My medical skills add experience

Chapter 484 Unavoidable doctor-patient conflict, relationship between anesthesia and surgeon

Besides, he usually works very hard on people.

Although some patients may not be satisfied with the surgical results, from a professional point of view, he asked himself that the surgical results could stand the test.

There is a strange patient who is still impressive to this day. He had a hemorrhoid cut, and after a while, he suddenly had unbearable abdominal pain.

After an investigation, it turned out to be acute appendicitis.

The patient underwent appendicitis surgery in the Third Hospital.

After recovering, he ran directly to Tuya's emergency department and made a big fuss, saying that Zhou Can deliberately left him a 'back hand' during the operation.This led to his appendicitis less than a month after hemorrhoids were cut.

What can he do when he encounters such an ignorant and suspicious patient?
To give another example, he stopped bleeding, stitched, and bandaged a wound on the wrist of a pregnant woman who was two months pregnant.The family members insisted on asking him to go out for a chat. At that time, he thought the family members were worried, so he changed his clothes and went out from the operating room to talk with the family members.

The man was wearing a famous brand, he was about 50 years old, and he exuded the aura of wealth and wealth of a successful person from head to toe.

The pregnant woman is about 20 years old, very young.

But these days, there are many successful people looking for young and beautiful girls to marry.

Zhou Can asked who was the pregnant woman?The man said he was the boyfriend of the pregnant woman.

Note that boyfriend and husband are two different concepts.

The man pulled Zhou Can aside, and said in a low voice, "Doctor Zhou, please do me a favor and tell my girlfriend that the child in her belly cannot be kept and will be removed."

After finishing speaking, he quietly took out a stack of banknotes and wanted to hand them to Zhou Can.

With Zhou Can's professional ability, it is natural to see that the wound on the pregnant woman's wrist is probably suicide by cutting her wrist.

I thought that the pregnant woman's boyfriend would be worried about the child in her womb, but Zhou Can was asked to help the pregnant woman to get rid of the child.

Zhou Can definitely couldn't agree to this kind of thing.

He sternly refused on the spot.

The man scolded Zhou Can for being ungrateful, and afterward, Zhou Can received a message from the medical department.

Someone complained about him.

Therefore, no matter how carefully doctors and nurses serve patients and how polite they are to their families, it is impossible to avoid conflicts with patients.

There are always some patients or family members' demands that doctors and nurses cannot meet.

If the person who wanted to kill Zhou Can was a patient he had treated or a family member of the patient, it would be too chilling.

Suddenly, a person flashed in his mind.

Director Xueyan's husband once threatened Zhou Can, and this person's personality should be very extreme and his character is extremely bad.From now on, the person who collects money from the Third Hospital even dares to cheat his wife, so it can be seen that he is not a good bird.

"Comrade policeman, I think of a man. He is the husband of a female doctor in our hospital. He once suspected that I had an improper relationship with his wife and threatened me face to face."

Zhou Can provided this clue to the police.

"Then is your relationship with his wife legitimate?"

"The relationship between Director Xue and I is clean. Apart from normal work and conversation, there is no relationship between men and women. Besides, she is fifteen or sixteen years older than me. I have a girlfriend, so it is impossible to have anything to do with her. Usually When interacting with her, we also respect each other, and we didn't even make a joke about crossing the border."

"Why does that husband suspect that you have an improper relationship with his wife?"

"One night, it was too late to finish the last operation, because I was entrusted by Director Hu Kan, the former director of the Department of Cardiothoracic Surgery, to help the current Director Xueyan manage the Department of Cardiothoracic Surgery. At that time, the Department of Cardiothoracic Surgery happened to encounter In a major crisis, I discussed some new coping strategies with Director Xue. Perhaps because the door was closed all the time, Director Xue’s husband knew about it, so he suspected that I had an affair with his wife.”

Zhou Can must be telling the truth about this kind of thing.

Because the police can find out with a little investigation.

Lying will only bring him unnecessary trouble.

It's not necessary at all.

"Okay, we understand this matter. If the case is filed, we will notify you. During the investigation of the case, I hope you can keep your mouth shut and not talk nonsense to the outside world, so as not to affect our investigation of the case."

"thanks, thanks!"

Zhou Can thanked again and again.

In the middle of the night, the two policemen were so responsible that they didn't slack off.

This made him very grateful, and he also paid a little more respect to the two policemen.

……

Back home, Su Qianqian hugged him.

He didn't speak, just buried his head in his chest and wept.

"You said that if something happened to you, what should I do?"

she cried.

"Isn't it okay! Don't cry, don't cry! I will pay extra attention to safety, so don't worry."

Zhou Can had already briefly explained the matter to her on the phone.

There's no need to hide it from her.

Because this matter is particularly dangerous, telling her can also make her more vigilant.

For example, not long ago, she learned that Zhou Can was almost hit by a flower pot falling from a height on her way home from get off work, and she was about to rush to the scene immediately.

Zhou Can told her that the gangster was hiding in the dark, and not only could she not help in the past, but it would also increase the risk.Besides, he wasn't hurt, just a little frightened.

In the end, she obeyed Zhou Can's arrangement and stayed at home obediently waiting for him to come home.

"Starting tomorrow, don't walk to work anymore, go by car!"

"I promise you!"

Zhou Can nodded in agreement.

Falling objects were indeed terrifying. If he hadn't relied on his instinct to deal with the crisis and hid quickly, the consequences would have been disastrous.

The next day, Zhou Can went to work normally.

For the patient with pneumothorax in the cardiothoracic surgery department, the bleeding has stopped, and the breathing sound of the left lung has also increased a lot.

The bubbles coming out of the water-sealed bottle have been significantly reduced.

These are all good signs.

It shows that the patient's condition is improving.

However, pneumothorax is easy to recur, and patients must be careful to rest even after they are discharged from the hospital.

The patient with sternal osteomyelitis transferred from Xinxiang Hospital has normal vital signs after surgery.The low-grade fever has also subsided, and the blood pressure and heart rate are stable.Because of fear of re-infection, the patient was admitted to the intensive care unit of cardiothoracic surgery after communicating with his family members.

Relatively speaking, living in the intensive care unit is a sterile environment, and the care and management in all aspects will be better.

Dr. Pu approached Zhou Can last night, and he should have made up his mind about the matter of following him.

He did not send a message or call Zhou Can.

Zhou Can came here just in time, and was going to talk to Director Xueyan about it.As a result, director Xueyan hadn't arrived yet.

She usually arrives at the hospital around eight o'clock.

There is no way, Zhou Can will talk to her about it when he comes over in the evening.

Back in the emergency department, he wanted to upgrade the separation operation to level six as soon as possible, so he was naturally working hard on the operation.

It was about [-]:[-] in the morning, and he had already completed thirteen operations.Of course, several of them were only first-level minor operations.

Even so, the efficiency is already amazing.

The No.14 operation was performed on a patient with severe rectal prolapse, who is already fecal incontinence.

I was admitted to the emergency department yesterday, and after an examination, emergency surgery was arranged today.

For patients like this, if they go to the anorectal surgery department, it will take at least one day to wait for the bed.Then it will take at least three or four days to do various further examinations, discuss the operation plan, arrange the operation, and finally perform the operation.

But in the emergency department, the time limit is at least doubled.

He was admitted to the hospital yesterday and scheduled for surgery this morning.Moreover, the surgeon is Zhou Can, whose actual surgical ability is not weaker than that of ordinary chief surgeons.

Now, his incision technique has also been promoted to level six, and his confidence is stronger than before.

The patient has already been sent to the pre-anesthesia room.

At this moment, after the table turning work in the operating room was completed, the patient was pushed in directly.

Let me explain that for such a large operation, general anesthesia or spinal anesthesia is required, and the bed doctor will send the patient to the pre-anesthesia room in the operating room in advance.

In the past, the conditions of the operating room in the emergency department were poor, and there was not even a [-]-level operating room.

The so-called pre-anesthetic room does not exist.

Often mixed with a recovery room.

Moreover, in the previous emergency department, tertiary surgery was rarely done.

Only Dr. Xu has the ability to perform tertiary surgery.But he is a person who is wearing a crime, coupled with the suppression of Director Xie of the Department of Surgery, and the fact that other departments also intend to protect the interests of their own departments.

I also agree with Director Xie's suppression of the emergency department.

Therefore, the emergency department has been living humblely.

All of them are first- and second-level surgeries in emergency surgeries.In the case of emergency major surgery, at most it is preliminary treatment, such as helping the patient to stop bleeding, or cardiopulmonary resuscitation, boosting blood pressure, etc. After helping the patient stabilize his vital signs, call a specialist doctor to take the patient away.

Today's emergency department, thanks to the efforts of Zhou Can, a super cadre, and the concerted efforts of the whole department, has finally made a big improvement.

With its own hundred-level operating room.

There are also professional bed changing rooms, pre-anesthesia rooms, and recovery rooms.

The recovery room is not only used for postoperative anesthesia recovery of patients, but also for postoperative observation of patients.

Adding an additional postoperative room is out of the question.

However, Zhou Can, Dr. Xu and others are very satisfied with the current conditions in the operating room of the emergency department.

Qiao Yu and Ma Xiaolan had already laid out the bed towels after turning over the stage.

Work together to lift the patient onto the operating table.

Just wait for the anesthesiologist to come and administer the anesthesia.

The age of the patient is 32 years old, which is a relatively young female patient.

The pre-anesthesia preparations have been done in the pre-anesthesia room, so the patient is currently in a state of being blind.

No way, in the operating room, doctors can't take care of patients' privacy.

Doctors can only devote most of their energy and thoughts to treating patients' diseases.

There are many operations where patients cannot enter the operating room wearing clothes.

However, in order to protect the privacy of patients, especially female patients, doctors will considerately cover the patients with disposable sterile sheets and the like.From this point, we can also see the importance of the pre-anesthetic room.

The more complete the supporting facilities in the operating room, the lower the risk of surgical infection for patients.

Many operations must be completed in a [-]-level operating room, mainly to reduce the chance of infection during the operation.

"Ms. Cheng, how do you feel now?"

"It's just that the anus is very painful, and I'm a little scared!"

A pained expression appeared on the patient's face.

"It's all right. The doctors who performed your surgery are Dr. Zhou and Dr. Xu, who are highly skilled in surgery in our hospital. They have already evaluated you before surgery. As long as there are no accidents, the safety is very high. And we do this type of surgery It's been done so many times before, so you don't need to be nervous."

Ma Xiaolan is very eloquent in comforting patients.

She has become more and more proficient in completing various tasks as a surgical nurse, and her professional level has also improved a lot.

In fact, the growth of everyone in the surgical team can be seen.

"Sorry, I'm a little late! I kept you waiting!"

Anesthesiologist Shanshan came late.

"It's okay, we just carried the patient onto the operating table. Should Dr. Qu start general anesthesia directly, or what?"

Zhou Can got along well with most of the doctors in the anesthesiology department.

Qu Zi who came over today.

In fact, many doctors in the anesthesiology department have relatively fixed teams with surgeons.

For example, Wu Baihe's surgical team in the Department of Neurosurgery usually performs operations, and Director Feng usually brings his assistants to give patients anesthesia.

If the number of operations is large enough, it should be a matter of good advantages over disadvantages if the anesthesiologist and surgeon are fixedly matched.

For example, for some patients with higher risks, the surgeon believes that the operation can be performed, and he is certain to perform the operation well.But the anesthesiologist was unwilling to take this risk after evaluation.

then what should we do?

In the end, if the surgeon cannot convince the anesthetist, then the operation cannot be performed.

The patient can only be transferred to another hospital, or other treatment options can be adopted.

A good anesthesiologist, who has been cooperating with the surgeon for a long time, can have a tacit understanding like a husband and wife.

I believe that many surgeons have felt this way.

There may be various disputes with the anesthesiologist before and during the operation, but both parties have a common goal, which is to cure the patient's disease.

Every time the operation is successfully completed, the chief surgeon is very happy, and the anesthetist is also very happy.

When a patient has a problem during the operation, both the anesthesiologist and the surgeon will be extremely nervous.Do everything possible to save the patient together.

Some people liken the role of the surgeon to the role of the husband, and the role of the anesthesiologist to the role of the wife, which is actually a very vivid metaphor.

Couples often quarrel at the head of the bed and at the end of the bed.

Surgeons and anesthesiologists also often quarrel, but neither can do without the other.

In the operation, they are more like close comrades-in-arms, fighting together.

"Considering that what she is going to do is a rectal repair, let's go to general anesthesia!"

Qu Zi just checked the patient briefly, and then quickly installed the life monitoring probe on the patient.

Zhou Can is helping.

Soon, general anesthesia was successfully implemented.

Since the part to be operated on belongs to the private parts of women, general anesthesia can take care of the patient's dignity to the greatest extent.

"General anesthesia is in place, the patient's vital signs are stable, and the operation can begin!"

"let's start!"

Zhou Can couldn't wait any longer.

He needs to perform many surgeries a day, and must race against time.

Uncover the disposable sterile towel on the patient, and the patient's anus can already be seen.

Her anorectal prolapse was severe and her anal opening was significantly larger than normal.At the time of consultation, the patient was already in a state of fecal incontinence.

This can't be cured without rectal repair surgery.

"Oh my god, her anus prolapses like this, and I don't know how she did it?"

Seeing the patient's condition, Qiao Yu couldn't help exclaiming.

"Sister Qiao Yu is so pure!" Ma Xiaolan smiled meaningfully and praised Qiao Yu.

Anesthesiologist Qu Zi kept a cold face, pretending to be serious and staring at the monitor screen.

Under normal circumstances, the anesthetist does not have to stare at the monitor screen all the time.Most of the time, they looked up occasionally.

The anesthetist who came with her was also a little embarrassed.

(End of this chapter)