Chapter 30 Strive to preside over secondary surgery
Although my aunt was sweating on her forehead and her face was distorted in pain at the moment, she was still trying to squeeze out a smile that was more ugly than crying.
"Young man, it's me who is wrong in the morning, and please don't be like an old woman like me."
People are under the eaves and have to bow their heads.
In the morning, Zhou Can called her aunt was like digging her ancestral grave.
Now in order to seek Zhou Can's forgiveness, she calls herself an old woman.
Auntie's ability to seek advantages and avoid disadvantages is really not blown.
The eyes are full of desire to survive.
In the morning, he was happy for a while, and he didn't say a lot of scathing words, and he was stunned to offend Zhou Can to death. At this time, she didn't hurry to apologize, in case she got on the operating table, Zhou Can gave her two more strokes.
What can I do?
In fact, she is purely a villain's heart.
Zhou Can is not as cautious as her. It is even less possible to blaspheme the sacred profession of a doctor and to make fun of the lives of patients.
"Don't worry, it's just a misunderstanding in the morning, I won't care about it."
Zhou Can waved his hand generously.
It's enough to get the patient's bow and apologize.
Seeing this scathing aunt bow her head, my heart is still quite refreshing.
"Good man! What a great guy to be a young man! Let's see if you can take special care of me, an old man, and don't ask my family to come over. All right? ”
The aunt pretended to be pitiful and pleaded sadly.
"How can I do it without a family member? Who will take care of you when you are hospitalized? Let's push her out first. This Xiao Luo is just nonsense, how can this kind of patient who does not meet the conditions for surgery be pushed into the operating room? ”
Dr. Xu saw that Zhou Can was just a newcomer and had little experience in dealing with such a difficult patient.
He did this wicked man with a black face.
Don't really say it, my aunt eats this set.
As soon as he heard that he was going to push her out, he panicked on the spot.
From the morning to now, she has been queuing up and going to the doctor, dragging her sick body for nearly a day, and finally begging Dr. Luo outside to agree to operate on her in the emergency department.
Now that she sees that she will be able to operate soon, she naturally refuses to give up because she has not accompanied others.
"Hey, I'll call, call now. Please, don't push me out! ”
Seeing that the leading doctor was very strict, the aunt pretended to be pitiful, and begged for something that was not good, so she had to call her family honestly.
The call goes through.
"Daughter......" As soon as the aunt called her daughter, her emotions were a little out of control, and she couldn't go on with a choked voice.
and the strong, pungent image in the outpatient hall in the morning, it is like two people.
"Mom, what's wrong?"
On the other end of the line, there was a young woman's glutinous voice.
I can't say it, the voice is sweet, with a hint of laziness.
"I ...... Woohoo......"
Auntie cried first.
Zhou Can saw that this was not a problem, and the operating room in the emergency department was very busy. Auntie's emotions are out of control, and I'm afraid it's difficult to express things clearly quickly.
"Why don't I tell your daughter!"
Zhou Can stretched out his hand and gestured.
The aunt pursed her lips tightly, and handed him the phone with red eyes.
"Hello, I'm a doctor from Tuya Hospital."
"What's wrong with my mom?"
The woman's voice was trembling, visibly panicked.
Suddenly hearing that her mother was sick in the hospital, she must have been very nervous.
It can also be seen from this that the relationship between mother and daughter is not bad.
My aunt is so sick that why is she reluctant to tell her daughter?
"Your mother has cecal stones and is in dire need of surgery. However, according to the hospital's regulations, considering that the patient needs to be hospitalized and the surgery is risky, it is necessary to be accompanied by a family member. ”
"Ah...... Is my mom sick? She didn't even tell me! Doctor, I'll rush over immediately, which department is it in Tuya Hospital? ”
The aunt's daughter suddenly heard that her mother was seriously ill, and she was very anxious.
"We are here in the emergency department of Tuya Hospital, and we went directly to the operating room after coming. When will you arrive? ”
Zhou Can asked.
"About two hours! I immediately asked my boss for leave and rushed over. ”
Mother and daughter should not have lived together.
A two-hour drive, separated by at least a hundred kilometers.
"Well, okay, stay safe on the road."
Zhou Can hung up the phone.
After returning the phone to the aunt, he looked at Dr. Xu.
In this case, if the family agrees to come and accompany the family, they can do the surgery first, or they can wait for the family to come.
"Doctor, I have signed the consent form for surgery, please do it for me quickly!"
The aunt begged again.
Dr. Xu did not agree immediately, but said solemnly, "We can do your surgery in the emergency department." It's just that I want to tell you that, judging from your test results, the intestinal obstruction, although somewhat severe, is far from immediately life-threatening. If you are not particularly anxious, you can go to a specialist for treatment. The technology at the specialist is better, and the equipment is more advanced, so we can do laparoscopic surgery for you. The wound is smaller and the recovery after surgery is faster, but the price will be a little more expensive. ”
Laparoscopic surgery is already a tertiary surgery.
The technical requirements for doctors are higher, and the instruments and equipment are more advanced.
From this point of view, because they specialize in a certain field, their medical skills are indeed much stronger than those of emergency medicine.
"Don't, I'll do it here."
The aunt shook her head again and again.
She was more suspicious, and probably thought that the doctor wanted to trick her into spending more money on the operation.
So I refused without even thinking about it.
"If you insist on doing this surgery in the emergency department, you can only do it routinely, agree?"
"Agreed."
"Okay, then I'll arrange it for you."
Dr. Xu didn't say anything more.
"Notify the anesthesiologist to come over and prepare for the preoperative anesthesia, and call the nurse Ye Tingting in to help. Tang Ling, you should first make preoperative preparations for the patient. ”
Cecal stone surgery may seem like a minor second-class operation, but it requires at least five health care workers.
An anesthesiologist, chief surgeon, an assistant, an instrument nurse and a patrol nurse.
It would be better for a female nurse to do the work such as skinning a female patient.
Soon, the anesthesiologist arrived, and after reading the patient's information, after a brief exchange, he made sure that there was nothing wrong and asked her to sign.
The anesthesiologist then administered an epidural on her.
"The anesthesia is successful, the patient's vital signs are normal, and the operation can be performed."
Dr. Xu was already in the main surgical position.
Zhou Can's eyes were hot for a while.
The previous two surgeries were just minor operations.
In particular, the patient who fell on the forehead can only be the simplest in the first-level surgery.
At present, this appendectomy operation is a real second-level operation.
Moreover, it is the most difficult second-level surgery.
If he can get the opportunity to exercise this operation, it will be of great significance to Zhou Can.
In the relevant regulations, there is such a clause in the evaluation of doctors' surgical ability: those who have completed 80% of the surgical ability of the same level of surgery are deemed to have passed the surgical ability evaluation and can be granted the same level of surgical authority.
What does that mean?
In other words, if Zhou Can can complete 80% of the operation work alone, he will be able to obtain the authority of the second-level operation.
Of course, he can't practice medicine alone because he hasn't obtained a doctor's license yet, let alone a medical license.
But it's good to have your back against a big tree!
It's okay to work under the guidance of a senior physician.
The doorway in here is bigger.
The hospital implements a three-tier responsibility system.
Zhou Can is just a regular trainee, and the doctors who are responsible for taking him, as well as the doctors at the higher level, have to be responsible for his actions.
If he had treated the patient to death, the main person responsible would have been Dr. Koh.
It is conceivable that it is a matter of future and fate, and Dr. Xu will naturally treat him to death.
Higher-risk jobs would certainly not be allowed to be done.
If Zhou Can can show his strength to complete the second-level surgery independently, it will be different.
At least in Dr. Xu's mind, he was able to obtain the qualification for second-level surgery.
In the future, if there is this kind of work, I will leave it to him with confidence.
This is exactly what Zhou Can needs.
The operating room of the emergency department is basically a primary and secondary operation.
If you can only qualify for first-class surgery, you will definitely miss out on many opportunities. For example, medical skills such as anatomy, separation, and anastomosis are difficult to be exercised and improved.
If the second level surgery can also be done, it will be bull B.
Zhou Can spent a day in the operating room, and it was not a problem to easily earn two or three hundred experience points.