patients
"Young man, I'm afraid I can't give you the remittance account number now. I'll report this to you tomorrow, and I'll call a meeting with the leaders of the office, and I'll send you the account number after it's confirmed. Of course, it's best if you can come over in person , it would be better to sign a written agreement."

To donate money to individuals, just give the money directly.

If it is a charitable donation for a specific purpose, it can also go through an intermediary department.

Donating to the unit, the procedures are relatively troublesome.

Zhou Can felt that it was good to be able to sign a written agreement, which would guarantee protection for both parties.He was mainly worried that the money would be embezzled by the leaders of the institute.

Chen Guoli could be trusted, but it didn't mean that other people in the office could also be trusted.

Especially the leaders of some administrative posts, the means of making money are first-rate.

"That's fine. Let me know after discussing it tomorrow. I have to go to work during the day and I don't have time. If I sign the gift agreement, I'm afraid I can only do it at night. If the money is actually used and the effect is not bad, I can consider continuing to donate in the future." .You’s spirit of traditional Chinese medicine, as well as the remarkable curative effect of treating my girlfriend, let me see the potential and importance of traditional Chinese medicine. Seeing the continuous decline of traditional Chinese medicine makes me sad.”

After Zhou Can made an agreement with Chen Guoli, he took Su Qianqian to leave.

"Go slowly!"

Chen Guoli's attitude towards them this time was much more solemn.After personally sending them to the door, Zhou Can turned back, "Please stay!"

……

Time flies, and half a month has passed in the blink of an eye.

Because of Zhou Can's scalpel in the emergency department, the performance has been steadily increasing, and the number of official beds in the inpatient ward has increased from four to ten.Corey attached great importance to this matter, and was stunned to vacate another ward from the infusion room.

The reason why there were no more than ten beds was because the competent health authorities had clearly stipulated that for every ten beds added, at least one doctor and four nurses were required.

Emergency departments are understaffed.

Just expanded the staff last month, no matter how difficult it is now, we have to hide our strengths and bide our time for a while.Jumping up too fast, there are too many people staring at it, and it will be easy to encounter resistance from all sides.

The number of official beds has been increased to ten, plus those temporary beds, which are basically enough at this stage.

There were originally three doctors in charge of the bed, two formal residents and one intern.

Now there are more than [-] inpatient beds, Director Lou transferred another intern to help manage the beds together.Nurses are also in short supply, and the head nurse Niu Lan will find a way to solve it.

In general, emergency operating rooms and inpatient wards are running smoothly.

The reception hall in the front, the emergency examination in the laboratory at the back, and the screening of patients who can be treated in the emergency department will be performed in the emergency operating room. After the operation, the patient will go home or be hospitalized for further treatment.

Now this industrial chain is basically perfected in the emergency department.

It has also become one of the most important income-generating industrial chains for emergency medicine.

The income generated by the industrial chain of emergency room and intensive care unit is also considerable.

As for other businesses of the emergency department, they are basically in a state of soy sauce.

The income from doing various inspection items and prescribing medicines in the internal medicine department can only be regarded as barely good.

In short, although the emergency department is very poor, with the help of Tuya's huge traffic, the number of patients received every day is very considerable.After so many years, under the leadership of Director Lou, the doctors and nurses of Keyi have long had a set of ways to generate income.

You can't get rich, and you can't starve to death.

Compared with those important departments, it is miserable.Compared with deserted county-level hospitals, it must be much better.

From this point, we can also draw a conclusion that leaning against a big tree is good for enjoying the shade.

Graduate students, direct Ph.D. students, and ordinary doctoral students try their best to squeeze into a compound like Tuya, which has its own reasons.

On this day, Zhou Can finished his meal at noon and was about to go back to the operating room to work, but there was a quarrel in the emergency room.

A patient was lying on a flat bed, and the trouser leg of his right leg was rolled up to a position close to his knee. It could be seen that the leg was severely decomposed, and there was a certain degree of exudate and tissue melting.The seams have crumbled in places.

Zhou Can could tell at a glance that this was typical gangrene.

If it is not handled properly, it will kill people.

Wearing limbs to save lives is a relatively common operation.

Of course, under normal circumstances, family members and patients themselves will not be willing to amputate.

Therefore, the doctor will be asked to find a way to treat it.

The only way to treat patients with severe gangrene due to wound infection and suppuration is to remove all necrotic tissue.Then the patient is admitted to the hospital, with the help of antibiotics and professional medical care, waiting for the wound to heal automatically.

Usually, as long as the infection is controlled, the patient's diseased limb can be saved.

Some cases are serious, or patients have poor immunity, or have underlying diseases, and surgery is useless.

In the end, he had to amputate his limbs to save his life.

Especially some older diabetic patients are very prone to blackening and necrosis of the legs.

The family members cried and knelt on the ground, begging the nurses and doctors to treat the patient.

But the emergency doctor said that the disease needs to be sent to a specialist inpatient unit for treatment.The emergency department can only deal with simple emergency patients, and cannot treat such patients with wound infection, suppuration, and gangrene.

It is so serious, how dare the emergency department accept it!

Just look at the emergency doctor who shook his head like a rattle with fear on his face, and you can see how terrifying this patient is.

Regardless of the fact that the patient is still alive and well, if the condition worsens, it can take a sharp turn for the night and directly develop into sepsis, or even more severe sepsis is normal.

In the hospital, it is often seen that the patient's limb injury is not particularly serious, and he feels that it is well treated and can be saved.

The doctor insisted on amputation.

And changing a hospital, the same result.

It's not that doctors disregard human lives, but that the consequences of limb necrosis are extremely serious.Sometimes patients and family members can only see the appearance, and doctors can see the direction of the patient's condition by virtue of their professional knowledge and experience.

Knowing that he couldn't save it, instead of endangering his life at that time, he might as well amputate his limbs to save his life.

Zhou Can sometimes seems ruthless, but seeing this kind of scene, it is always difficult to control his sympathy.

Even though he has experienced the chills brought by patients and their families countless times, he still maintains an emotional side.

Especially seeing the child who was only three or four years old, kneeling on the ground with his mother, begging the doctor to admit his father.This scene looked shattering.

"Doesn't the specialist accept it?"

Zhou Can went over to ask the nurse on duty.

"General surgery is not accepted. The intensive care medicine department asks general surgery for treatment, but our side is unable to handle it. Therefore, we recommend that patients go to the Provincial People's Hospital for serious treatment."

The nurses in the emergency department are all experienced.

I have seen all kinds of family members and patients.

As long as they can stay, they are basically masters who are slick and adaptable.

When encountering such difficult patients, the hospital is not stupid. After the specialist room kicks the ball and rejects the patient, the nurses in the emergency department will try to persuade the patient's family members to transfer to other hospitals for treatment.

It is only right and proper for a small hospital to pit a large hospital.

A critically ill patient is taken to a township health center or community health service station, and you are asked to send it to a large hospital for emergency treatment. Will you send it?The family members didn't even think about it, and immediately agreed to transfer to another hospital.

In fact, a large hospital like Tuya will also push patients.

There are regulations above that rejecting patients is not acceptable.

Therefore, more moderate methods or subtle methods are used more often.For example, no medication is basically the same as conservative treatment.

The family members must be worried when they see their loved ones are in danger, but the hospital does not give them medicines!

After greeting the eighteen generations of the hospital's ancestors, he hurriedly transferred to another hospital.

There is also the technique that the nurses used just now. The certain hospital is more professional and has greater confidence in the treatment of this disease. It is best for you to go there for consultation.

The subconscious meaning is almost, please don't come to harm our hospital, you go to harm the one opposite!

"We have already seen it at the Provincial People's Hospital. The doctor there told us that the problem is serious, and the treatment plan at the Provincial People's Hospital is amputation. If you want to save your limbs, you must go to Tuya for treatment."

The female family member is a 37-year-old woman. Looking at her attire and temperament, she should be a country woman or a low-level social worker in the city.

Now that her husband's life is hanging by a thread, her heart must be full of panic and despair.

After Zhou Can heard this, his face twitched.

These big hospitals are really interesting, pushing patients to each other.

"Have you been checked?"

Zhou Can asked.

"Our hospital didn't do an examination, he did some examinations at the Provincial People's Hospital."

"Show me the results!"

Seeing that a doctor was finally in charge of this matter, the female family member quickly stood up, took out the examination materials from the bag, and handed them all to Zhou Can.

"How was he injured before?"

"I fell from a motorcycle. My husband and I took our children to work in the city. In order to save money, we got stitches at a well-known local clinic. I didn't expect the wound to become infected, and it became like this later."

The female family members must have concealed something.

From infection to gangrene, the wound has a long course of progress, and it definitely cannot become like this in a day or two.

Zhou Can didn't bother to ask.

It is nothing more than to save money. After an infection occurs, deal with it at home by yourself, with a fluke mentality.

Coupled with the lack of professional medical knowledge, it became like this.

The clinic's inadequate treatment of patients' wounds and poor suture techniques are also key factors.Looking at the situation of this family, it is estimated that there is no point in going to that clinic to file a lawsuit and demand compensation.

It is really not easy for the weak to survive in this society.

"Judging from his blood and urine routine test reports, there are already signs of sepsis. Amputation should be the first choice to save life."

After reading it, Zhou Can gave an evaluation.

"Doctor... I beg you to show kindness and save my husband! He is the pillar of the family, without his legs, how will our family survive in the future..."

The woman said, already crying.

When the child saw his mother crying sadly, he also pulled his mother's trouser legs and cried.

There are many patients nearby watching the excitement.

Each family sweeps the snow in front of their own doors, and no one cares about the frost on others' tiles.

Tragedy happened to others, and people who eat melons don't care too much.It's just to watch the fun.

Seeing the woman and the child crying sadly, Zhou Can was indeed pitiful, and went up to carefully inspect the patient's festering wound.A little closer, the pungent smell of rotting corpses hits the face.

This smell is much worse than the smell of rotten eggs.

Suppressing his nausea, he examined the wound carefully, and could see some exposed red granulation.

"Let me ask the teacher to help you ask!"

Zhou Can went to Dr. Xu with the examination report.

It is not a trivial matter to admit such a serious patient.What if something goes wrong?
He didn't dare to be the master on his own.

Dr. Xu has rich experience in diagnosis and treatment, and is especially good at various surgical injuries.

Check with him and see what he has to say.

At this moment, Dr. Xu is operating on a patient in the operating room.

"Teacher, I will sew up the patient. Please see if the leg of a patient with gangrene of the lower limbs can still be saved, okay?"

"Do you know how terrible gangrene is?"

Dr. Xu stepped aside, agreeing to allow Zhou Can to suture.

Master and apprentice, they get along more like father and son.

Zhou Can is like a Monkey King in the operating room of the emergency department, enjoying all kinds of privileges, and dares to perform almost any kind of operation.And it's actually the main knife.Without Dr. Xu's cover, it is impossible to have this kind of treatment.

It is definitely a blessing for every medical student to meet a good teacher in several lifetimes.

It is definitely the greatest misfortune in life to meet a teacher or superior doctor who only knows how to shirk responsibility, make money, blame, and squeeze students.If you encounter such a bad teacher, you can either leave or wait for the other party to leave.

Generally, medical students leave their own jobs.

The other party is doing well, and it is impossible to leave the job.

"This patient is the breadwinner of the family. His limb was really amputated. The child is still so young. For his family, it is almost an unbearable disaster. Gangrene is tricky, difficult to treat and risky, I know. That's why I want you to help me take a look."

Zhou Can worked swiftly while answering.

He sewed very carefully.

Ask Dr. Xu to do something, if the sewing is not good, Dr. Xu will definitely scold him.Most of the things you ask for are useless.

Before long, he successfully sutured the patient's abdominal cavity.

"Teacher, please check."

"Well, it's okay! Push it out and wake up from the anesthesia!"

After seeing it, Dr. Xu nodded with satisfaction.

He is quite satisfied with Zhou Can's craftsmanship.

"Don't come in with surgery patients yet." Dr. Xu explained to the nurse.

Zhou Can has two surgical nurses, but Dr. Xu has only one.Basically, Liu Xia, a senior surgical nurse, was his partner.

But sometimes it's replaced by someone else.

Dr. Xu has much lower requirements for equipment nurses than Zhou Can.

Zhou Can only likes to cooperate with Qiao Yu.

Not only because she is professional, but also because we have a very high tacit understanding with her, sometimes it is really the kind of heart-to-heart connection.Plus, she's beautiful, and who wouldn't want a beautiful female partner during surgery?
"Do you really want to save that patient?"

Doctor Xu stared at Zhou Can and asked.

"If possible, I am willing to try my best. I have carefully observed the patient's wound just now. Although the wound was suppurated and the tissue was liquefied severely, the bright red granulation tissue can still be seen. Moreover, the patient is less than 40 years old. He is in his prime, and his basic conditions are pretty good. He doesn’t have any underlying diseases, and if he works hard, he may not be able to keep his legs.”

Zhou Can's eyes were quite firm.

It's just that he's not alone in this matter.

If Dr. Xu disagreed, no matter how much he wanted to save someone, he would have to give up.

"If you really want to try it, then try it! I will talk to the family members. First of all, I must inform the family members of the risks and ask the family members to sign the consent form and the informed letter. In addition, closely observe for 24 hours after the operation. If the level of toxins in the body If the wound cannot be lowered, and the wound appears to be infected again, then there is no hesitation, and the limb must be amputated immediately to save life."

Dr. Xu told Zhou Can the general idea.

The two were just discussing it.

"Okay! Then I'll do the operation in the operating room first, and when it's done over there, hand over the patient to me, is that okay?"

Zhou Can readily agreed to Dr. Xu's plan.

Human life is at stake, he would never dare to be careless.

"Work hard first, I'll talk to my family members before I talk!"

Dr. Xu took the examination materials, went into the dressing room, changed into a white coat, and went out.

With the help of the teacher, this matter must be handled more safely.

Some potential risks will also be avoided by Dr. Xu in advance.

Zhou Can entered the operating room inside to perform the operation hard, waiting for news.

(End of this chapter)