My medical skills add experience

Chapter 515 Evidence?Unspoken rules of the intensive care unit
Zhou Can couldn't help feeling a little guilty. He really didn't expect to have such a heavy weight in Deputy Director Lu's heart.

It's no wonder that after he rejected Deputy Director Lu's request, the other party's tone became so bleak.

Deputy Director Lu asked him for help with full expectation, but he responded with indifference and categorically refused to lend a helping hand.One can imagine how sad and desperate Deputy Director Lu must have been at that time.

At this moment, he felt like he was constantly cutting, and the reasoning was still chaotic.

The mood is very complicated.

Zhou Can's principle of dealing with people has always been not to take advantage of others, but he has never been a good person.When it's time to be ruthless, he is even more ruthless than the emperor.

Deputy Director Lu committed suicide by jumping off a building this time, which made him doubt for the first time whether his way of handling things was correct?

When Director Hu Kan was still alive, he had warned Zhou Can earnestly and earnestly that it was not easy to be a human being.

Until now, Zhou Can had some deep insights.

"Miss Lu, may I ask which department of the Provincial People's Hospital Director Lu is treating for? I will rush over to visit him right now, and you can just give me the letter when the time comes."

Seeing his old colleague being driven to a dead end by the Third Hospital, Zhou Can was more angry than sad and heartbroken.

Just as Deputy Director Lu thought, he wanted to seek justice for Deputy Director Lu.

In addition to morality, there are laws and axioms in this world.

More justice and conscience.

"My father is in the ICU of the Provincial People's Hospital's Intensive Care Medicine Department. I'm just outside in the corridor, wearing a light pink zipper jacket."

"Okay, I'll be right over here."

After Zhou Can hung up the phone, he couldn't even think about eating.

"Qianqian, you and Wei Fang go back first. One of my colleagues committed suicide by jumping off the building and is currently being rescued in the Provincial People's Hospital. I have to rush over to see." Zhou Can handed the lunch box to Su Qianqian and quickly explained a few words.

In fact, she has been sitting beside Zhou Can, and she can hear the content of the phone quite clearly.

"You pay attention to safety! Also, don't be brave."

Su Qianqian was worried that Zhou Can would stand up for the colleague who jumped off the building, and then he would be in trouble again.

"Got it, go back!"

Zhou Can nodded, walked quickly to the staff elevator, and went directly to the underground garage.

The Mercedes-Benz that cost hundreds of thousands of dollars is basically nothing.

Driving to the Provincial People's Hospital, Zhou Can went straight to the Department of Critical Care Medicine.The scale of the Provincial People's Hospital is comparable to that of Tuya Hospital. The number of beds and the number of hospital employees are both on par.

Its medical staff recruitment basically requires at least a postgraduate master's degree for doctors and a bachelor's degree for nurses.

And the requirements for graduate schools are relatively good.

If you are a graduate student from a second school, you may be discriminated against and be dismissed directly during the interview.

Needless to say, the three colleges and universities exist purely to provide students with an undergraduate diploma.The real level may not be as good as excellent college graduates.

Especially the college graduates in the early years, and even the technical secondary school students, are particularly awesome.

It can be seen from the continuous increase of the recruitment threshold of each hospital that the competition among major hospitals is extremely fierce.In particular, the construction of the most core talent team has been attached great importance to by major hospitals.

With a bachelor's degree, Zhou Can was able to get to his current position in a very short period of time, which is definitely the only family.

Along the way, you can see that many patients who seek medical treatment are holding examination receipts or payment receipts, rushing to the next examination department and queuing up for corresponding examinations.Or after getting all the test results, quickly take them to the receiving doctor for further consultation.

The current model of the hospital is basically that after receiving a patient, after a simple consultation, understand the symptoms and medical history, and then prescribe some examinations, make the patient and family members busy for most of the day, and queue up to complete all the examinations.

After showing the results to the receiving doctor, the cause of the disease can be diagnosed, prescribed medicine or hospitalized.

Or the lucky few who were told that they were not sick.

There are also patients who cannot find out the cause because of the complexity of the condition.This is at the discretion of the attending physician.If the family and the patient cooperate well and there is a vacant bed, they will be admitted to the hospital for observation.

It must be said here that hospital observation does not mean hospital treatment.

Some critically ill patients, or those with unknown etiology, think that everything will be fine after being hospitalized, which is definitely not the case.

In case something happens during the hospital observation period, the hospital will not be held responsible.

For example, the Department of Gastroenterology of Tuya Hospital once received a patient with abdominal pain.The doctor in question did some tests on the patient, but failed to find out the cause.I made an appointment for a colonoscopy, which needs to be done the next day.

As a result, the patient suddenly went into a coma on the second morning of hospitalization.

The rescue was ineffective and eventually died.

Later, the family members made a fuss, and the autopsy results showed that the patient's small intestine perforation caused acute peritonitis, which eventually led to the patient's death.The family filed a petition and took the hospital to court.

After a trial, it was determined that the hospital was operating in accordance with normal diagnosis and treatment standards, and the patient was given active rescue after shock.

In the end, it was determined that the hospital was not responsible.

The family members will lose the lawsuit. First of all, the legal affairs of Tuya Hospital are not vegetarian, and the lawyer team is very strong.Secondly, the hospital operates according to the standard, and the observation of patients in hospital does not mean hospitalization.

Of course, this incident affected the reputation of Tuya Hospital to a certain extent.

After the incident, the hospital took the initiative to find the family members and gave them 5 yuan in humanitarian condolences.The family members also knew that their small arms could not hold back their thighs, so they finally chose not to appeal or cause trouble.

The Gastroenterology Department of Tuya Hospital held a meeting, using this case as a warning to pay close attention to safety education.

Zhou Can is not familiar with the Provincial People's Hospital. It is the off-duty time, around [-]:[-] pm.After a lot of effort, Zhou Can found the Department of Critical Care Medicine according to the guidance of the hospital map.

Those that can reach the scale of provincial-level tertiary hospitals are basically very large.

Walking, you may not be able to finish shopping in two or three 10 minutes.

In the corridor outside the intensive care unit, Zhou Can saw a haggard young girl in a light pink top at a glance.

The age is also 22 three years old.

He was tall and handsome.Judging from her temperament, she should be a very talented girl.

It is said that tiger fathers have no dogs.

Deputy Director Lu's academic and medical skills are very good, and the daughter born should not be much worse in school.

"Excuse me, is it Lufen?"

"Yes, I'm Lu Fen. Are you Dr. Zhou Can?"

"Yeah!" Zhou Can nodded. "Director Lu's accident, I feel very sad, and I sympathize with your family's experience. How is Director Lu now?"

"I am trying to save my life in the intensive care unit. The intracranial hemorrhage seems to be under control. The doctor told us that the situation is not optimistic. The person may die at any time. Also, even if he survives this test, he may become a vegetative state." , cognitive impairment, etc.

Intracranial hemorrhage caused by high falls is often extremely dangerous.

This means that the head hit the ground or something hard and the injury was very serious.

In addition, some high-falling patients seemed to be fine at the time, but after a period of time, ranging from a few hours to a day or two, the condition of the injured continued to worsen and eventually died.

Internal organs are injured, and sometimes there is no way to find out immediately.

For example, bleeding in the body can often only be further checked or explored based on the inspection results of pleural effusion and peritoneal effusion.

Even today, when inspection instruments are extremely advanced, items such as laparotomy, thoracotomy, and craniotomy are still widely used in clinical practice.What does this mean?
It shows that no matter how advanced the examination equipment is, the condition in the body cannot be seen by the naked eye, and some causes may not be found out.

Exploratory laparotomy and craniotomy can further clarify the etiology.

"Doctor Zhou, may I call you to confirm your identity?"

Lu Fen looked very vigilant.

"Of course!"

Zhou Can nodded in agreement.

She took out her mobile phone and dialed Zhou Can's mobile number. Zhou Can's mobile phone kept vibrating.He showed the phone screen to Lu Fen for inspection.

"Please don't mind. My father's life and death are uncertain now. The Third Hospital that brought him to this point has a very powerful force. For a weak woman like me, it is simply a colossus. I must be more cautious."

Lu Fen's words and deeds gave Zhou Can the feeling that he was still very immature.

People are always naive without being hit.

She is probably still a student at school, and her way of thinking and cognition are far from those of Zhou Can, a veteran who has worked in society for many years.

"Understand. It's good to be cautious."

Zhou Can nodded.

"If you have any difficulties with medical expenses, you can always come to me. Sigh! It's really sad to see my former colleagues fall into this situation."

He tried his best to provide some help to Deputy Director Lu's family.

Deputy Director Lu was forced to commit suicide by jumping off a building, and the family's financial situation may not be ideal.

This is just Zhou Can's guess.

After all, Deputy Director Lu used to work in cardiothoracic surgery, and his annual after-tax income was at least 35 yuan.Don't look at the per capita annual income of more than one million online, it's just the vanity of the keyboard warriors, and it's just blowing it out.

In fact, more than 95% of the people in China can achieve a stable monthly income of tens of thousands.

The annual income after tax is 35 yuan, which means that the hospital's employment cost is at least 50 yuan.

The income gap between the deputy director and the chief physician is still quite large.

Chief physicians with slightly better cardiothoracic surgery capabilities have an annual after-tax income of at least 50 yuan.The general level of Tuya is between 60 and 120 million.

It's all about after-tax income.

It is definitely an exaggeration to say that the chief physicians on the Internet start with an annual salary of 200 million.

At least Zhou Can didn't see any chief physician making a fortune.Mostly the middle class.

"Thank you, thank you! This is a letter specially left for you by my dad. He told me to hand it to you. I don't know what is written in the letter. I guess it probably says that he committed suicide by jumping off a building. reason."

Lu Fen took out a thick letter from his pocket.

Perhaps it is more appropriate to say that this is a mail bag.

The mouth of the bag is sealed and has not been opened.What is contained inside is not a page or two, but quite a lot.

Zhou Can secretly guessed that what was contained in the envelope was probably the evidence that the Third Hospital had entrapped them job-hoppers.

To be able to become a deputy chief physician, you must have a lot of wisdom and knowledge.

Naturally, he will find a way to collect some criminal evidence from the Third Hospital, so that he can get revenge one day.

Zhou Can did not open the envelope on the spot, but put it away directly.

"Doctor Zhou, if something really happened to my father, please help us, I must seek justice for my father."

Lu Fen bit his lip, tears swirled in his eye sockets.

The look in the eyes and the expression on the face are extremely determined.

"As long as it's within my ability, I won't sit idly by. What about the rest of your family?"

During the conversation between Zhou Can and Lu Fen, no other family members came over.

This is somewhat startling.

"My dad and I are the only ones left in my family. Other relatives are either my dad's brothers, or my uncles and aunts."

She pointed to a group of people guarding outside the intensive care unit not far away.

There were several groups of people guarding outside, most of them looked anxious.Their relatives and friends are receiving treatment in the intensive care unit.

"Is there a way to visit Director Lu now? I want to go in and see how he is doing."

Zhou Can rushed over, not only to get the letter Director Lu left for him, but also to see if he could do something to rescue Deputy Director Lu.

It is not to question the strength and level of diagnosis and treatment of the Provincial People's Hospital.

Just want to do my best.

"It should be possible to find a way to intercede with the medical staff. I'll go and talk to the medical staff."

When Lu Fen turned his face away, he quietly wiped away his tears.

Then he walked quickly to a small window next to the intensive care unit.

The main entrance is usually not open to family members, and ringing the bell is of little use.The intensive care unit of any hospital is similar.

Deliver food or personal items, usually through the small window on the side.

This is called the viewing window.

If you want to go in to visit patients, you need to apply to the staff at the window first.

There are usually dedicated nurses here to manage.

Most of them are older nurses, who are regarded as relegated to the second line.

When I get older, I can't handle the high-intensity work in the intensive care unit.However, if they have rich experience and have some connections or contacts, they will have the opportunity to get a job on duty at the visiting window.

It is a relatively easy job in the intensive care unit.

"Hello, can we visit my dad?"

"What's the patient's name?"

The older nurse asked in a slightly cold tone.She looked at Lu Fen and Zhou Can indifferently.

"Lu Xiangbei!"

"Who are you from the patient?"

"daughter!"

"Who wants to go in and visit?"

"he!"

Lu Fen pointed to Zhou Can beside him.

"Who is he to the patient? Son or son-in-law?"

"I am a colleague of the patient."

Zhou Can replied directly from the side.

Lu Fen has a thin skin, and was obviously a little embarrassed when asked if Zhou Can was the patient's son-in-law.

"Colleagues are not immediate family members. According to regulations, they are generally not allowed to visit. Of course, if family members agree to visit, you can also write a power of attorney. In addition, our intensive care unit is managed aseptically. At most once. Lu Xiangbei is still in a coma, and there is no way to communicate with him when he goes to visit him. I suggest you wait for him to wake up before going in to visit him."

The old nurses are bulls, whether they are family members, doctors, or patients, they are all controlled by them to death.

His ability has been honed through years of clinical practice.

"How do I write a power of attorney? I can write one right now."

Lu Fen knew that Zhou Can was very busy, and it was not easy to find time to visit her father.

She was ashamed to waste Zhou Can's time.

"I don't know how to write it. You can find a template on the Internet by yourself, or ask someone to write it. The patient is now in a coma, and he is just a colleague of the patient. I suggest you go in for a visit after a while."

The old nurse made it clear that she wanted to find ways to minimize the chances of family members visiting her.

The ward is under aseptic management, and there must have been some instructions for her from above.

(End of this chapter)