My medical skills add experience

Chapter 444 Time-effective surgery service, optimistic about it

But the more this kind of person, the more thick-skinned she is beyond your imagination.

"Which one are you?"

Zhou Can looked at the woman with 'doubt' on his face.

Aren't you smelly and shameless?Master, I will play Shameless with you today.

The woman's face immediately turned cold. She thought that Zhou Can would refuse, but she never thought that Zhou Can would do this to her.

Subconsciously looking at Zhou Can, he found that he was indeed puzzled, as if he really didn't know himself.

The woman immediately explained, "I took my son to see a doctor in the morning. My son broke his left hand. You asked us to have a brain CT scan to see if there was any intracranial hemorrhage. I didn't agree, and I scolded you." Already, do you have any impression?"

The woman had to patiently explain to Zhou Can.

She thought to herself, the doctor has to see many patients a day, so it is normal to forget about her.

In addition, her son was not around, after a day of tossing, her hair was disheveled and her face was haggard.It was even more difficult for Zhou Can to recognize her.

"Oh... I have a little impression! I have to go to the evening shift, sorry! As for scolding me, don't take it to heart. Some family members often scold people, and we are all used to it."

After Zhou Can finished speaking, he turned around and left.

Only the woman was left behind to watch him leave. She opened her mouth several times, but she couldn't stop him.

Zhou Can made it clear that I don't know you well, and I have no impression of you, which naturally blocked the woman's idea of ​​asking him for help.

Family members who have many such incidents, whether they are doctors or nurses, can hide as much as they can, and no one wants to cause trouble.

Entering the operating room, I saw that there were already many patients waiting for surgery lined up in the corridor outside.

Considering the need for anesthesia, many surgical patients are fasted for food and water.

Surgery requires fasting for about eight hours.

The digestion rate of children is faster than that of adults, and sometimes the standard can be relaxed a little bit.There are two main considerations for not allowing food to be eaten before the operation.

First, prevent vomiting after general anesthesia, which may cause food to enter the airway and cause death by suffocation.Second, to prevent patients from fecal incontinence, pull on the operating table.

Incontinence of feces and urine on the operating table is a relatively common phenomenon for surgical patients.

This not only pollutes the operating room, but also makes the medical staff feel sick.

In the evening shift for surgery, some patients were received in the morning, and after waiting for eight hours, they just met the requirement of fasting water.This also led to more patients undergoing general anesthesia in the evening shift than usual.

Considering the digestion ability of Zhou Can's team, the department will make a reasonable arrangement for the patients reserved for him.

It is impossible to have several tertiary major surgeries.

"Doctor Zhou, I'm really here!"

A tall and thin man had been waiting in front of the operating room for a long time. When he saw Zhou Can approaching, he immediately stepped forward to meet him.

"Welcome, welcome! Come on, come in with me!"

Zhou Can didn't expect to tell Dr. Yang Zhi from the Department of Anal and Colorectal Surgery yesterday that he would really come to help today.

This is preparing to accept Zhou Can's assessment.

Taking Yang Zhi into the operating room, Zhou Can did not see Dr. Xu for the time being.I guess I went to eat.

Zhou Can is fully qualified to do some minor operations, and there is no need for the attending physician to be present.

"Hey, the boss is here with a helper!"

When Luo Shishen saw Zhou Can walking into the operating room with a male doctor, he couldn't help but froze.

"You... aren't you the one from yesterday?" Ma Xiaolan recognized Yang Zhi with sharp eyes.

"Hehe, I didn't expect the beauty to have such a good memory. I want to join Dr. Zhou's surgery team, and I came here specially to accept Dr. Zhou's assessment today."

Yang Zhi spoke frankly and without concealment, which added to Zhou Can's impression of him.

"His name is Yang Zhi, and he is the surgeon of this hospital. I will assign some tasks to him later during the operation. Xiaolan, can you temporarily serve as an equipment nurse for him?"

Zhou Can asked Ma Xiaolan.

"No problem! But let me tell you in advance, I have only studied for less than a year, and if I am clumsy, Doctor Yang can't scold me."

Ma Xiaolan said half-jokingly.

Before she knew it, she had been in Zhou Can's surgery team for almost a year.From being arrogant at the beginning, showing off his power to Qiao Yu, an old senior, to being taught by Zhou Can later, he behaved honestly.

Although there are still some shortcomings, Zhou Can is satisfied with her work attitude and learning attitude.

Of course, her progress is also visible.

Another thing is to hang out with Zhou Can, because the amount of surgery is huge every month, and the salary and bonus she gets are also quite generous.

It has to be said that the amount of salary can also affect a person's temperament and mentality to a large extent.

Ma Xiaolan is the most typical example.

She is obviously more humble now than before, and her self-confidence is revealed from the inside out.

This kind of internal self-confidence is many times higher than the brainless and arrogant external self-confidence before.

"Let's start preparing! I see that there are already many patients waiting for surgery in the corridor outside the operating room. We have to hurry up."

Zhou Can issued a combat order.

This also means that intense work is about to begin.

Outside the emergency department, there are many surgical patients waiting in line for surgery, which is difficult to see in any other department.

Maybe there will be this phenomenon in front of the operating room of the specialist outpatient clinic.

But it is impossible for so many patients to undergo surgery.

Even if there is, specialized departments will find ways to stagger the operation time.

Such as elective surgery is the most common.

You can tell the patient that there is no bed here temporarily, and you have to wait for a day or two.Or let the patient stay in the hospital for observation, and go home to wait is a common operation method.

Zhou Can made a suggestion to Dr. Xu and Director Lou very early on for the surgical method in the emergency department.

Make patients feel high timeliness as much as possible.

Just like when we buy a product online, after buying it, we must look forward to receiving it as soon as possible.Under normal circumstances, it is normal to receive the goods in about three days. If it lasts for more than a week, we will feel a little disappointed.If an order is placed today and it arrives tomorrow, we will be pleasantly surprised.

Treating patients is quite similar to the mentality of online shopping.

Because of the torment of the disease, the patient must very much hope to undergo surgery as soon as possible after arriving at the hospital.

Zhou Can understood the patient's anxiety very well, so he boldly made a suggestion.Admitted patients should complete the operation within 24 hours at the latest.

In most cases, patients in the emergency department are admitted in the morning, and the operation can be completed on the same day.

For some individual patients with tertiary surgery, because they need to wait for the test results, it may take the next day to make a surgical plan.However, it is basically guaranteed that surgery will be arranged within 24 hours.

This time-sensitive treatment method has also created a high reputation score for the emergency department.

Looking at the entire province, I am afraid that there is no hospital in the surgical room that can provide such a high-efficiency surgical service guarantee.

However, Tuya's emergency department has been providing high-efficiency surgical treatment services since Zhou Can, a quick surgeon.And it's getting faster and faster.

This feature also gives Tuya's emergency department a big plus in the fierce competition.

In the past, if the emergency department wanted to intercept patients, it still required the doctors and nurses in front of them to use certain words to persuade the patients.Nowadays, many patients come here admiringly, and even actively beg to complete the operation in the emergency department.

There are some patients who come here especially because the operation is too difficult, or they have strict requirements on the equipment, operating room environment, and surgical team. When they have to go to a specialist for treatment, the patients and their families do not agree.

It is not without reason that Zhou Can's position in the emergency department is becoming more and more important.

He is now more like the most critical 'engine', 'heart' of the emergency department.

Ma Xiaolan quickly brought in the first patient.

The patient is a young woman, estimated to be about 25 or [-] years old, with a rather slender figure.Her symptom is that there is a large lump on the front of the left arm, near the wrist joint.

According to her self-report, the tumor was only a little big at first, and then it grew bigger and bigger, and now it is as big as an egg.

Looking at the raised Lao Gao, it was scary.

What about the film?show me.

Since it is an operation, a film must be taken, at least a CT in this case.

Many old doctors are used to referring to X-ray image data.

It must be explained that X-ray is one of the earliest scanning methods developed, and it is not as accurate as CT.If it is a fracture, taking an X-ray is completely applicable.

But tumors, which can be detected by X-rays, are usually very large.

Therefore, when doing tumor screening in the body, don't be superstitious about X-rays.

For example, the most common liver tumors or lung tumors, take an X-ray, and the results may look normal.However, another chest CT was performed, and it was found that there were small tumor lesions.

The current doctors have strengthened their training in this area, which may be better.

It has caused many tragedies before.

The patient reported discomfort in the lungs. After taking an X-ray, the doctor told the patient that nothing happened.

After hearing this, the patient was very happy, prescribed some cough and pain relievers, and took them at home.

In this way, nearly a year has passed.

The patient's cough gradually worsened, and he went to the hospital for an examination again.

This time I still looked for the same doctor last time, because the patient felt that it was the first time to find this doctor, which established a certain foundation of trust!
So I still went to see this doctor for the second time.

The patient was also given an X-ray examination.

After this shot came out, the doctor's face became serious.Tell the patient that there is a large tumor in the lung, and it is recommended to do further examination immediately.

Then, after multiple examinations, the patient learned in despair that the lung cancer was already at an advanced stage.

After the patient learned that he had lost the chance of surgery, he was full of despair.At the same time, there was anger in my heart.

During the first examination, if the doctor could be more careful and find out the problem, it must be only the early stage of lung cancer.There is also the possibility of surgery.

Now that it is found out, it is directly at the advanced stage of lung cancer, and time is running out. Who can accept this?

There are old people on the top and young people on the bottom. The whole family is waiting for him as the pillar to make money to support the family.

Patients dare not imagine how their family members will live after their own death.

The more he thought about it, the more he got angry, and finally bought a sharp knife for killing pigs. Taking the opportunity to learn about the condition from the doctor, he suddenly pulled out the sharp knife and stabbed the doctor's abdomen severely.

After being stabbed 27 times, the patient was finally covered in blood, and the doctor was lying in a pool of blood, with no chance of rescue.

This murder case caused a sensation all over the country.

Since then, when experienced doctors teach novice doctors, they will deliberately remind them that when encountering suspected tumors, they must not only use X-ray results as a reference.

A CT must be done to supplement it.

If necessary, even enhanced CT or MRI can be done.

Here we must boast about nuclear magnetic resonance, which is definitely a major invention in the history of human medicine.NMR can be as accurate as the smallest lesion of 5mm in size.

With it, many tumors that could not be detected in advance can now be detected when the tumor is very small.

However, even if many kinds of tumors are detected, if the size is too small, the doctor will not recommend immediate surgery.Instead, observe to see if it continues to grow and shows signs of malignant transformation.

Furthermore, some tumors are not necessarily malignant tumors even if they have blood flow signals and the boundaries are not clear.

Many patients feel extremely frightened when they find a tumor that looks like it may be malignant.

This is completely unnecessary.

It's better to relax, eat when you need to eat, sleep when you need to sleep, and maintain a happy mood. Its curative effect is not even inferior to good medicine.

Zhou Can took the film taken by the female patient and examined it carefully, frowning all the time, and his face was very serious.

Although the female patient couldn't see his facial expression because of the mask, she could still feel the invisible oppressive atmosphere.

"Doctor, is this tumor of mine very bad? Is it cancer?"

She was visibly nervous when she asked.

Whether in the operating room or in the ward, doctors and nurses generally do not say the word cancer in front of patients.Instead, use CA or bad instead.

"Does it hurt when you touch it?"

Zhou Can asked the female patient.

"There will be a little pain! It seems to be a dull pain type."

The attending physician has likely already asked her similar questions.

Therefore, she can more professionally say that it is dull pain.

Cancer tumors have a characteristic, usually touching it does not hurt, or it is a dull pain.

The real cancer pain is actually the pain of metastasis in the later stage.For example, bone metastases will cause pain into the bone marrow.

"Doctor Yang, come and take a look."

Zhou Can called Yang Zhi over to check it out.

Of course, he also intentionally checked Yang Zhi's diagnostic ability and surgical experience.

"Luo Shishen, you can take a look too."

Regarding the cultivation of Luo Shigent, although Zhou Can is unwilling to be his master, he usually does his best to teach.Even more dedicated than a real master.

"I'll touch it!"

Luo Shishen tried to feel the tumor on the woman's arm.

"It's quite hard, and it seems to be movable. Is this a fibroid?"

He asked Zhou Can.

The latter did not answer, but waited for Yang Zhi's diagnosis.

"Kind of like fibroids."

Yang Zhi's answer was basically the same as Luo Shishen's.

"You look good!"

Zhou Can took the female patient's hand and touched the tumor with two thumbs.

PS: (Thank you readers for your company and support day and night! On the last day of the Year of the Tiger, I wish you all a happy New Year’s Eve and a family reunion. I wish you all a happy new year and wish you all an early year! Thank you for your support All kinds of support!)
　Thank you readers for your companionship and support day and night!On the last day of the Year of the Tiger, I wish everyone a happy New Year's Eve and a happy family reunion.I wish you all a happy new year, and wish you all an early year!Thanks for all your support!

　　
　
(End of this chapter)