My medical skills add experience

Chapter 647 Living Dead, Consultation
After waiting for about seven or eight minutes, a middle-aged man in gray overalls and white-soled black cloth shoes walked over quickly.

This person strolled in the courtyard, his eyes were as sharp as a falcon.

"Young man, is it you who want to see Mr. Song?"

His gaze was fixed directly on Zhou Can in the car.

"Yes, I want to meet Mr. Song. This is my ID."

Zhou Can got out of the car and politely handed the certificate to the other party for inspection.

After taking the certificate and looking it over carefully, and comparing it with Zhou Can himself, the uncle returned the certificate to Zhou Can.

"Get in the car, I'll show you the way."

After the uncle finished speaking, he walked directly to the other side, opened the door and got into the passenger compartment.

Two sentries stood like two javelins, saluted Zhou Can's car and let it go.

This allowed Zhou Can to deeply experience the aura of power for the first time.

Even in the Jiangxin Island villa, where the security is also tight, and the price of the villa is over [-] million, but compared with here, there are basically two feelings.

I can't say it, but when I drive close to here, I feel awe and unfathomable power.

The greening in this Anyang community is better than the park, and the plot ratio is very low, with only a few buildings hidden in it.

In addition to this main driveway, you can see that some side roads are paved with cobblestones, and red and colored carps are swimming in the fish pond.And it feels like the water under the arch bridge is flowing water.

I don't know where the water came from?
It is difficult for ordinary river water and river water to be so clear.After all, the various sewage discharges these years are very serious.

In order to reduce the cost of sewage treatment, some unscrupulous enterprises usually dig and repair hidden pipes and discharge them secretly.

Through the open car window, he could feel the fresh air in the community.

There is quite a kind of comfort in nature, and the mood becomes more comfortable.

"May I ask your surname?"

Zhou Can's status is not low, and his wealth is not bad. When facing this middle-aged uncle, he can calm down.

"My surname is Bian, I am the butler of Mr. Song's family."

"Uncle Bian, may I ask Mr. Song Dingxian to take care of you?"

The other party looked like he was in his fifties, so it was appropriate for Zhou Can to call him uncle.

"I'm mainly in charge. There are many people who take care of Mr. Song."

"Is Mr. Song's physical condition okay? I mean, after being paralyzed, has his body function in all aspects deteriorated seriously?"

"It's the house in front. You can just park your car outside. It's not your own car, so you can't drive in."

Uncle Bian did not answer Zhou Can's question.

Instead, he pointed to a Chinese-style building in front of him.

It is only two stories high, with eaves and corners, and even a ridge beast that is used to suppress evil and auspicious can be seen on the roof ridge.

Park the car on the side of the road, and the two get out of the car.

After entering the door, a muscular middle-aged man took out a metal detector.

"According to the rules, the gate of this house must be checked, and dangerous items such as knives and guns cannot be carried. Please understand."

"can."

Zhou Can opened his hands and let the other party check.

After scanning with the instrument, the middle-aged man conducted a simple search of Zhou Can from top to bottom with very professional movements.

After searching, the middle-aged man took a deep look at Zhou Can.

"I didn't expect that little brother is still a practicing family, you can go in."

He made a gesture of please.

The attitude towards Zhou Can has also changed a little, with a little more respect.

Whether you have practiced it or not, you will know it as soon as you touch the opponent's body.

The muscles of martial arts practitioners are not only stronger than ordinary people, but also form a natural muscle reflex.When attacked, it will naturally rebound or tense.This is because self-defense and counterattack have been integrated into every muscle when practicing professional fighting and Sanda hard.

There are those powerful masters who even directly blend into the depths of their bones.

When Uncle Bian heard what the middle-aged man said, he couldn't help but look at Zhou Can in surprise,
But he didn't say much.

"plz follow me!"

Uncle Bian led Zhou Can into the yard. The environment inside was quiet and the layout was very ingenious.

Every plant and tree, gazebo, rockery, screen wall for entering the house, and even the garage are all very particular.

After entering the main hall, Zhou Can found that there were many servants in the house.

Young maids in their 20s, maids in their 50s, and male servants all wore black-like cloth clothes, trousers, and cloth shoes.

This kind of rich and powerful people pay so much attention to it!

Zhou Can couldn't help sighing.

Butler Bian took Zhou Can out of a room.

"Please wait outside, I'll go in and talk to Mr. Song."

When I opened the door, I could vaguely see that the concierge was very large, at least sixty square meters, which was comparable to the living room of a large apartment.

There is a bed in the middle of the room.There are various instruments on both sides.

On the west side of the room, we even saw amazing ECMO, critical ultrasound, blood purification equipment...

This is simply a small intensive care unit with all internal organs.

If this is not a big deal, two middle-aged men and women in white clothes are guarding the ward.

These two are definitely professional medical staff.

At this moment, apart from shock, Zhou Can can only think of two words, Niu B.

This is real bull.

The cost of purchasing those instruments is already terrible, and the daily maintenance is not a small expense.Then hire at least two professional medical staff to be on duty in front of the bed.

This kind of expense is really not affordable by ordinary people.

The side butler came out soon.

"You can go in."

Zhou Can walked into the room, and the age of the two medical staff was not too young, the male should be 47 or 40 years old.The woman is obviously a nurse, and she feels at least in her early [-]s.

The profession of medical care requires a lot of experience, especially for such severely paralyzed patients, it is even more difficult to take care of them.

The two just glanced at Zhou Can indifferently, each doing their own work, looking very dedicated.

The man is staring at the ventilator, and the woman is staring at the infusion bottle, checking the patient's condition from time to time.

Perhaps because of the special situation of the patient, the intravenous drip is not the common intravenous access from the arm or the back of the hand, but a deep vein catheter from the neck.

The risks involved can be imagined.

The drugs used in some critically ill patients are irritating and require long-term infusion, and phlebitis may occur when infused in small peripheral veins.

If the drug accidentally leaks out of the blood vessel, serious consequences of local tissue necrosis may even occur in severe cases.

But there is no need to panic. The deep vein catheterization will be performed by experienced nurses, and the trainee nurses have no courage at all.If there is any abnormality, the nurse will rush to the ward to deal with it in time.

Think of it as a more advanced infusion method.

Zhou Can looked at the patient lying on the bed, wearing a ventilator.Fortunately, what I did was non-invasive breathing.

According to Zhou Can's clinical intensive care experience, invasive breathing not only requires a strict aseptic environment, but also causes various complications over time.

The most common is pneumonia.

This is almost inevitable.

And the longer you use the invasive ventilator, the more prone to various complications.Inflammation is the most common.

No matter how advanced hormones and antibiotics you use, there is no way to completely prevent it.

The patient on the bed was a haggard man whose real age could not be seen.

It is estimated that it should be 60 years old.

Despite the long-term illness and bedridden, the whole person still looks quite kind.

It's not the kind of vicious face.

Patients with severe paralysis like this are most prone to bed sores, muscle atrophy, and then some organ failure over time.But the male patient's condition is not bad.

It should have been ten years since Dr. Xu's accident.

When Zhou Can first came to Tuya Hospital as a trainee, Dr. Xu had been in an accident for several years.

Now Zhou Can has been promoted to attending physician and has become a new famous doctor in Tuya Hospital.

Therefore, it is calculated that the patient has been paralyzed in bed for at least ten years.

After being paralyzed and bedridden for such a long time, it is not easy to keep the muscles of the body from shrinking and the skin to look plump.

It is necessary to ensure that the patient's body is massaged every day, and the limbs are stretched and exercised.It usually takes two to three hours to perform one session.

This has to be done manually, and it has to be a professional nurse.

Ten years as one day, persisting every day, is definitely not something a nurse can persevere.The workload itself is so heavy that even one nurse cannot complete it.

Also, it is not enough to just ensure that patients are massaged on time every day.

Nutrition also has to keep up.

Patients now need to wear a ventilator even to breathe, and it is impossible to eat independently.

Leaving aside the cost of nutrient solution, the combination of nutrient solution alone will test the level of doctors and nurses.

At least you have to be at the level of a deputy chief nurse, and you have studied nutrition to be barely competent.

Muscle massage, stretching exercises for blood vessels and ligaments, muscles and skin, and nutrition are all solved.The patient's vital signs have remained stable, which is also an extremely difficult task.

Over the past ten years, in order to keep this patient's life, the manpower, material resources, and financial resources consumed are incalculable.

At the beginning, Zhou Can thought that Dr. Xu only kept a small part of his salary every month, and donated all the rest to the victim's family. He insisted on it every year.

This is excessive.

It is only now that I understand that the salary Dr. Xu donated is nothing more than a drop in the bucket.

It may only be enough for the victim's family to pay for the caregiver.

It is conservatively estimated that at least four nurses are needed to take turns massaging and stretching the patients 24 hours a day.

One nurse costs 6000 yuan a month, and four will cost [-] yuan.

The wages of professional nurses will be higher, plus they can buy social security for them, provide them with food and accommodation, etc., it may double.

Say something cruel.

The patients are already in this state. Is it really necessary to spend so much financial, material and manpower to keep the patients in suspense?
Even if the victim's family can afford it, for the patient, living is a kind of pain and suffering.

And every minute and every second, the kind of painful suffering that lives like a year.

"Mr. Song, my name is Zhou Can, a doctor at Tuya Hospital, and I came to see you specially today."

Zhou Can said to the patient in a very gentle voice.

"Um..."

The patient makes indistinct sounds.

This surprised Zhou Can slightly.

Being able to make a sound shows that the nerve damage is much better than expected.

Before coming here, he thought the patient was in a vegetative state.

Being able to understand what Zhou Can said and expressing his thoughts in a vague voice shows that the patient's mind is clear.There is no problem with hearing and language.

The patient's voice is blurred. On the one hand, he is wearing a ventilator, and on the other hand, it is caused by the deterioration of language ability due to long-term non-speaking.

If a person is thrown on a desert island for ten years, even if the person survives, his language skills will be lost.

Only a few slurred simple syllables are produced.

"After the accident that year, many medical staff in our hospital have been concerned about you and have been working hard to find a solution. In the past ten years, medical technology, medical technology, and neurological treatment experience have made great progress. I give Can you check your body?"

Zhou Can asked the patient.

"Um..."

The patient tried to nod in agreement, but could not move.

Expressed only by blinking.

"Uncle Bian, then I'll check Mr. Song."

Zhou Can asked for the opinion of Butler Bian.

"Yes, but you must ensure Mr. Song's safety." Butler Bian agreed.

"Please be careful during the examination, so as not to affect the stability of Mr. Song's physical signs."

The male doctor said indifferently.

Zhou Can got permission, and then began to examine the patient.The patient only wore a pair of underwear, which is probably to protect the privacy and dignity of the patient.

Try to pick up the patient's left hand.

Zhou Can quietly checked the weight, skin elasticity, body temperature, muscle and fat thickness, and pulse.

"Mr. Song, if I can feel it when I touch your fingertips, you just blink."

Zhou Can said to him.

The patient blinked in understanding.

Zhou Can tried to touch the patient's index fingertip, but there was no big reaction.I squeezed it a little harder, and the patient responded this time, blinking at him.

It seems that the sensory nerve function of the hand is still there.

Both arms were tested separately, and then the rest of the body was tested.

Beginning at the junction of the neck and the back of the brain, the patient's neurological function gradually weakens.When reaching the lower limbs, there is almost no sensory function.

Because the status of the patient was too noble, Zhou Can did not dare to ask for the acupuncture test.

Zhou Can has diagnosed and treated too many cases of this kind of cases where the neurological function gradually declines.

There are various reasons.

Before coming here, Zhou Can specially checked the files and got a detailed understanding of the patient's surgery records that year.

Caused after removal of a brain tumor.

According to Dr. Xu, the hand was faster than the brain at that time, and the brain nerve was accidentally cut when the knife was cut.

The patient's eyes can move, he can see, he has hearing, and although his hands cannot move, the sensory nerves should be normal...

According to neurosurgical anatomy, the cranial nerve is the general hub, and the nerve signals it sends out are distributed throughout the body from top to bottom, from head to toe.

The core center of the cranial nerve is the brainstem, passing through the pons, medulla oblongata, and cervical enlargement, all the way down.

The spinal nerves can be thought of as the arteries of transmission.

The brachial plexus controls sensation in the hand.

The patient's hand has sensation, which indicates that at least the section from the brainstem to the brachial plexus is connected.

Then the patient's thoracic nerve test was OK.

Only when it comes to the lumbar plexus, ponytail, and sacral plexus is it not so good.

Zhou Can began to fall into deep thought.

According to clinical experience, blood vessels will shrink and become thinner after blood loss.This is the reason why blood vessels are often not found when rescuing some patients with massive bleeding.

Nerves also atrophy.

Moreover, its atrophy is more complicated, and it is affected by many aspects such as nutrition, exercise, and nerve electrical signals.

　The whole area was cut off in the morning, sorry for the late post

　　
　
(End of this chapter)