My medical skills add experience

Chapter 547 It was originally a pennant, a warning

The age of the patient is not very old, he is only 34-[-] years old. If something happens, it will be a great blow to the family.

It is not easy for any family to raise a son.

34, five years old, basically taking over the burden of the family from his father, his career has risen rapidly, and he just got married and had a child.It is conceivable that if something happened and collapsed at this time, how much the life of this family would be affected.

Why is the mortality rate of acute pancreatitis high?

First of all, let me talk about a question, why does it cause low blood pressure?

The main reason it causes blood pressure to drop is the secretion of substances such as bradykinin.

Bradykinin can dilate blood vessels, which will increase the volume of blood vessels in patients, thereby causing hypotension. At this time, patients will appear obvious symptoms such as thirst and cold limbs.

If it's just hypotension, it won't kill the patient.

The real cause of the patient's death was complications such as organ failure, systemic inflammatory response, severe abdominal infection, and gastrointestinal bleeding.Bradykinin secretion is a trigger for these complications.

The pancreas is a very amazing organ that can 'eat' itself.

After the pancreatic enzymes in the pancreas are activated, there is another terrible phenomenon, the pancreatic tissue will digest itself, and eventually hemorrhage or even necrosis will occur.

As the second largest digestive organ in the human body, how does it eat itself?

The pancreas usually secretes insulin, which is used to regulate blood sugar levels, effectively utilize glucose in food, and maintain the normal metabolism of the human body.The pancreatic juice it secretes is designed to help the body clean up oil and digest greasy food.

It can be described as a digestive organ that has worked hard.

Pancreatic juice exists in the form of pancreatic enzymes when it is first secreted, and it will not be activated until it comes into contact with gastric acid and protein food.

People with acute pancreatitis are prone to gallstones.

Once you have cholelithiasis, the stones will fall to the junction of the pancreatic duct and gallbladder, blocking the outlet, causing bile to flow into the pancreatic duct or pancreatic juice to flow backward.At this time, the inactive zymogen is activated into an active enzyme, and it will digest itself.

This is the whole process of the pancreas eating itself.

There is a younger man in the family, who looks somewhat similar to the patient in appearance, in his 20s, and may be the patient's younger brother.

After hearing Zhou Can's diagnosis, he was still a little worried and said, "Doctor, is your diagnosis reliable? If my brother's illness is not acute pancreatitis, will the rescue be delayed?"

"Don't be offended! The main reason is that you are too young, and your life is at stake. We came to Tuya for safety."

The family members are mainly worried that Zhou Can is too young and lacks work experience, which will delay the time for rescue.

"No doctor can do such a thing as a guarantee. If you don't trust my diagnosis, then I can't help it. I can switch you to another doctor for diagnosis and treatment."

Faced with such doubts, Zhou Can would be lying if he said he was not angry.

According to his experience, once the family members question the doctor, they will be in constant trouble.

It is extremely detrimental to the work of diagnosis and treatment.

When the doctor uses a medicine, the family members will ask, what is the medicine for?Is it effective?What if it doesn't work?Are there any better alternatives? ...

Countless doubts are enough to make the attending doctor die on the spot.

To be honest, Zhou Can didn't need to be in charge of receiving patients at the triage desk.Every time the doctor on duty couldn't figure it out, he came to help solve it.

After all, saving people is the most important thing.

In addition, Director Lou, Deputy Director Han and others of the department also authorized Zhou Can to preside over rescue work on their behalf many times in department meetings or in public places.

Because the rescue often occurs in a short period of time.

If they are not present, a high-level doctor must be found to preside over the rescue work.

There is no doubt that Zhou Can's level is among the most outstanding among the many emergency doctors.In the entire emergency department, there are only a few people with some strength, such as Director Lou, Deputy Director Han, and Dr. Xu.

Now Zhou Can, in terms of rescue ability, has probably become the one with the highest level in the emergency department.

At this time, Deputy Director Han rushed over from the ICU.

The emergency ICU usually has two quite good chief physicians and deputy chief physicians on duty in turn.Only when encountering some very difficult and critical cases, will the other top doctors in the emergency department be mobilized as much as possible to rescue the patients together.

Sometimes, a doctor may not be able to take care of not only the patient's breathing, but also the heartbeat and blood pressure.

There is also rescue equipment such as upper lung membranes for patients, which requires multiple doctors and nurses to operate together.And it requires technical proficiency.

"Director Han, you came just in time! The family members have some doubts about Dr. Zhou's diagnosis, please show the patient again!"

Dr. Xie is the first doctor, and he is most worried about the patient's death.

Now that Zhou Can finally made a diagnosis, the family members are unwilling to cooperate, which is really worrying.

The family members trust the older doctor, Deputy Director Han is old enough.

"What is the result of Doctor Zhou's diagnosis?"

Deputy Director Han glanced at the family members, then looked at Zhou Can.

"It is highly suspected that the patient may be acute pancreatitis. I asked the patient to do blood routine and fasting blood sugar checks, as well as abdominal B-ultrasound. The family members thought I was too young and wanted to ask an older doctor to help the patient diagnose again. They even Take it easy."

In front of his family members, Zhou Can speaks in a very measured manner.

Never bring any bad emotions into the language.

In the current era of high tension between doctors and patients, doctors and nurses need to find ways to adapt to this harsh medical environment.Efforts should be made to improve communication skills, standardize diagnosis and treatment procedures, and avoid conflicts with family members and patients.

"Director, please help me to show my son!"

The family members made a timely request to Deputy Director Han.

"What else are you looking at? In terms of level, Dr. Zhou is no worse than me. It would be a waste of precious rescue time to ask me to diagnose again. Hurry up and send him for an examination! Life-saving is the most important thing."

Deputy Director Han urged the family members.

Although the family members were still somewhat skeptical, they did not object any more.

The patient is sent for examination.

"Director Han, I will leave this patient to you. I have to go to the operating room quickly."

"Okay! Go get busy!"

Since Deputy Director Han's hand bone was broken by his family members, Zhou Can came forward to help him find a relationship to quickly arrange surgery, and he was admitted to a better ward. He is grateful to Zhou Can so far.

Whatever happens at work, she takes great care of Zhou Can.

Kindness reaps goodness.

Some of Zhou Can's connections were obtained after he helped others.

……

At around nine o'clock in the morning, news came from outside, telling Zhou Can that the patient with suspected ruptured aortic dissection was indeed competitive pancreatitis.The situation is quite bad, and the digestive surgery department has been notified to take him away.

For patients with such a serious condition, the receiving doctors in the emergency department must find a way to push them to specialists for treatment.

Otherwise, in case something happens, it will only be troublesome.

"I didn't expect that the patient actually had acute pancreatitis. At the beginning, I always thought that the possibility of aortic dissection was higher. Boss Zhou really lived up to his reputation, not only for his extraordinary surgical skills, but also for his excellent diagnostic skills."

Jiang Wei looked at Zhou Can with admiration.

It is really not easy to admire her super talent.

"It's nothing to be able to diagnose it. As long as you are careful, if you are proficient in pathology and have rich experience in clinical diagnosis, you can still do it."

Zhou Can didn't think there was anything wrong.

The operating room is extremely busy today, and patients need to be treated urgently one after another.

After working until 40:[-] noon, Zhou Can took several members of the surgery team to the cafeteria for dinner.Under normal circumstances, they mainly solve Chinese food in the cafeteria.Only after the meal time, if there is no way, I will order takeaway, and then solve it in the lounge.

As soon as he left the door of the operating room, Zhou Can saw a young man walking towards him quickly.

It was none other than the younger brother of the patient with acute pancreatitis.

He couldn't help but be cautious secretly, what does this person want to do?Could it be that something went wrong with his brother, and he blamed Zhou Can for the problem?
"Boss, do you want to call the security guard?"

Yang Zhi asked in a low voice.

Seeing this kind of family members approaching quickly with long strips of packages in their hands, it is inevitable that they will feel nervous.

"Not for the time being. Go eat first!"

Zhou Can has confidence in his own strength, even if this person's long package contains a sharp knife, Zhou Can is still sure to take it down.

Empty hands into the sword, almost all fighting masters will.

"Doctor Zhou, this is for you!"

The young man quickly opened the package, and what was inside was a pennant.

Everyone breathed a sigh of relief.

If you send a pennant, you will send a pennant. Why are you making it so scary?
"what do you mean?"

Zhou Can was a little baffled, did the young man give someone a pennant just because he didn't agree with each other?

He has received more pennants than can be counted.

"Thank you for saving my brother! The doctor in the digestive surgery department told us that if the delivery was delayed, the consequences would be unpredictable. He also told us that my brother's symptoms were too similar to those of aortic dissection, and he wanted to diagnose It is not easy to come out. It is because of your correct diagnosis that I bought precious time for my brother's treatment. But I am still questioning your level. Sorry, I sincerely apologize to you."

After the young man explained, Zhou Can finally understood what was going on.

The patient's situation at the time was indeed urgent. Zhou Can's contribution was not particularly great, but it was very important.

Without Zhou Can's timely and correct diagnosis, the patient might be on the verge of death.

"How is your brother doing now?"

After Zhou Can took the pennant, he asked casually.

"After the operation, the person is fine now. He is recuperating in the ward."

"It's fine."

Zhou Can nodded happily.

Every time he hears the news that the patient has turned from danger to safety, he will feel very happy.

There is also a sense of accomplishment.

"You don't get paid for nothing. Actually, I didn't do anything. You should take the pennant back. It's more appropriate to give it to the doctor who performed the surgery."

Zhou Can refused to accept the silk banner sent by his family.

"At the chief surgeon's place, we need to thank you, and you need to thank you even more here. The pennants are all custom-made, and please don't dislike them and accept them. This is also a little thank you from us."

"Okay then! Thank you, thank you!"

Zhou Can accepted the pennant.

Not to mention going to the cafeteria to eat.

When eating, he habitually checks the information on his phone and picks the important ones to reply one by one.

I know that this way of eating is unhealthy, but I can't help it.Because his time is too tight.

Director Xueyan sent him several messages in succession.

After clicking on it, I realized that the Department of Cardiothoracic Surgery had received a very special patient.Only 17 years old, with heart failure, who came from the imperial capital, and went to see Dr. Zhou Can for treatment.

Most of these cases are extremely difficult to diagnose and treat.

There are many large hospitals in the imperial capital, and the medical skills are among the top in the country.Because most of the powerful medical experts and professors gathered in the imperial capital.

"I have to go to the cardiothoracic surgery department after dinner, Yang Zhi, you take everyone to do some small operations that can be handled first."

Zhou Can's team now has one more person, and the pressure is obviously much greater.

I have to work hard to do more operations to make money, otherwise I really can't afford to support a super nurse like Jiang Wei.

Do you want to say that her salary is high?

Not particularly high, just normal.

But the revenue-generating pressure on emergency operating rooms has certainly increased a lot.The final implementation to Zhou Can's team means that he needs to complete at least 400 additional tertiary surgeries, or more than [-] primary and secondary surgeries a month.

Now that he has something to leave temporarily, he must let Yang Zhi and the others take over.

Otherwise, Director Lou should talk to him after get off work.

"Boss Zhou, can I go with you?" Jiang Wei asked excitedly.

"I'm afraid it won't work! Qiao Yu is resting today. You are the equipment nurse of our team. If you follow me to the cardiothoracic surgery department, Yang Zhi and the others won't be able to perform the operation. There will be opportunities in the future, so don't worry."

Zhou Can discovered that Jiang Wei especially wanted to go to cardiothoracic surgery.

Why is she so keen on going to cardiothoracic surgery?broaden knowledge?Want to be involved in major major surgery?It inevitably made Zhou Can feel a little puzzled.

It stands to reason that she has even practiced in top hospitals abroad, what kind of scenes have she not seen?

Increasing knowledge is somewhat unreasonable.

Participating in important major surgery, it is difficult to obtain such an opportunity for the time being.Of course, if Zhou Can is willing to use her and let her be the surgical nurse when presiding over the fourth-level major surgery in the cardiothoracic surgery department, she can participate.

The point is that Zhou Can will not agree.

Even now, Zhou Can still remains wary of this woman.

"Okay then! I just want to follow along to help you. Patients from the imperial capital must be very difficult to diagnose and treat. Maybe there is something I can do to help you!"

She seemed a little aggrieved, and explained a rare sentence.

"I can understand your painstaking efforts, thank you. There will be opportunities in the future. When our surgical team grows, I will definitely not be able to do without your help when we perform various major operations."

Zhou Can comforted her.

After eating, he hurried to the cardiothoracic surgery department without Jiang Wei.

Unlike ordinary people who tend to be soft-hearted, Zhou Can has always been very assertive in his actions, and he will never soften his heart when he should be ruthless.

Otherwise, the only one who is unlucky is himself.

After he came to the Department of Cardiothoracic Surgery, Director Xueyan was resting in the office.Seeing his arrival, she seemed very happy, and immediately took him to the corridor to meet the heart failure patient.

The patient came here this morning. Even if he is from the imperial capital, if he doesn't have a very strong relationship and goes through the back door, he can basically only sleep in the corridor or the waiting room outside the office temporarily like ordinary patients.

"Sister Yan, have you checked the patient?"

"Only one blood test was done, and the rest of the tests are up to you. The patient has already gone through almost all the tests that should be done at the Renhe Hospital in the imperial capital. Unfortunately, the cause of the disease has never been found."

The inspection done is still within the validity period, and there is generally no need to repeat the inspection.

(End of this chapter)