My medical skills add experience

Chapter 519 The Function of a Note, Invitation

"Uh... I think he might have some good treatment suggestions for us." No matter how stupid Dr. He was, he would never say something that made the two directors unhappy.

It is impossible to say that they have not made much progress in rescuing patients. Zhou Can has a better way, right?
I believe the two directors have understood this meaning.

"The patient is currently unconscious. Let's try to stabilize his vital signs, and then find a way to formulate a further treatment plan. There is no problem. No matter how powerful Zhou Can is, it is still the same as our treatment steps."

Pang Houzhong said disapprovingly.

Originally, the attending doctor and the chief doctor were talking, and he, a young resident doctor, was not qualified to intervene.

It was because of his status as Director Xiang's apprentice that he dared to act presumptuously.

In fact, no matter which unit you are in, if you are appreciated by the big leaders, you can indeed walk sideways in your unit.At least the status and status are much higher than ordinary colleagues.

"I don't know about this either. I'm just reporting what I've observed to the two directors."

Dr. He glanced at Pang Houzhong, but did not continue to argue about this matter.

But Pang Houzhong spoke without any scruples, which must have made him a little unhappy.

"Professor Xiang, why don't we ask Zhou Can? We can also learn more about his medical skills."

Ru Yaji's idea was very simple, she was unconvinced in her heart, and wanted to see if Zhou Can was that strong?
Not long ago, Zhou Can accurately diagnosed that the cause of the patient's critical illness was thrombosis in the central vein.

Or maybe it just happened to happen.

For example, Zhou Can happened to have similar clinical diagnosis and treatment experience.It is not difficult to point out the problem.

"Confused! Why should we communicate with him? Are you asking him to come over for a consultation?"

Director Xiang reprimanded Ru Yajun in public.

Her thinking was too simple, and she didn't know the possible impact on the reputation of the Provincial People's Hospital.

If Zhou Can was a doctor in this hospital, he might be able to pull his face down and invite someone over for consultation.He is a doctor from Tuya Hospital, and he invited him over for a consultation. If he is really slapped in the face again like this blood clot, where will the Provincial People's Hospital be placed?
Director Xiang stands at different heights, so he can see farther.

At this time, a nurse came in from outside.

"Professor Xiang, this is a note left by the family member who visited bed 13. I must hand it to you face to face." This nurse is the young nurse who led Zhou Can into the ICU to visit.

She has a low status here, and her qualifications are very shallow.

The work I am currently doing is doing chores.

Every nurse is trained step by step from side work.

The hospital pays attention to the titles of doctors at all levels.

The deputy chief doctor usually calls director XX directly. Don't say deputy director on the left and deputy director on the right.All assistants and vice-presidents are called XX dean.

Deputy Chief Physician and Chief Physician generally don't call the teacher, they will be unhappy.

The chief physician will either call him Director XX, or have a higher EQ and call him Professor XX.

Just like when we go to the administrative department and see a handyman, if you call him comrade, he may not respond to you.But if you call someone's leader, the face will be much more friendly.If you have any questions, they will be happy to answer or give some pointers.

Therefore, there is a lot of knowledge in the matter of addressing superiors.

The chief physician likes to be called Professor XX instead of Director XX.If the Chief Physician is concurrently serving as the Vice-President, the name has changed again at this time, and he has to be called the Chief Physician.

When addressing, you should choose the highest position to call.

Director Xiang was a little surprised. After taking the note, he found that the note was folded into a triangle.If you don't take the initiative to open it, others will have no way to check the contents of the note.

He immediately realized that Zhou Can was probably taking care of his face and maintaining his majesty, so that no one could see the contents of the note.

"Let's first discuss the treatment plan for the 13-bed patient."

Director Xiang stood up straight away, went outside and opened the note.

There is only a short line written on it, and the golden rescue time is four hours.

Just a few short words, like a heavy hammer hitting Director Xiang's heart hard.

With his experience and wisdom, he naturally understood that Zhou Can was referring to the 13-bed patient.

For example, cardiac arrest and respiratory arrest, the recognized golden rescue time is 3 minutes.During this time, if the patient can be given cardiopulmonary resuscitation quickly, the irreversible damage to the patient's body will be very small.

Conversely, if it takes more than 3 minutes to save a person, the difficulty of resuscitation will be greatly increased.

On the other hand, even if rescued, the person may be brain-dead and become a vegetative state.Or cognitive impairment occurs and becomes a mentally handicapped person.In this case, the meaning of saving people is much smaller.

It will be a heavy burden on the original family.

It has been nearly three hours since the 13-bed patient was admitted to the hospital.

The treatment given by the Provincial People's Hospital to the patient is only life support, trying to find ways to stabilize the patient's vital signs, and the treatment method is very conservative.

Zhou Can's intention was obvious. He wanted to tell Director Xiang that the patient's golden rescue time should be completed within four hours.

After this time, it doesn't mean that bad things will definitely happen.

There is a high probability that some irreversible disease progression will occur, and even the chance of treatment will be lost.

After reading the note, Director Xiang stood there in a daze, silent for a long time.

Doing everything possible to overcome all difficulties to save lives is the bounden duty of doctors and the professional ethics that doctors must abide by.

Although Zhou Can didn't say it clearly, there was a faint sense of coercion.

The Provincial People's Hospital does not have to bear any responsibility for missing the golden rescue time, but Director Xiang will suffer conscience condemnation.

Conscience is an invisible ruler.

It exists in everyone's heart.

When we do something wrong, or cause harm to others because we are too selfish, if we are kind enough, we will be condemned by our conscience.Feeling uncomfortable, even guilty.

A cold-blooded and ruthless person may ignore the feelings of others.

That is to say, the conscience that is often scolded is eaten by dogs.

In fact, such people are very few.There are mostly good people in this world.

Director Xiang can have such a high status, and the level of medical skills is also extremely high, so there is no problem with professional ethics.

After reading the contents of the note, he was suffering from inner torment.

The invisible pressure was hitting him wave after wave.

This note forced him to find a way to actively treat the patients in the 13th bed.

After a while, he returned to the duty room.

"Show me the patient information on bed 13 again."

Everyone saw that his face seemed a little dignified, and they didn't know what happened.

Pang Houzhong had already brought the patient's examination report and other materials to Director Xiang as soon as possible.

"Intracranial effusion is quite serious. After you discussed it just now, is there any good way to solve it?"

"This kind of situation is usually solved by surgery. It requires doctors from the two departments of orthopedic surgery and neurosurgery to perform joint surgery. It's just the patient's situation, as you have seen, there is no way to go to the operating table."

Director Zhao was helpless.

The physical conditions of some patients do not meet the criteria for the operation table, and doctors can only choose more conservative treatment.

Otherwise, if the patient dies on the operating table, what should the family members do if they ask the hospital to give an explanation?
Even if the family members do not make trouble, the patient dies on the operating table, which will affect many scores of the hospital.

Doctors including chief surgeons will also be negatively affected and even punished.

Naturally, no one wants to do such a 'losing money' thing.

"Have you asked a neurosurgery expert to read it?" Director Xiang studied the information for a while, his face always gloomy.

The patient's injuries are very serious, and the internal injuries have not been identified, which has brought great difficulties to treatment.

"After the emergency consultation, experts from the three departments of extracerebral, thoracic and orthopedics have been invited for consultation. After the diagnosis of the extrathoracic experts, they think that the patient's spleen is likely to rupture, and there are certain damages and displacements in other organs. Critically ill. The extracerebral expert diagnosis believed that the patient had intracranial hemorrhage, and it was very close to the brainstem. The surgery was extremely risky and difficult. After the extraorthopedic expert diagnosis, multiple parts of the patient's body were found to be fractured. It is suggested that the patient choose another date in the future Operation."

After Director Zhao finished introducing the situation, Director Xiang just nodded and didn't speak any more.

The patient's injuries are extremely serious, and it is likely that there will be no future.

If you want to actively rescue, the doctor must have this ability.

In the current situation of this patient, who would dare to use a knife?
Director Xiang is only an expert in the Department of Critical Care Medicine. He is neither professional nor capable of surgery.

"See if Zhou Can is gone! If he is still there, please invite him to my office. I want to talk to him."

Director Xiang thought over and over again, and finally made this difficult decision.

The signs of the 13-bed patient were temporarily stable after thrombectomy.

But everyone understands that the patient's condition is still getting worse.Probably won't even make it through tonight.

After the high fall, too many patients died after the rescue failed.

When everyone heard what Director Xiang said, they all looked at him in surprise.

The 'miscellaneous' nurse ran out to find someone.

"Why are you looking at me like this? Didn't you just suggest that I ask Zhou Can for a consultation? Now I'm planning to do it. At least it won't be wrong to listen to his opinion."

Director Xiang couldn't bear the strange gazes from everyone.

I can only take the initiative to explain two sentences.

What these people were even more curious about was what Zhou Can wrote on that note?This made Director Xiang's attitude change significantly.

But no one dared to ask about it in person.

After Zhou Can finished writing the note, he did not leave the Provincial People's Hospital immediately.He told Lu Fen some basic information about Deputy Director Lu.

According to the current treatment method of the Provincial People's Hospital, it may be difficult for Deputy Director Lu to survive tonight.

Zhou Can is considering the possibility of persuading Lu Fen to transfer Deputy Director Lu to Tuya Hospital.

There is a great risk in the transfer of such critically ill injured patients.

Many have no way to leave the ICU.

Deputy Director Lu had multiple fractures all over his body, so it was very easy to cause secondary injuries when he was transported and moved.

So, this is very tricky.

Besides, if the person is transported there, if he is not cured, wouldn't Tuya Hospital be in big trouble?

Although Zhou Can has some status in Tuya, he must be more cautious about this kind of thing.

One thing is certain, if Deputy Director Lu can be transferred to Tuya Hospital, as long as the family members are willing to cooperate, Zhou Can will definitely try his best to persuade all relevant departments to give Deputy Director Lu active treatment.

Of course, this is just his wishful thinking.

There are many obstacles in the actual operation process, and it is almost impossible to realize.

The best way is to let Deputy Director Lu stay in the Provincial People's Hospital to continue treatment.It would be perfect if the Provincial People's Hospital could be persuaded to carry out a more active rescue of Deputy Director Lu.

He had initially communicated with Lu Fen, explaining some of the stakes and the real situation that Deputy Director Lu was facing.

However, considering that she doesn't have a deep relationship with Lu Fen, she is very young and has very little social experience and experience.

In order not to cause some disputes between doctors and patients, he spoke quite conservatively.

Just giving some explanations and reminders in a side-by-side manner.

She is currently the only immediate family member of Deputy Director Lu.Has the right to make any decisions on the treatment of Deputy Director Lu.

Zhou Can will be more confident if he can do some ideological work for her first, and then communicate with the Provincial People's Hospital later.

Otherwise, even if he could try to let the doctors of the Provincial People's Hospital take the risk of taking some positive rescue measures for Deputy Director Lu, it would be useless if the family members disagreed.

"Doctor Zhou, I didn't expect you to leave yet, that's great!"

The little nurse who was in charge of looking for Zhou Can looked very happy after seeing Zhou Can.

Her attitude towards Zhou Can was also very polite.

Even respectfully.

"What's up?"

Zhou Can looked up at the nurse.

"That's it. Our director would like to invite you to his office for a chat. Do you have time now?"

"Row!"

Zhou Can only answered one word.

For this result, he seemed to have expected it.

I followed the nurse to Director Xiang's office, but there was no one there.

"Doctor Zhou, please sit down for a moment, Director Xiang will come over soon."

"Ok."

Zhou Can nodded.

"My colleagues are all praising your high level of medical skills! This is also the first time I have seen the real young and outstanding doctors in Tuya Hospital. Compared with the few people I have seen before, you are different from them .”

As the little nurse spoke, her eyes showed admiration and respect for Zhou Can.

Zhou Can is not a few years older than her, but he has such a great ability, which is really admirable.

She had already called Director Xiang directly and told Zhou Can to come to his office.And she is here to talk to Zhou Can temporarily.

So as not to neglect others.

At the same time, she is also full of curiosity about the real situation of Tuya Hospital, and wants to learn about the real situation of Tuya Hospital through talking with Zhou Can.

Just like Zhou Can also wanted to know the situation of the Provincial People's Hospital.

Strictly speaking, everyone is a competitor.

"Hehe, you won the prize!"

Zhou Can didn't have much interest in chatting with this little nurse.

He just replied lightly.

But the other party's enthusiasm is very high.

"Are there many excellent young doctors and nurses like you in Tuya Hospital?"

"There are too many people better than me."

Zhou Can said seriously.

He never thinks how good he is, because his goal is to become the top doctor in the world.To form a super team.

(End of this chapter)