My medical skills add experience

Chapter 648 Accident, I Don't Need It Anymore
Mr. Song's situation, in Zhou Can's view, is very consistent with the characteristics of neurasthenia.

Even though he has at least four nurses who take turns in shifts every day to massage his muscles and stretch his limbs, but his neck and lumbar spine can't turn and bend flexibly like normal people.

His body is noble, and no one dared to turn his head left and right, and it was even more impossible to lift him up and bend his waist back and forth.

After all, in his current situation, any mistake would kill him.

No one can afford this responsibility.

For normal people, the neck turns at least a hundred times a day.The waist also bends many times.

For ordinary people, all this is everyday life.

But for Mr. Song, doing any action is extravagant.In the past ten years, I haven't moved my neck or waist once. Even with a massage by a professional nurse, there is no way to prevent the natural atrophy of the nerves.

Qi and blood circulation will gradually be blocked and weakened.

Life is movement.

If a person does not exercise, he will eventually become yellow and thin like a sapling that never basks in the sun.

With the help of various high-tech and professional medical care, Mr. Song's body functions have been maintained in a good state.In fact, many questions still remain.

After contemplation, Zhou Can believes that in order to cure Mr. Song's illness, he needs to start from many aspects.

The first thing to do is to repair Mr. Song's severed nerve.

This requires a craniotomy.

He is also a bold person with high skills, and decided to take a step at a time.

The craniotomy was performed first to ensure that the nerve signals between the brainstem and spinal cord were completely unblocked, and then follow-up rehabilitation training was carried out, striving to create a medical miracle.

There are certainly risks.

However, judging from the many super-difficult neurological cases diagnosed and treated by Zhou Can, as long as the patients, doctors, and family members, the three parties need to have confidence and perseverance, scientifically and rationally do rehabilitation training after surgery, cooperate with medication, and checkups.

Only in this way can we finally succeed.

For example, the paralyzed man who was pierced by a steel bar on the construction site and injured his lumbar spine, with the help of his wife and the encouragement of his children, the doctor and patient finally stood up successfully.

"Mr. Song, I checked you just now, and the overall condition is not bad. However, due to being bedridden for a long time and unable to move, some nerves and functions of the body still degenerate and atrophy. All the archives and records of the operation. Director Xu helped you remove the malignant tumor in the cranial cavity, which was not easy. At least in the eyes of our medical juniors, even today, we can be called a medical god. The swan song in surgery."

When Zhou Can said this, it wasn't completely one-sided to help Dr. Xu speak well.

Rather, it has a certain factual basis.

The patient had a malignant tumor in his head, which was basically a death sentence.

Because it grows in the brainstem region.

Even today, it would be impossible to remove that malignant tumor.

No hospital dared to accept it.

Including the top hospitals in the imperial capital and the magic capital.

Although Dr. Xu never said why he took this risky operation back then.Based on Zhou Can's understanding of Dr. Xu, it must be a soft-hearted mistake.

The pleadings of patients or family members moved him with compassion.

No one expected that after the accident, the family members of the patient turned their faces and refused to recognize anyone.

If the family members can really have a little empathy, at least they can see that Dr. Xu has donated most of his salary to the patients for ten years, and take the initiative to remove the shackles from Dr. Xu's body.

Instead of letting Dr. Xu linger and live in a humble way.

"I have carefully studied your surgery files, and combined with the physical examination I just gave you, I think it is possible for your nerves to be repaired. As long as you and your family members are willing to cooperate, I am confident that you can stand up again."

Zhou Can told Mr. Song directly about this, but he was forced to do so.

So far, none of the family members have shown up, and only the housekeeper is allowed to receive him.

I can't find anyone to discuss with.

When he came to visit and revealed his identity, he believed that his family members and housekeepers had already checked his information.

Otherwise, he would not be allowed in at all.

This kind of powerful family gave Zhou Can a sense of awe of the unpredictable majesty of the king.

"Uuuuuuu..."

After Mr. Song finished listening, his mood suddenly became agitated.

"Get out, get out!"

The doctors and nurses were shocked.

While frantically taking measures to stabilize Mr. Song Dingxian's vital signs, he roared angrily to tell Zhou Can to get out quickly.

"Mr. Song, I am a new famous doctor from Tuya, and I have cured many extremely difficult cases of severe paralysis. Please trust me."

Zhou Can was pulled out by the housekeeper, and said again to Mr. Song.

"Um..."

Mr. Song responded to him with an indistinct strange sound.

After being 'invited' out, Butler Bian's face was very ugly.

"Young man, you are too Meng Lang. Mr. Song can't be provoked. If something happens, can you take the responsibility? Not to mention you, all of us can't take the responsibility. "

Butler Bian knew how terrifying the strength of the Song family was.

Know more about the importance of Mr. Song Dingxian.

Zhou Can was brought in by him. If this caused a catastrophe, would the master be able to spare him as a housekeeper?
At that time, not to mention the housekeeper, even the two medical staff will be unlucky.

"I'm sorry for causing you and others panic. But don't worry, as long as I'm here, nothing will happen to Mr. Song. I believe you also know my information, the success rate of emergency rescue, I'm currently in the Ya Hospital ranks first."

Zhou Can is really not bragging.

It really has such a high ranking rate.

Of course, it is also related to the fact that he rescued fewer critically ill patients.

In any case, the strength in this area is super strong, that's true.

Even the directors of the critical care medicine department often call Zhou Can for help when encountering emergencies.

The Emergency Department is also close to the Department of Critical Care Medicine itself.

When something happened, Zhou Can received a request to save someone, and unless he really couldn't leave, he would sprint over at the first time to save someone.

"You... are really ignorant and fearless! What is Mr. Song's identity? How can you let him be rescued in a dangerous situation?"

The housekeeper was so angry that his hands were shaking.

If you really worry about anything, just come.

The nurse in the room opened the door with a flustered expression.

"Hurry up, prepare an ambulance to send him to the hospital. Mr. Song has serious problems with his breathing and heart rate."

After the nurse finished speaking to Butler Bian, she gave Zhou Can a vicious look.

Her job was ruined, and she may even face greater risks.

After all, she should know what happened to Dr. Xu after his accident.

"It's also a 10-minute drive from the nearest hospital. The provincial people's hospital and Tuya are the strongest in the province. The drive takes more than [-] minutes. If there is any problem, it's too late. I have worked in intensive care medicine, and I will help you rescue .”

Zhou Can said to the female nurse.

"Hmph, who do you think you are? I have won three nursing championships in the Department of Intensive Care Medicine. Director Cheng is a leader in the Department of Intensive Care Medicine and is well-known in China."

Although the female nurse didn't continue, she could hear what she meant.

With her and Director Cheng as great talents in the field of intensive care medicine, even they can't handle it. Zhou Can, a young man, can do it?

"I'm just a general doctor. At least according to the doctor's regulations, when someone needs first aid on the scene, I have the obligation to participate."

Zhou Can said, and entered the room with her.

Butler Bian didn't stop him this time.

Can't even care.

He was in a state of desperation and called an ambulance urgently, and then reported to the master's house.

Bringing Zhou Can in today must have been approved by the host.

Now that something happened, it was a catastrophe.

He was terrified, worried that the housekeeper's job would be messed up.

"Why did the blood oxygen saturation become so low all of a sudden? Quickly measure the central venous pressure!"

After Zhou Can entered, he took a look, first at the settings of the ventilator parameters.

This director Cheng is really good at the field of intensive care medicine, and the setting of ventilator parameters may be easy under normal circumstances.But in this emergency situation, the most correct adjustments need to be made, and each item is fine-tuned, which is a test of the doctor's level.

At least after seeing it at Zhou Can's level, I think the parameter adjustment of the ventilator is very good.

Director Cheng just glanced at him indifferently, and ignored Zhou Can's words.

What a joke, let him, the senior director of the medical intensive care unit, listen to the command of a young boy?
"You don't object to me measuring the central venous pressure of the patient?"

Zhou Can had to do it himself.

This operation is actually quite difficult, and there are certain risks.

"get out!"

Director Cheng only said three words.

"Mr. Song's current situation doesn't need to wait until the ambulance is pulled to the hospital. You will not be able to keep your jobs, and you may be more implicated. I will measure the central venous pressure for him. It is very important to know the right atrial pressure. According to experience, there must be some problems in his right atrium. I don't know what the problem is, it may be a valve problem, or it may be that the myocardium is too hypertrophic..."

Before Zhou Can finished speaking, Director Cheng looked at him a little differently this time.

"What is your purpose of measuring central venous pressure?"

Obviously, Zhou Can was able to directly tell that there was a problem with the patient's right atrium, which made Director Cheng look at him with admiration.

Everyone is a top expert in the field of intensive care medicine, and once an expert makes a move, he will know if there is one.

Zhou Can can point out that there is a problem with the patient's right atrium just by looking at it casually, which is by no means a skill that ordinary chief physicians can possess.

"Grasp the real data of right atrial pressure."

Zhou Can replied bluntly.

"and then?"

"Of course it is to understand the circulating blood volume and heart function!"

"And then what?"

Director Cheng asked again.

"Rescue the symptoms and save the patient's life. Decide whether you need to strengthen your heart."

Zhou Can added another sentence.

The nurse just looked at Zhou Can in surprise, and then calmly assisted Director Cheng in the rescue, showing a strong professional level of nursing.

The doctors and nurses who can be invited to take care of Mr. Song are all amazing people!
How much does it cost a month to hire these two people?

"Come here and take over my job. I'll measure the central venous pressure."

Director Cheng was persuaded by Zhou Can.

The female nurse looked at the two of them again in surprise.

After Zhou Can took over, he immediately showed a very high level of professional rescue.This made the female nurse and director Cheng look at him with admiration again.

Central venous pressure was quickly measured.

Zhou Can glanced at it, and then spoke immediately in less than half a second.

"Use cardiotonic immediately! Dose increased by 0.5 times!"

At this moment, the patient's SCVO2 has dropped to around 40 and is still falling.According to experience in critical care, the mortality rate of SCVO2 below 40 is very high.

It's no wonder that the two powerful doctors and nurses were so nervous and asked the butler to call an ambulance to go to the hospital.

When Zhou Can came in, he saw an ambulance parked in the garage.

It can only be said that the Song family is really arrogant, this is a real powerful family.

"Are you sure pushing the heart will not cause adverse effects?"

"If something goes wrong, I will bear it alone."

Zhou Can said firmly.

When rescuing critically ill patients, doctors and nurses often have no choice.

If you are not willing to take the risk, even if you just hesitate for a second or two, the patient's life may disappear.

Director Cheng didn't say anything, and signaled the nurse to prepare a cardiotonic immediately.

"I'll push."

Zhou Can almost snatched it from the nurse.

It is then injected directly into the jugular vein.

The nurse next to him was too late to stop him. The man in his 40s turned pale with fright.

Under normal circumstances, either gluteal intramuscular injection or radial vein bolus injection.

Directly piercing the jugular vein is not only extremely difficult to puncture, but also very risky.

The advantage, of course, is that it works faster.

Needless to say, gluteal intramuscular injection has the slowest onset.

The radial vein belongs to the vein of the hand, and it is a certain distance from the ventricle. Moreover, the patient's nerve function is greatly lost, and the blood supply in the hand is much slower than that of normal people.

"Severe disease requires strong medicine. If you don't push the jugular vein, you will die."

Zhou Can only said one sentence.

After finishing speaking, the cardiotonic agent had been pushed away, and the needle was not pulled out immediately.

Instead, he waited for about two seconds before pulling out the needle, and pressed it gently with his hand.

The entire puncture and injection were almost completed in less than a second.The injection skills she showed were even better than this nurse who had won the three-time martial arts champion in a row.

In addition to being shocked, she felt more admiration.

This young man is really amazing.

The strength in all aspects is so strong that it is suffocating.

"SCVO2 is up, up!"

Director Cheng shouted excitedly.

Zhou Can seemed to have known this would be the result.

He walked to the front of the ventilator and calmly adjusted the parameters of the ventilator in real time according to the patient's condition.

This time, unexpectedly, neither Director Cheng nor the nurse stopped him.

Instead watch quietly.

At any time, strength is everything.

There is no need to explain the abilities that Zhou Can showed just now.

Director Cheng and nurses can directly trust his ability and level.

The patient's signs have fully recovered, but Zhou Can remains calm.Director Cheng and the nurse breathed a sigh of relief as if they had survived a catastrophe.

At this time, the butler Bian has hurried in.

"The ambulance is ready to transfer Mr. Song to the car."

"There is no need to transfer anymore!"

Director Cheng replied.

"Ah...Could it be, could it be that Mr. Song has already..." Butler Bian's complexion instantly became bloodless, and his heart sank to the bottom of the valley.

He thought that Mr. Song had already hung up.

(End of this chapter)