My medical skills add experience

Chapter 439 The Consequences of Excessive Cleaning, A Good News
"I'm not married."

Zhou Can is quite willing to end the long-distance love race and achieve a positive result with Su Qianqian.

But she was worried that her kidney disease would not be cured, so she refused to get the certificate.

"So are you talking about a girlfriend?"

The anesthesiologist was able to chat with him.Maybe Zhou Can is the apprentice of Director Feng of the Department of Anesthesiology, at least he is half a doctor in the Department of Anesthesiology, so he is very friendly to him.

"Let's talk! We've been talking for almost four years!"

Zhou Can didn't expect that it had been almost four years before he knew it.

time flies.

"It looks like your financial conditions are not bad! Why aren't you married yet?" Her eyes flashed when she said this.

Because after talking about a girlfriend, most of the men who are reluctant to get married are just playing around.

"Uh... There is a small problem that has not been resolved. I just want to ask, is it good or bad to have a child?"

Zhou Can changed the subject.

"It depends on what you think personally. Having a child means that the financial burden will increase, and you also need to spend time with the child and educate the child. But the child can bring vitality and hope to the family. Take me as an example Well, sometimes I work late and get off work, and I am very tired. But when I walk in the door and see my daughter, I feel that it is worth it. There are also couples who quarrel, and children can be the link to ease the conflict... Always For everyone, having a child is definitely a good thing. A life without children is not a complete life.”

As someone who has experienced it, she shared some experiences with Zhou Can.

"Okay, I have to go to the ward to help Director He look at the patient with alveolar leak, let's go first, goodbye!"

Zhou Can waved his hand and walked out of the operating room.

What the anesthesiologist had just said rang in his ears.

He seemed to understand Su Qianqian's position a little bit.If her kidney disease can't be cured, Zhou Can's parents will probably not agree to this marriage after they find out.In their married life, after the freshness fades, they may quarrel because they cannot have children.

Their marriage will be full of crisis.

"Purple backed star anise lotus, where can I buy it?"

The colorful toad already has it, and it is only the last medicine, but there is no progress.

Maybe you can use the power of your circle of friends.

Zhou Can's circle of friends has many classmates and colleagues in the medical industry.

After making up his mind, he posted a post in Moments.

"If anyone has news about this purple star anise lotus, please let me know, thank you!"

Pictures were found online.

After the news was sent out, he didn't care anymore.

He came to Director He's office, and sure enough, seeing Director He, he made a simple folding bed to sleep in the office.

This kind of folding bed is often used in hospitals to add temporary beds to patients.

Sometimes the doctor is too busy and will temporarily borrow it from the material room to deal with it overnight.This material room refers to the small storage warehouse of the department, not the material department of the hospital.

Applying for items from the Materials Section is cumbersome.

It is estimated that the doctors would rather sleep on the floor than borrow a bed from the materials department.Just moving here is enough to make people tired.

"Director He!"

After calling, Director He woke up.

Middle-aged and elderly people are generally more alert when sleeping and are easy to wake up.

"Have you finished the operation? I'm sorry to have to ask you to help me diagnose the patient at such a late hour."

Director He closed his clothes and slept with a thin quilt on his body.

Although he is very selfish, he is very responsible to his patients.When encountering such patients with serious postoperative complications, he often tries to find support, and it is commonplace to fight at night with lights on.

As I get older, my energy is not as good as before, but I can still work hard and insist on putting the lives of patients first. This is absolutely admirable.

"Director He, you're welcome. Which bed is that patient in?"

"There are 3 beds in the intensive care unit."

This intensive care unit refers to the small intensive care unit of the undergraduate department, not the intensive care medicine department of the hospital.

The two came to the intensive care unit, changed their clothes and entered the ward. There were dedicated doctors and nurses on duty busy inside.

Compared with the intensive care unit of the intensive care department, the patients living here are relatively less critical.But still can not be paralyzed, otherwise it is easy to cause the death of the patient.

Sputum suction, dressing change, and strict monitoring of the four major signs of the patient's blood pressure, blood oxygen, heart rate, and breathing are the most basic routine work.

In addition, urine volume, color, body temperature, blood pressure, etc. must be recorded every 15 minutes or half an hour.

Then various pump medicines, nasal tube feeding food and so on.

There are basically only two situations for patients living here, either they need close monitoring after surgery and need to live in a sterile environment for a period of time, or the patients are in critical condition and temporarily not eligible for surgery.

Such as car accidents, high falls, accidental stabbings, etc.

After evaluation, the doctor thinks that the patient will die on the operating table, or the bleeding is not clear for the time being. These patients can only stay in the intensive care unit for observation and treatment for a period of time to see if they can create opportunities for surgery.

"This is the patient! After the operation the day before yesterday, something happened."

Deputy Director He brought Zhou Can to bed 3.

I saw that the patient's current blood oxygen is still very low, and it is particularly laborious to breathe.Air bubbles continue to escape from the drainage bottle.

It is especially serious when the patient has a cough.

"Today is the second day after surgery, right?"

"Correct!"

"Is the drainage performed immediately after the operation?"

"That's right!"

"Does the patient have emphysema or pulmonary fibrosis?"

"There is emphysema, which is relatively mild."

Director He replied.

"Come on, let's go outside and talk first!"

After Zhou Can finished reading, he and Deputy Director He came to the discussion room of the intensive care unit.

"I'll look at the patient's information first, and it's best to look at the surgical records together. His situation feels a little tricky. Under normal circumstances, this type of patient is drained for two or three days, and the air leakage will stop on its own. But when I observed the patient coughing just now , the air leakage is quite serious, according to my clinical experience, let alone three days, even if you live here for a week, it will be difficult to stop on your own."

Zhou Can is especially grateful for the time spent in the Department of Critical Care Medicine.

There is also the day of studying with Director Hu Kan.

Gave him a wealth of experience in clinical critical care management.

"I also have this bad feeling. Seeing that his air leakage has not decreased at all, I feel very nervous, and I am afraid that something will happen." Deputy Director He now wants to work safely until retirement .

He had already prepared the patient's information, including the operation records, and printed them out.

Zhou Can carefully checked and studied them one by one.

Occasionally, doctors from the intensive care unit come in here to have a meal, or to discuss the patient's condition temporarily.

However, Deputy Director He's position is there, and no one dares to disturb the two of them easily.

Zhou Can now basically belongs to the recognized 'Buddha' of cardiothoracic surgery.

If something happened, the chief physicians of the cardiothoracic surgery department would invite him over to help.If it can't be solved, then I will consider asking doctors from other departments to come for consultation.

Time passes little by little.

Zhou Can frowned tightly all the time, because the patient's condition was quite complicated.

Director He was at the side, always ready to answer his questions, and the two discussed the patient's condition together.

"If the hypoplasia of the lung fissure, the adhesion between the lung surface and the chest wall is not serious, and the pleura is not damaged during the surgical separation, then I can only think of one possibility." After repeated discussions and research, Zhou Can finally locked in the alveolar air leak. reason.

Seeing his hesitant to speak, Deputy Director He was frantic.

"Doctor Zhou just say whatever you want, don't care about my feelings."

He could also see from Zhou Can's expression that the patient's postoperative complications were probably caused by improper operation during the operation.

I was worried that he would have an opinion, that's why Zhou Can hesitated to speak out.

"Then I'll just say it, you can't have any objections."

"No opinion, absolutely no opinion. It's too late for you to help me analyze the condition and find out the cause of the disease!"

Director He quickly expressed his opinion.

"The patient was suffering from lung cancer. At that time, the left lower lung lobectomy was performed, and the lymph nodes in the lung were removed. There should be no problem if the lung lobes were removed. I have seen you perform lung lobectomy. There is only one possibility. question."

Zhou Can's thinking is clear and clear.

"Do you suspect that there are lymph nodes that have not been cleaned? It should not be so. My assistant and I checked twice at that time. It was confirmed that there were no fish that slipped through the net, and the cleaning area was deliberately enlarged during cleaning."

Deputy Director He vetoed this possibility.

"I don't suspect that you didn't clean it up, but that you did it too cleanly and injured the lung parenchyma during the operation, which led to the air leak."

The reason why Zhou Can hesitated to speak was because it questioned the other party's surgical ability.

Hit people without hitting them in the face.

Deputy Director He is a veteran of the department, and he is also the chief physician and deputy director of the department, with high morals.Then in the field of thoracic surgery, he has been cultivating for decades, and lung cancer removal surgery is his field of expertise.Questioning his operation in this field is not done well, I am afraid it will be difficult for him to accept.

"This...probably not! However, during the process of removing the lymph nodes, I did deepen the wound. At that time, I was worried that the incomplete removal would cause recurrence."

After Deputy Director He's complexion changed for a while, he had to face the reality.

Sweeping the lymph nodes went too far, this is really the first time this kind of thing happened.

At least he thought so.

Even if it happened in the past, the problem is not serious, and the drainage time may be a little longer, and it will heal itself.

"Then what is the best way to treat it now?"

Deputy Director He felt a fever on his face.

Fortunately, it was not the first time he asked Zhou Can for help, and his face gradually thickened a lot.

At such an age, it is impossible to be a glass heart.

"I guess the patient has emphysema, and the remaining lungs are poorly inflated. You can try closed thoracic drainage and low negative pressure suction, which can promote visceral parietal pleura adhesion. Then use subcutaneous puncture or skin incision to ventilate. It is estimated that it will take about a week. It works. I can help with the puncture."

Zhou Can was worried that Deputy Director He would make trouble again.

The subcutaneous puncture was not difficult, but Deputy Director He was relatively sloppy in his work.Coupled with the fact that he is now flustered and anxious about the patient's condition, it is more likely to be improperly operated.

"Okay, okay, let's try the method that Dr. Zhou said. I will thank Dr. Zhou for the puncture."

Deputy Director He readily agreed.

Anyway, he has lost face, and now he only wants to help the patient survive the dangerous period after surgery.If you don't intervene in time, if respiratory failure occurs, you will be in big trouble.

……

It was close to one o'clock in the morning, and Zhou Can dragged his tired body back home.

Since the hospital is a bit far away from Bajing Lake, Zhou Can felt that it was not an option to go on like this all the time.

He discussed with Su Qianqian, or he could buy a house near the hospital to live in.

The location of the Tuya General Hospital has always been very expensive, and it belongs to the center of the city.There are very few villas here.

Even if there is, there are almost no one who is willing to sell it.

But if you can buy a villa, living in it will definitely be much more comfortable than living in a high-rise.

In addition, even though Su Qianqian has withdrawn from some of her careers, she still has a high reputation and popularity.Her safety has always been Zhou Can's most concerned issue.

It is also because of these years of caution that nothing has happened.

Finally, after discussion, Su Qianqian agreed to Zhou Can's proposal, and the two decided to find a suitable single-family villa near the hospital.

Professional things are left to professional people.

Finding a real estate agent is a great way to find a property.

Don't even think about buying a first-hand villa in the old city.

It is also impossible for any developer to do such a stupid thing.The demolition fee alone cannot be earned back from the land fee.

If it is possible to buy a villa near the hospital, not to mention the wedding room, it will also save Zhou Can a lot of commuting time.

Going to work the next day, Zhou Can first went to the emergency department to check the wards, and then rushed to the pediatrics department for consultation.

I heard that his current pediatric clinic number is more popular than that of the old professor.

Those patients who seek medical treatment have a comparison in their minds.The special needs expert account starts at least 12 yuan, and Zhou Can's account costs [-] yuan.

The key is Zhou Can's cure rate, which has remained high, which has also brought him an excellent reputation.After nearly two years of accumulation, he has gained some fame in pediatrics, which couldn't be more normal.

Even in some provincial children's hospitals and provincial people's hospitals, children who could not be cured were finally cured after his diagnosis and treatment.

Or the condition has been effectively controlled and improved significantly.

There are many chronic diseases that require life-long medication, so it is quite good that some diseases can be controlled.

For example, patients who have undergone cardiovascular surgery may need to take anticoagulants for life.No matter which doctor treats, the result is the same.

Anticoagulation is not required in the absence of specialist treatment.

On the way to the pediatrics department, Director Xueyan called.

"Sister Yan, you wouldn't call me to rescue the patient so early, would you?"

"Haha, are you afraid of receiving my call? Every time you are called to help with surgery, or to consult and rescue patients." Director Xueyan smiled happily.

"It's okay, okay! You smiled happily, which means there must be a good thing, not rescuing patients."

Zhou Can went to the cardiothoracic surgery department to help, but he never complained.

He himself is Director Hu Kan's apprentice, and he also got Director Hu's death care, asking him to take care of the cardiothoracic surgery department and help Director Xueyan.

Also, every time he goes to help, he can basically earn a considerable amount of surgical experience points.

So he was happy to go there.

"You are really smart! You have heard this. I have good news for you. The child with Tetralogy of Fallot last night has passed the critical period after surgery. His vital signs are stable and he is in good condition in all aspects. Very good. It shows that the operation was very successful. As long as there is no accident, wait for about seven days, basically nothing will happen. This also means that after more than a year, our cardiothoracic surgery department finally has this kind of operation again. ability to operate."

she said happily.

(End of this chapter)