My medical skills add experience
Chapter 430 Looking at death, the third hospital is too big
Chapter 430 Looking at death, the third hospital is too big
She stared at Zhou Can's eyes with big beautiful and charming eyes, and asked with a raised face.
"Then do you have time to send me a message?"
"Uh……"
Zhou Can was speechless for a moment.
It was Zhou Can who took the initiative to ask her to help that poor girl.
This feeling is like eating dry wipes, lifting the belt of the trousers and refusing to admit it.
"In order to help that poor girl solve the problem, I have used various resources. I may have to accompany that girl back to her hometown in a few days. It is difficult to ask for the compensation for her father's death. , the key is particularly dangerous. Lao Qin is just a photographer, not the opponent of those troublesome people in the mountains. Look, can you go with me?"
Twilight looked at him and asked.
"No, I don't have time."
Zhou Can directly refused.
What a joke, he's just a doctor, not a savior.
Helping that girl is only within the scope of my ability.
Let him ask for leave to accompany him back to the girl's hometown to ask for the death pension of the girl's father. Fortunately, Mu Ge dared to think about it.
"I knew you would not agree. Then you will cooperate with my interview honestly."
She was playing the game of asking for prices and paying back the money on the ground.
"What do you want to ask, you sort it out, and I will spare a little time to answer it for you then."
Zhou Can secretly guessed that the publicity department of the hospital might have reached some kind of consensus with her.
I want to use her power to help the hospital report this difficult case treated in the emergency department, so as to achieve the purpose of publicity.Twilight is to harvest traffic and publish high-quality press releases.
Both sides can be regarded as a mutual win.
As for Mu Bi helping the vulnerable girl, it was out of kindness and out of Zhou Can's affection.
So, no matter what, Zhou Can owes her favor.
Zhou Can knew this very well.
"Hey, can you have a little conscience? She put in a lot of effort to help that girl, isn't it all because of you? Also, whenever I have time these days, I take Lao Qin to the ward, It's also to help you promote. Don't you think it's too much for you to have a businesslike, cold face?"
She looked aggrieved, and I felt sad and pitiful.
Zhou Can is not afraid of toughness, all kinds of difficult family members, all kinds of hooligans and thugs who will use knives at the slightest disagreement, he is not afraid of them all.Afraid of girls' tears, afraid of girls' soft words.
"I invite you to have dinner with Lao Qin. It can only be dinner. I really don't have time during the day. You decide the location, five-star hotels are fine, and you can order whatever you want. If you have any questions that need to be interviewed, you can chat while eating. "
Zhou Can had no choice but to compromise again.
Otherwise, it's really hard to get through.
"It's not too bad, you have a little conscience. I'll ask you out again when the patient's condition is almost recovered. By then, the girl's problem should be basically solved."
A happy smile appeared on her face.
Zhou Can's attitude made her very comfortable and satisfied.
After talking with this beautiful reporter, Zhou Can went straight to the operating room.
As he recently helped the cardiothoracic surgery department perform various difficult three-level and four-level major operations, he clearly felt that his surgical ability was insufficient, and he needed to improve in many aspects.
In addition, after the upgrade of the operating room in the emergency department, he can start to undertake many difficult tertiary operations.
At that time, the hardware facilities have improved, but because of his lack of strength, there are still many tertiary operations that cannot be performed, so it will be too embarrassing.
Therefore, he has always been very motivated.
For many surgical skills, it is quite difficult to advance from level five to level six.
It is really not an easy task to accumulate a hundred thousand experience points.
Zhou Can was doing surgery in the operating room. It was almost ten o'clock in the morning when Dr. Xu came in and told him that the operation should be suspended for a while.An emergency patient came outside, and the receiving doctor couldn't clarify the condition, so he asked him to help with the consultation.
Usually, Zhou Can performs operations in the operating room and is rarely disturbed.
This time it should be an emergency, so I asked him to help.
When Zhou Can arrived, he found that Director Lou and Dr. Ai Li were both on the scene.Deputy Director Han had a severe arm fracture due to the last injury, although with the help of Zhou Can, he underwent surgery in time.
But it may take a long time to get back to normal.
The one-hundred-day injury is aimed at young people.
Some older people have poor physical fitness, let alone a hundred days, even half a year may not be able to fully recover.
"Xiao Zhou, this female patient was pulled over by an ambulance. The main symptoms were cough, chest tightness, and fatigue. I thought it was just a cold, so I bought medicine at the pharmacy and took it by myself. After four days, her condition did not improve. On the contrary, her condition did not improve. Aggravated. Then I went to the clinic in the rented place to get an IV. This morning, my roommate who shared the rent found me fainted. I called 120 for emergency treatment, but the ordinary district hospital was afraid to pick it up. I just brought us here. I just checked with Dr. Ai , It is initially suspected that it may be myocarditis."
When Director Lou saw Zhou Can coming, he quickly explained the patient's condition.
"Okay, I'll show her first."
Zhou Can was not polite at this time, Director Lou would not call him over easily.
Calling him over now is naturally hoping that he can help solve the problem.
He noticed that the girl's face and lips were a little purple, and he took her hand to look at it. The fingertips and nails were also blue.And the hands are cold.The blood oxygen is still so poor.
Zhou Can directly probed her forehead temperature with the back of his hand.
I don't feel like I have a fever.
"Have you been checked?"
"No. Both Xiaojing and I have just graduated. We are currently interns in the company and we still need to rent a house. She is sick this time. Considering that it will cost a lot of money to go to a big hospital, I dare not go."
It was not the family members who answered the call, but the roommate shared by the patient.
The two may still have a classmate relationship.
"Has the patient's family members come? Her condition is very dangerous, and many rescue measures require the signature of immediate family members."
Zhou Can asked again.
"I have notified Xiaojing's mother that she is on her way here. But because her family is out of town, it may take seven or eight hours or even longer to come here."
Zhou Can nodded and didn't ask any more questions.
He looked directly at Director Lou.
"From the point of view of the symptoms, it doesn't look like myocarditis, but there may be a major problem with the lungs. I suggest that you report the critical condition directly and send it to the emergency room for intubation. After the patient's blood oxygen is slightly better, do further examinations. This may You need to invite the doctor in your heart for consultation. To be on the safe side, it is safest for you to invite the doctor in your heart for consultation together."
Zhou Can gave his diagnosis advice in a serious tone.
The patient's condition is more dangerous than imagined.
It is just pure oxygen inhalation, which may not last until the family members arrive.
This is Zhou Can's judgment.
"The endotracheal intubation is an invasive operation, so we can only notify the family members by phone, and ask the patient's roommate to sign for it. We report it to the medical department in the emergency department."
Director Lou attached great importance to Zhou Can's diagnosis opinion.
Seeing that he spoke so seriously, he immediately made a decision and prepared to go through the formalities and send him to the emergency room for rescue. At the same time, he invited the respiratory medicine and cardiology doctors to come over for emergency consultation.
The roommate of the patient is also a young girl aged 23 or [-]. It may be the first time she has encountered such a thing. She was so frightened that her face was pale and her hands were trembling slightly.
After listening to the consultation results of the doctors, she quickly called the patient's mother again.
He told the hospital's rescue decision again.
Families seem to disagree.
"Several doctors, I called the patient's mother and she said she disagreed with intubation."
"Come on, put the phone through and let me talk."
Director Lou seemed very responsible in the face of this kind of rescue of critical lives.
Even more anxious than the patient's parents.
After some communication, the patient's mother still disagreed with the hospital's rescue measures.
Because the family members' communication work was difficult, it took nearly half an hour, and Zhou Can stood by and wanted to curse.
What kind of mother is this!
My daughter was dying in the hospital, and she still stubbornly refused to be intubated.Moreover, he could hear from the side that the family members were full of doubts about the hospital.Thinking it was just a small cold, directly reporting critical illness and requiring endotracheal intubation is purely excessive medical behavior.
The mother should have been aware of her daughter's condition throughout the process.
I was really convinced by such a mother. Instead of persuading her daughter to go to a big hospital for treatment immediately, she let the child go back to the rented room to fight alone after the infusion in the small clinic.
Ignorance is really scary.
These years, because the Kamata Department of Hospital came into being, various online consultations have harmed many people.
Those so-called experts and famous doctors may just be a group of graduates of medical technology.Maybe not even a college diploma.As for the famous international hospitals in high universities, it is possible that even the business license is P.
Anyway, those people are searching for rankings and bidding on the Internet, and then try their best to guide patients to consult and make appointments offline.
After deceiving the patient, all kinds of money-making methods will officially come into play.
I'm not a professional, so I can't see the depth at all.I just feel that this hospital looks very good from the outside, and the service is also warm and thoughtful.
In fact, the hospital is not really a service enterprise.
Doctors and nurses are not waiters.
Many patients feel that the doctor's face is ugly and his attitude is bad.He thought he was in a hotel.
In a sense, medical care should be a kind of resource.
At critical moments, precious resources that can save patients' lives.
In order to meet the needs of the market, some hospitals provide smile training and warm service that makes people feel at home, which is really ridiculous.It is also the tragedy of this era.
At this time, the patient began to convulse suddenly and his hands trembled.
"Director Lou, I'm afraid intubation is useless now."
Zhou Can's heart was bleeding when he watched from the side.
A young life in his 20s just died like this.
"what……"
Director Lou turned his head to look at the patient, and his face turned red with anger.
"We are sorry to tell you that because you believe in your own judgment, in the so-called online expert consultation, and in the so-called online science popularization by yourself. Now, your daughter has missed the best time to rescue her. So be it, our side We will do our best to save them.”
Director Lou's endurance is very good.
If it was Zhou Can, this family member would definitely be scolded to death.
what a man!
"Rescue according to the procedure!"
Director Lou no longer mentioned the matter of intubation.
Zhou Can's mood was also extremely depressed.
"Xiao Zhou, go back to the operating room and continue working!"
Director Lou waved his hand feebly.
"I suspect that there must be a major problem with the patient's lungs. Alas...it's a pity that no examinations have been done, otherwise if it is confirmed that the pulmonary arterial and venous embolism is present, we can still use thrombolytic drugs to some extent. Now...really What's more, I can only do my best and obey the destiny! It's really sad that this girl has such a mother!"
Zhou Can sighed deeply.
It's not the first time this kind of thing has happened.
It's just that every time he encounters it, he feels very sad.
Doctors are ultimately limited.No matter how strong the professional knowledge is, if patients and family members do not cooperate with the treatment and do not trust the doctor, they can only act in a hurry.
For example, in the intensive care unit, patients clearly have great hope of being rescued.But the family members were worried that they would run out of money and money, so they finally chose to give up.If you insist on extubation, you can only extubate.
Everyone has to pray. When seeing a doctor, in addition to meeting a good doctor, you also need to have trustworthy relatives and spouses around you.
For some major operations, if the family members do not sign, the hospital has no choice but to do ideological work.
Back in the operating room, Zhou Can was a little depressed.
However, this did not affect his enthusiasm for surgery, and he quickly adjusted himself and devoted himself to surgery again.
After experiencing this tragedy, he also cherishes every opportunity for surgery even more.
Behind this is the trust of patients and family members in him.
……
While eating at noon, Zhou Can had already received the news that the girl died because the 'rescue' failed.
This is not surprising at all.
When he noticed that the girl was twitching and her eyes rolled up, he knew that he had missed the most precious rescue time.
At that time, she was sent to the emergency room for emergency intubation, not to mention that the girl's life would be saved.
At least there is some hope.
"Doctor Zhou, look at this news in the circle! The Cardiothoracic Surgery Department of the Third Hospital has completed another extremely difficult cardiac surgery. And the person receiving the treatment is a rich man from Shanghai. Only four hours later, It’s an exaggeration to be able to start working.”
Qiao Yu could see that Zhou Can was in a bad mood.
Deliberately get some news that Zhou Can cares about to divert his attention.
"I've read the news. It should be true. The Japanese cardiologist in the Third Hospital does have a very high level of surgery. However, his path is minimally invasive and endoscopic surgery. And the surgical team brought over has been expanded. I heard that a top cardiologist in our country is willing to be a medical assistant for others."
Although Zhou Can is usually very busy, he is not deaf to what is going on outside the window, and only reads sage books.
He also often pays attention to some news trends in the industry.
Regarding the well-known cardiologist in China who volunteered to be a medical assistant to a Japanese expert, Zhou Can would not comment.
It is obviously unreasonable to rise to the height of traitors and national traitors.
Just look at this matter correctly.
Those who want to be students of the Japanese expert are not only the top cardiologist, but many others.
(End of this chapter)
She stared at Zhou Can's eyes with big beautiful and charming eyes, and asked with a raised face.
"Then do you have time to send me a message?"
"Uh……"
Zhou Can was speechless for a moment.
It was Zhou Can who took the initiative to ask her to help that poor girl.
This feeling is like eating dry wipes, lifting the belt of the trousers and refusing to admit it.
"In order to help that poor girl solve the problem, I have used various resources. I may have to accompany that girl back to her hometown in a few days. It is difficult to ask for the compensation for her father's death. , the key is particularly dangerous. Lao Qin is just a photographer, not the opponent of those troublesome people in the mountains. Look, can you go with me?"
Twilight looked at him and asked.
"No, I don't have time."
Zhou Can directly refused.
What a joke, he's just a doctor, not a savior.
Helping that girl is only within the scope of my ability.
Let him ask for leave to accompany him back to the girl's hometown to ask for the death pension of the girl's father. Fortunately, Mu Ge dared to think about it.
"I knew you would not agree. Then you will cooperate with my interview honestly."
She was playing the game of asking for prices and paying back the money on the ground.
"What do you want to ask, you sort it out, and I will spare a little time to answer it for you then."
Zhou Can secretly guessed that the publicity department of the hospital might have reached some kind of consensus with her.
I want to use her power to help the hospital report this difficult case treated in the emergency department, so as to achieve the purpose of publicity.Twilight is to harvest traffic and publish high-quality press releases.
Both sides can be regarded as a mutual win.
As for Mu Bi helping the vulnerable girl, it was out of kindness and out of Zhou Can's affection.
So, no matter what, Zhou Can owes her favor.
Zhou Can knew this very well.
"Hey, can you have a little conscience? She put in a lot of effort to help that girl, isn't it all because of you? Also, whenever I have time these days, I take Lao Qin to the ward, It's also to help you promote. Don't you think it's too much for you to have a businesslike, cold face?"
She looked aggrieved, and I felt sad and pitiful.
Zhou Can is not afraid of toughness, all kinds of difficult family members, all kinds of hooligans and thugs who will use knives at the slightest disagreement, he is not afraid of them all.Afraid of girls' tears, afraid of girls' soft words.
"I invite you to have dinner with Lao Qin. It can only be dinner. I really don't have time during the day. You decide the location, five-star hotels are fine, and you can order whatever you want. If you have any questions that need to be interviewed, you can chat while eating. "
Zhou Can had no choice but to compromise again.
Otherwise, it's really hard to get through.
"It's not too bad, you have a little conscience. I'll ask you out again when the patient's condition is almost recovered. By then, the girl's problem should be basically solved."
A happy smile appeared on her face.
Zhou Can's attitude made her very comfortable and satisfied.
After talking with this beautiful reporter, Zhou Can went straight to the operating room.
As he recently helped the cardiothoracic surgery department perform various difficult three-level and four-level major operations, he clearly felt that his surgical ability was insufficient, and he needed to improve in many aspects.
In addition, after the upgrade of the operating room in the emergency department, he can start to undertake many difficult tertiary operations.
At that time, the hardware facilities have improved, but because of his lack of strength, there are still many tertiary operations that cannot be performed, so it will be too embarrassing.
Therefore, he has always been very motivated.
For many surgical skills, it is quite difficult to advance from level five to level six.
It is really not an easy task to accumulate a hundred thousand experience points.
Zhou Can was doing surgery in the operating room. It was almost ten o'clock in the morning when Dr. Xu came in and told him that the operation should be suspended for a while.An emergency patient came outside, and the receiving doctor couldn't clarify the condition, so he asked him to help with the consultation.
Usually, Zhou Can performs operations in the operating room and is rarely disturbed.
This time it should be an emergency, so I asked him to help.
When Zhou Can arrived, he found that Director Lou and Dr. Ai Li were both on the scene.Deputy Director Han had a severe arm fracture due to the last injury, although with the help of Zhou Can, he underwent surgery in time.
But it may take a long time to get back to normal.
The one-hundred-day injury is aimed at young people.
Some older people have poor physical fitness, let alone a hundred days, even half a year may not be able to fully recover.
"Xiao Zhou, this female patient was pulled over by an ambulance. The main symptoms were cough, chest tightness, and fatigue. I thought it was just a cold, so I bought medicine at the pharmacy and took it by myself. After four days, her condition did not improve. On the contrary, her condition did not improve. Aggravated. Then I went to the clinic in the rented place to get an IV. This morning, my roommate who shared the rent found me fainted. I called 120 for emergency treatment, but the ordinary district hospital was afraid to pick it up. I just brought us here. I just checked with Dr. Ai , It is initially suspected that it may be myocarditis."
When Director Lou saw Zhou Can coming, he quickly explained the patient's condition.
"Okay, I'll show her first."
Zhou Can was not polite at this time, Director Lou would not call him over easily.
Calling him over now is naturally hoping that he can help solve the problem.
He noticed that the girl's face and lips were a little purple, and he took her hand to look at it. The fingertips and nails were also blue.And the hands are cold.The blood oxygen is still so poor.
Zhou Can directly probed her forehead temperature with the back of his hand.
I don't feel like I have a fever.
"Have you been checked?"
"No. Both Xiaojing and I have just graduated. We are currently interns in the company and we still need to rent a house. She is sick this time. Considering that it will cost a lot of money to go to a big hospital, I dare not go."
It was not the family members who answered the call, but the roommate shared by the patient.
The two may still have a classmate relationship.
"Has the patient's family members come? Her condition is very dangerous, and many rescue measures require the signature of immediate family members."
Zhou Can asked again.
"I have notified Xiaojing's mother that she is on her way here. But because her family is out of town, it may take seven or eight hours or even longer to come here."
Zhou Can nodded and didn't ask any more questions.
He looked directly at Director Lou.
"From the point of view of the symptoms, it doesn't look like myocarditis, but there may be a major problem with the lungs. I suggest that you report the critical condition directly and send it to the emergency room for intubation. After the patient's blood oxygen is slightly better, do further examinations. This may You need to invite the doctor in your heart for consultation. To be on the safe side, it is safest for you to invite the doctor in your heart for consultation together."
Zhou Can gave his diagnosis advice in a serious tone.
The patient's condition is more dangerous than imagined.
It is just pure oxygen inhalation, which may not last until the family members arrive.
This is Zhou Can's judgment.
"The endotracheal intubation is an invasive operation, so we can only notify the family members by phone, and ask the patient's roommate to sign for it. We report it to the medical department in the emergency department."
Director Lou attached great importance to Zhou Can's diagnosis opinion.
Seeing that he spoke so seriously, he immediately made a decision and prepared to go through the formalities and send him to the emergency room for rescue. At the same time, he invited the respiratory medicine and cardiology doctors to come over for emergency consultation.
The roommate of the patient is also a young girl aged 23 or [-]. It may be the first time she has encountered such a thing. She was so frightened that her face was pale and her hands were trembling slightly.
After listening to the consultation results of the doctors, she quickly called the patient's mother again.
He told the hospital's rescue decision again.
Families seem to disagree.
"Several doctors, I called the patient's mother and she said she disagreed with intubation."
"Come on, put the phone through and let me talk."
Director Lou seemed very responsible in the face of this kind of rescue of critical lives.
Even more anxious than the patient's parents.
After some communication, the patient's mother still disagreed with the hospital's rescue measures.
Because the family members' communication work was difficult, it took nearly half an hour, and Zhou Can stood by and wanted to curse.
What kind of mother is this!
My daughter was dying in the hospital, and she still stubbornly refused to be intubated.Moreover, he could hear from the side that the family members were full of doubts about the hospital.Thinking it was just a small cold, directly reporting critical illness and requiring endotracheal intubation is purely excessive medical behavior.
The mother should have been aware of her daughter's condition throughout the process.
I was really convinced by such a mother. Instead of persuading her daughter to go to a big hospital for treatment immediately, she let the child go back to the rented room to fight alone after the infusion in the small clinic.
Ignorance is really scary.
These years, because the Kamata Department of Hospital came into being, various online consultations have harmed many people.
Those so-called experts and famous doctors may just be a group of graduates of medical technology.Maybe not even a college diploma.As for the famous international hospitals in high universities, it is possible that even the business license is P.
Anyway, those people are searching for rankings and bidding on the Internet, and then try their best to guide patients to consult and make appointments offline.
After deceiving the patient, all kinds of money-making methods will officially come into play.
I'm not a professional, so I can't see the depth at all.I just feel that this hospital looks very good from the outside, and the service is also warm and thoughtful.
In fact, the hospital is not really a service enterprise.
Doctors and nurses are not waiters.
Many patients feel that the doctor's face is ugly and his attitude is bad.He thought he was in a hotel.
In a sense, medical care should be a kind of resource.
At critical moments, precious resources that can save patients' lives.
In order to meet the needs of the market, some hospitals provide smile training and warm service that makes people feel at home, which is really ridiculous.It is also the tragedy of this era.
At this time, the patient began to convulse suddenly and his hands trembled.
"Director Lou, I'm afraid intubation is useless now."
Zhou Can's heart was bleeding when he watched from the side.
A young life in his 20s just died like this.
"what……"
Director Lou turned his head to look at the patient, and his face turned red with anger.
"We are sorry to tell you that because you believe in your own judgment, in the so-called online expert consultation, and in the so-called online science popularization by yourself. Now, your daughter has missed the best time to rescue her. So be it, our side We will do our best to save them.”
Director Lou's endurance is very good.
If it was Zhou Can, this family member would definitely be scolded to death.
what a man!
"Rescue according to the procedure!"
Director Lou no longer mentioned the matter of intubation.
Zhou Can's mood was also extremely depressed.
"Xiao Zhou, go back to the operating room and continue working!"
Director Lou waved his hand feebly.
"I suspect that there must be a major problem with the patient's lungs. Alas...it's a pity that no examinations have been done, otherwise if it is confirmed that the pulmonary arterial and venous embolism is present, we can still use thrombolytic drugs to some extent. Now...really What's more, I can only do my best and obey the destiny! It's really sad that this girl has such a mother!"
Zhou Can sighed deeply.
It's not the first time this kind of thing has happened.
It's just that every time he encounters it, he feels very sad.
Doctors are ultimately limited.No matter how strong the professional knowledge is, if patients and family members do not cooperate with the treatment and do not trust the doctor, they can only act in a hurry.
For example, in the intensive care unit, patients clearly have great hope of being rescued.But the family members were worried that they would run out of money and money, so they finally chose to give up.If you insist on extubation, you can only extubate.
Everyone has to pray. When seeing a doctor, in addition to meeting a good doctor, you also need to have trustworthy relatives and spouses around you.
For some major operations, if the family members do not sign, the hospital has no choice but to do ideological work.
Back in the operating room, Zhou Can was a little depressed.
However, this did not affect his enthusiasm for surgery, and he quickly adjusted himself and devoted himself to surgery again.
After experiencing this tragedy, he also cherishes every opportunity for surgery even more.
Behind this is the trust of patients and family members in him.
……
While eating at noon, Zhou Can had already received the news that the girl died because the 'rescue' failed.
This is not surprising at all.
When he noticed that the girl was twitching and her eyes rolled up, he knew that he had missed the most precious rescue time.
At that time, she was sent to the emergency room for emergency intubation, not to mention that the girl's life would be saved.
At least there is some hope.
"Doctor Zhou, look at this news in the circle! The Cardiothoracic Surgery Department of the Third Hospital has completed another extremely difficult cardiac surgery. And the person receiving the treatment is a rich man from Shanghai. Only four hours later, It’s an exaggeration to be able to start working.”
Qiao Yu could see that Zhou Can was in a bad mood.
Deliberately get some news that Zhou Can cares about to divert his attention.
"I've read the news. It should be true. The Japanese cardiologist in the Third Hospital does have a very high level of surgery. However, his path is minimally invasive and endoscopic surgery. And the surgical team brought over has been expanded. I heard that a top cardiologist in our country is willing to be a medical assistant for others."
Although Zhou Can is usually very busy, he is not deaf to what is going on outside the window, and only reads sage books.
He also often pays attention to some news trends in the industry.
Regarding the well-known cardiologist in China who volunteered to be a medical assistant to a Japanese expert, Zhou Can would not comment.
It is obviously unreasonable to rise to the height of traitors and national traitors.
Just look at this matter correctly.
Those who want to be students of the Japanese expert are not only the top cardiologist, but many others.
(End of this chapter)
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