My medical skills add experience

Chapter 425 What is more terrible than the disease is the human heart, which can be cured, and it is not responsible for death

"Doctor Zhou, you also cured the patient with severe gangrene last time. Can you see if this patient can be saved?"

Dr. Luo, who was on duty, saw that Zhou Can was coming to work, so he hurriedly called him over to help him take a look.

Today, Zhou Can's status in the emergency department is getting higher and higher, and his strength has also been recognized by the doctors and nurses in the department.

In terms of qualifications, Dr. Luo is much higher than him.

When he first entered the emergency training, Dr. Luo was already on duty alone in the emergency department.Although the emergency department is on duty, the requirements for doctors are much lower, but the department must select excellent doctors for consultation.

In some stronger specialized departments, the doctors who sit in outpatient clinics are basically the deputy directors.

At the attending level, unless some are particularly excellent, it is possible to obtain the qualification for outpatient consultation.

Now more than three years have passed, and Dr. Luo has been successfully promoted from a senior resident to an attending physician.It is said that he is working hard to write a thesis, preparing for the review of the associate senior title in the near future.

For a big hospital like Tuya, it seems that there are only two things that are most important now, either strong surgical ability or good paper writing.

The more SCI papers are published, the more stable the position in the department, in the hospital, and even in the entire medical field.

Then those who publish more SCI papers are envious of those with high paper scores.

The higher the score, the greater the influence, and the more authoritative in a certain field.

Zhou Can co-authored many papers with Dr. Shi from the Department of Intensive Care Medicine, and successfully published three SCI papers. Although the impact factor is a bit low and the score is not satisfactory, it is a sign anyway.

He is quite familiar with the entire SCI paper topic selection, experimentation, writing, and publication process.

At present, he has already prepared a pretty good topic, and he has collected almost all the materials.Then the experimental data is being prepared.It is estimated that by next year at the latest, I should be able to tinker with a paper by myself.

Whether it can be selected into SCI is still unknown for the time being.

Anyway, he still has plenty of time, so don't worry for now.

What to do now is to accumulate as much experience as possible, master more essay skills, and find ways to improve the quality of essays.

Just because there are many SCI papers published, but the scores of each paper are very low, that is not interesting.

Relatively speaking, quality is more important than quantity.

After being greeted by Dr. Luo, Zhou Can stepped forward to check the patient's condition carefully.

The primary burn was on the front and outer aspect of the left thigh.

There was also a burn on the right thigh, but it was in good condition and no serious decay occurred.

"You were scalded by the hot liquid, right?"

After seeing it, Zhou Can asked the patient.

"I was knocked over by the waiter while eating hot pot, and it all fell on my lap."

The hot pot contains salad oil and various seasonings, which pose a higher risk of injury than ordinary boiling water soup.

"Didn't you go to the hospital in time? How did you let it rot like this?"

When Zhou Can talked with the patient, he was also quietly observing the patient's state.At present, the patient's mind is clear, and he is slightly weak when speaking, and his condition is relatively good.

"I was treated in the hospital, but the situation was not ideal. Also, I was severely allergic to anesthesia. At that time, I was going to undergo general anesthesia for a thorough debridement operation. As a result, I was found to be severely allergic to anesthesia during the skin test. Even if I gave a small amount, my whole body would convulse. , rapid heartbeat, difficulty breathing and other symptoms."

Patients can honestly explain these deficiencies, at least fairly frankly.

Standing next to her was a young girl with teary eyes, in her early twenties, with a sad face and eyes swollen from crying.The dress is very simple, and it looks like a street stall. The skin on the hands is not only rough, but also has some small cracks.

This is a poor girl.

There should be a lot of rough work done on weekdays.

She looked particularly haggard, and judging from the state of her eye sockets, she should cry a lot.

Opposite her, stood four or five family members, all glaring at the girl, appearing bitter and bitter.

"Doctor, I beg you to save him. Even if I sell myself, I will raise enough medical expenses for you." The young girl seemed to see that Zhou Can's status was relatively high.

Then I heard from Dr. Luo that Zhou Can is good at treating this difficult disease.

She immediately asked Zhou Can for help.

"You are the waiter who overturned the hot pot pot?"

Zhou Can has already guessed her identity.

"Ok!"

She bit her lip and nodded vigorously.Tears flowed out again.

A very inconspicuous little thing can ruin a person's life, it is definitely not nonsense.For example, when she was a waiter, she might have just accidentally knocked over the hot pot pot at that time, but she had to pay a very heavy price afterwards.

"If my husband's leg can't be cured, it won't be enough to sell you."

"As long as the person cannot be rescued, she must pay for her life!"

Several family members are quite fierce.

If it were another doctor, facing four or five fierce family members, he would definitely shrink his head to save his life.

In addition, the attitude of family members also determines whether doctors are willing to treat patients.

These family members seem to be difficult to mess with, complaining, entanglement, and even lawsuits.What if the patient is cured, or the patient's leg cannot be kept, and the doctor will be blamed?
Therefore, when encountering this type of family members, we can only blame the patients for their bad luck.Doctors will generally say euphemistically that my level is limited, you should go to a better hospital for treatment, and don't delay the condition.

Especially in large public hospitals like Tuya, there is no shortage of patients.

To be realistic, in many cases, doctors have the power to choose patients.

After all, it is related to one's own income and future.

Patients who may bring losses to departments and hospitals and cause major hidden dangers to their own future are resolutely not accepted.

Even if it does not affect the future, and there is a risk of being beaten up by the family, the doctor will also try to refuse.

Sometimes, many family members who don’t pay attention to their morality when speaking, or family members and patients who like to ask questions, will find that their illness is obviously a minor illness, but they have asked several hospitals, large and small, and they all say that it cannot be cured. .

There is no doubt that such patients are basically rejected by any public hospital.

There is only one kind of hospital that will welcome them, and that is the Kamata hospital.

Guaranteed to give patients the feeling of being at home, the most dedicated and considerate service.

"She's just a waiter at a hotpot restaurant. Now she's in trouble. You don't bother with the hotpot restaurant, but you threaten this little girl. Are you going in the wrong direction? Look at her, she looks like someone who can afford huge medical expenses ?"

Zhou Can usually doesn't meddle in other people's business.

But this little girl is obviously ignorant of worldly affairs. It is certainly wrong to cause trouble, but it is obviously unfair to let her pay the bill alone.

If an employee makes a mistake, the unit must bear most of the responsibility.

"These uncles and aunts have discussed with my boss several times, but to no avail. The boss of the hotpot restaurant where I work is very powerful and asked them to go to court." The girl explained weakly.

"No wonder, the persimmons are so soft! It's just that the little girl is just a waiter. She just entered the society. Where can she get the money to compensate you?"

Zhou Can defended the girl.

Kindness is engraved in everyone's bones.

When encountering this kind of weak being bullied, I believe that most people are willing to lend a helping hand within their ability.

"I said, what's your business as a doctor?"

"She said it all, and she is willing to sell herself to pay for it."

"Anyway, she caused the accident, so we will find her. Her boss doesn't want to lose money, that's her business, let her discuss it with the owner of the hotpot restaurant."

Several family members scolded each other more fiercely than the other.

That is to say, Zhou Can is tall and a man, so no one dares to do anything.

Of course, they are still asking Zhou Can to get the patients treated here.This is also an important reason why he didn't play tricks on Zhou Can.

"I found our boss, he, he asked me... to accompany him for five years! I would rather learn from the Internet and sell myself than be someone else's mistress."

The little girl lowered her head and said stubbornly.

"Your idea is right. You should not compromise when facing evil. The lotus emerges from the mud without being stained, so it is deeply admired by poets. This is why the world later regards it as an elegant and holy thing, and can be compared with Mei Lan Among the four kinds of flowers, bamboo and chrysanthemum, gentlemen stand on equal footing."

Zhou Can admired the girl's refusal to bow to her fate and her way of refusing to go along with others.

Her ability is low, but her character is very good, which is admirable.

From her experience, we can also see how sinister this society is.When you are weak, you face all kinds of plunder and oppression.

The family members approached the owner of the hotpot restaurant for an explanation, only to find that the owner of the hotpot restaurant is very powerful and can easily deal with them, so they were afraid.He didn't dare to go to the owner of the hot pot restaurant again, and finally squeezed the troubled girl to death.

The owner of the hotpot restaurant is even more evil, obviously he should be responsible, but he shamelessly took the opportunity to ask this little girl who has no experience in the world to accompany him for five years.

As long as it is an individual, everyone wants to eat a piece of her meat.

"Doctor, are you seeing a doctor or what are you doing? Don't talk about what's available, just ask if my brother can be cured?" A big and round female family member was impatient and asked Zhou Can directly.

She was the one who scolded Zhou Can for being nosy just now.

Zhou Can wouldn't mind scolding this person if he took off his white coat.

Not now, you must confess.

Otherwise, it would be detrimental to him and the department to be complained.If he was photographed and posted online, those keyboard warriors could spray him into a sieve.

Today's hatred of doctors and wealth is extremely serious.

As long as there is something wrong with any doctor or nurse, and it is posted online by the family members, no matter whether the doctor or nurse is right or wrong, there will be a burst of scolding first.

The domestic medical environment is really hard to describe.

Doctors are originally a profession that relies on skills to make a living. In order to earn some hard work, they have to add money to materials and medicines.Look at the United States, doctors are absolutely high-income groups.

If the domestic medical ecological environment can make these doctors and nurses who rely on technology to make money to charge by technology with their heads held high, then it is possible to truly change the status quo.

Otherwise, the conflict between doctors and patients may always be in a very acute state.

The patient went to see a doctor and found that there were two yuan a box of replacement medicine, but the doctor prescribed him an expensive medicine of 200 yuan a box.Just imagine, after he found out, how could he not call the doctor black?

Nowadays, doctors are really black all their lives.

As long as you enter this line, you won't be able to wash it off.

In addition, major domestic hospitals only emphasize SCI papers, which is also a bad trend.

As long as doctors want to be promoted, they basically have to spend time preparing to write papers from the later stage of regular training.It is absolutely racking your brains, trying every means, and using all available resources to write the thesis well.

Seeing patients is a standardized operation anyway, according to the process.

Write the thesis first, and then talk about it. This is related to the future, and it is related to the status.

"Who is the patient's first-degree relative?"

Zhou Can didn't answer the shrew's words, but asked the family members.

"Doctor, what is a first-degree relative?"

"A person's parents, children, brothers and sisters, and the patient's legal spouse are all first-degree relatives."

With so many family members, Zhou Can directly planned to talk to a representative.

"I'm his sister."

"I am his brother-in-law."

"I'm his mother."

"I am his wife."

"I'm his big brother."

Good guy, four of the five are first-degree relatives.

Zhou Can suddenly felt dizzy.

"I have to go to work in the operating room right away. You choose a representative, and I'll talk to him. I've seen the condition. I'll tell the representative whether it can be cured."

Zhou Can was unwilling to accept this patient in his heart.

First of all, the thigh rot of this patient is particularly serious, and it is really difficult to cure.Because the rotting part is very wide, reaching the root of the thigh, it is very difficult to do amputation.

Another point is that patients are severely allergic to anesthetics, which is also a big problem.

In the end, these family members were obviously not good, and each of them was terribly fierce.Zhou Can was afraid that he would end up in trouble, complain and sue.

He is not very afraid of being beaten.

As long as the family members dare to act first, he will dare to kick people away.

"I am his wife, let me be the representative!"

After deliberation, the five people finally chose the patient's wife as the representative.

If the relationship between husband and wife is good, the relationship between husband and wife should be the closest.

Husband and wife spend more time together than they spend with their parents.

And it's husband and wife who usually live together.

Brothers and sisters can only be regarded as relatives.In fact, there is no way to treat them as real relatives.

Parents are relatives, and the intimacy of a husband or wife actually exceeds that of their parents.

It's just that there are too many scumbags and scumbags these days, which seriously destroys everyone's beautiful yearning for love.All kinds of infidelities in marriage, all kinds of calculations, and abandonment have caused the world's trust in love to drop again and again.

The wife who lived together for 11 years was diagnosed with leukemia, and the husband only agreed to conservative treatment.

Less than half a year after the death of his wife, he remarries a new wife.

A disabled soldier who returned from the battlefield, his wife took the compensation money from the state and flew away, leaving her husband to live alone without food.

As for those who have no feelings, are cheated of hundreds of thousands of gifts, or girls who are cheated of money and sex, and owe 10,000+ online loans, that is nothing.

"You come to the office with me!"

Zhou Can said to the girl.

In the office, the patient's wife took the chair next to her without hesitation.This behavior made Zhou Can frown slightly.

"Let me make it clear that your husband's illness is already very serious, even life-threatening. Moreover, the burn wound has rotted like that, and he himself cannot tolerate anesthesia, which brings great difficulty to the surgical debridement. If we treat him in our hospital, we must first sign an exemption agreement. Our hospital can do our best to treat him, and if the result is unsatisfactory, the family members can't find trouble with the hospital."

Zhou Can straight to the point, without any detours.

"Then how sure is your hospital of curing my husband?" asked the patient's wife.

"It's hard to say, we can only do our best. You can think about it again. If you want to treat it, hurry up before it develops into systemic sepsis. His disease will develop very quickly, so he must not Delay. If you feel that the treatment in other hospitals will be better, you can also go to other hospitals for treatment.”

Zhou Can's most annoying family members asked him how sure he was.

No doctor dares to say that he will be cured.

Just do your best.

"Okay then, I'll discuss it with my relatives."

The patient's wife is out.

The girl who got into trouble was about to leave, but Zhou Can called her to stop.

"You wait."

The girl looked at Zhou Can in puzzlement, and stayed.

The patient's wife looked back at the two of them in doubt.

(End of this chapter)