Chapter 138 Spinal epidural hematoma, this one by one is very pulled

Halfway through the group, a doctor in his thirties stood at the door and shouted.

"The trainee in charge of beds 21-31 will come with me immediately."

The number of neurosurgeons should be smaller.

Manpower is tight.

Otherwise, it would be impossible to rush to the point where the grouping was not completed, so he hurriedly ran to call someone.

Zhou Can and a white and pure young man quickly followed.

The two didn't know each other, so they turned their heads and looked at each other.

"Hello!"

Jiang Xiaohua smiled shyly at Zhou Can.

"Hello! My name is Zhou Can, please take care of me in the future. ”

When I met for the first time, I basically talked about this kind of etiquette.

He found that Jiang Xiaohua not only had fair skin, but also clear eyebrows and beautiful eyes, and the ten fingers of her hands were slender and thin.

The body is also quite slim.

There are quite a few girls who like this creamy bun.

Zhou Can felt that Jiang Xiaohua was a bit of a girl and lacked the masculinity of a man. Some only have the softness and grace of girls.

However, looking at a person's hand, you can roughly guess whether it is flexible enough.

Intuitively, Jiang Xiaohua's hands should be very dexterous.

People with dexterous hands have a natural advantage to do some delicate surgery.

For example, Dr. Shan, who has taken Zhou Can for more than two months, has very dexterous hands.

When anastomoses blood vessels, nerves, and mesangium, her movements are gentle, precise, and swift.

Zhou Can asked himself if he couldn't do it.

"You two immediately put the 24-bed patient in operating room 3."

The young doctor who walked in front of the two led the two to bed No. 24, looking very anxious.

"My name is Cheng Gang, and I am your senior doctor from now on."

The doctor's tone of voice was cold.

There was no smile on his face, and he looked rather cold.

Zhou Can looked at the patient in bed No. 24, a middle-aged and elderly man in his fifties, who was quite obese. There was a middle-aged woman who appeared to be a family member playing with her mobile phone next to her.

As soon as he uncovered the quilt of the male patient, Zhou Can smelled a smell of feces.

"The patient seems to be pulling on his body."

Zhou Can reacted to Dr. Cheng.

When Jiang Xiaohua heard that the patient had pulled on his body, she was so frightened that her 'flower face' was discolored.

"I, I'll go and pull the cart over first."

He's cunning enough.

The middle-aged woman frowned when she heard the patient pull into her crotch, secretly glanced at Zhou Can, pretended not to hear, and continued to play with her mobile phone.

Cheng Gang had a cold face and was very impatient.

"Hey, you're a family member of a patient, right? He's about to be sent to the operating room for surgery, you can help him clean up! ”

Zhou Can also didn't know the relationship between the middle-aged woman and the patient.

But it doesn't make sense for him to clean up the patient's feces and urine.

Unless there is an unaccompanied disabled patient, the situation is urgent, and there is no way. Zhou Can basically pinched his nose and did this job.

Now that the family is in front of him, he wants a doctor to do this, and this woman dares to think.

"Your hospital charges so much money a day, can't you help clean it up?"

The middle-aged woman glanced at Zhou Can without being salty.

After hearing this, Zhou Can couldn't help but be furious.

This woman is too unreasonable.

"Auntie, the medical expenses you pay are normal medication and treatment expenses. We doctors and nurses are not responsible for taking urine and feces to patients. If you need it, you can hire a caregiver. ”

Zhou Can didn't dare to scold this woman, although he wanted to greet her ancestors.

But if you really want to do this, if your family complains to the hospital, they will definitely criticize Zhou Can. There are even some substantial penalties imposed.

When he was an intern, he scolded his family once.

The general doctor of the hospital did not ask any questions, scolded him fiercely, and made him write a review.

and warned him that if he dared to conflict with his family and patients because of a trivial matter next time, he would be scolded and directly disqualified from his internship.

Since then, Zhou Can has grown wise.

When he encounters patients and family members who are beaten no matter how bad, he endures it.

At least there will be no more quarrels and scolding with family members and patients.

is like dealing with the middle-aged woman in front of her, not saying a single dirty word in the whole process, but it is enough to choke her to the point of losing her temper.

"Wait, I'll go fetch water and clean it."

The middle-aged woman scolded and took out a plastic basin from under the bed, and then went to the water room to fetch half a basin of water.

"The patient is about to have surgery, and you two are urging it. After delaying the time, Dr. Ou's temper is not very good. Beware of being scolded. ”

After Dr. Cheng Gang finished explaining, he turned around and left.

Bed management residents are actually very busy, especially if the patient has just undergone surgery, or high-risk patients, and must always keep an eye on them.

Postoperative patients need to be closely observed, and if problems are found, they must be analyzed and taken measures in time until they are properly treated. If the patient has complications, it is even more troublesome.

It takes a lot of time and effort to analyze and process.

In addition, some of the patients who are preparing for surgery are in serious condition.

For example, a car accident patient, one second he looks fine, and the next second, he really dares to die to show you.

Of the patients who are admitted to the gods, there are only two patients with mild symptoms and moderate symptoms.

"Gross!"

Jiang Xiaohua stood at the end of the bed, probably smelling the smell of feces emitted by the patient, and couldn't help retching on the spot.

"You go over there and wait first, I'll call you again when it's over here."

Zhou Can waved at him.

Jiang Xiaohua was like being amnestied and hid far away.

"I've never seen such a squeamish doctor. Spend thousands of dollars a day on medical expenses from you, you prescribe medicines, take injections, and easily make money. I only have 200 yuan a day, and I have to wipe his and pee, and I have to do evil! ”

The middle-aged woman complained while scrubbing the patient's body.

It turned out that he was not a family member of the patient, so it was no wonder that he would be so indifferent when he heard that the patient had pulled on his body.

The middle-aged woman is likely to be a nurse or nanny hired by the patient.

Zhou Can found that the patient did not say a word during the whole process.

The eyes are rather glazed.

And the body is paralyzed.

What disease did this man have?

No injuries were seen.

"Where's the medical record?"

"Well, it's in the locker drawer. The inspection report and all the documents are in it. ”

Zhou Can took them out.

After reading it, I learned that the patient's disease was called spinal epidural hematoma.

At present, there are many symptoms such as loss of sphincter control and paralysis of the lower limbs. And this patient had Alzheimer's disease before he got it.

I can't imagine that a man who is only 56 years old actually has Alzheimer's disease.

Spinal epidural hematomas can be graded according to the severity of the condition.

Grade A, complete spinal cord impairment with complete loss of sensory, motor, and sphincter function below the level of injury. Grade B, where only sensation is present below the level of injury, and all motor function is lost.

Both levels are very severe.

In general, the sooner the surgery, the better.

No wonder Cheng Gang urged them to send the patient to the operating room quickly.

How to operate and treat this disease, Zhou Can didn't know. When the patient is sent to the operating room, it will be an eye-opener.

Finally waited until the middle-aged woman cleaned the patient.

Zhou Can found that the scalpel had been drawn on the patient's body. The nurse has done a skin clean.

Now the terror has to be de-poisoned again.

In such paralyzed patients, it is common for the sphincter to lose control and the feces and urine flow together.

"Why didn't you give the patient a catheter?"

Through some details, Zhou Can realized that the management of the neurosurgery inpatient department was relatively loose. Compared with other departments, it is much worse.

When he first arrived, he didn't dare to blame anyone.

Unless it's crazy, it's pretty much the same.

"Doctor Jiang, I'll go find a nurse to come and disinfect again, wait a minute."

Zhou Can said hello to him and ran straight to the nurse's desk.

There are two nurses who are busy.

"The two beauties are busy!"

Zhou Can greeted with a smile.

"Hmm!"

They glanced up at Zhou Can and lowered their heads again to do their own thing.

I don't know if it's busy or cold?

"The patient in bed 24 just had fecal incontinence and pulled on his body. He's going to be operated on soon, can you arrange for someone to help him get rid of the poison? ”

After a few seconds, one of the nurses looked up at him.

"New here, huh?"

"Yes! My name is Zhou Can, please take care of the two beauties in the future. ”

Zhou Can lowered his posture.

Nurses like these who are a little older like to not take novice doctors seriously.

Gui Peisheng is better, because he is already equivalent to half a doctor, or even a doctor directly.

Intern, that's really no status at all.

"You've got to call the doctor in charge of the bed to give you a doctor's order! How else can we get it? ”

She rolled her eyes and said angrily.

"Before the surgery, the doctor didn't give a medical order? Are you sure you need to prescribe another doctor's order for this? ”

Zhou Can is not a rookie who doesn't know anything.

With the addition of the internship year, I have now had a year and a half of work experience.

When the time comes, they just need to add disinfectants.

"Whew!"

The female nurse sneered.

"Little comrade, are you questioning my way of doing things? See my level no? Nurse in charge! The seniority should be much higher than yours. ”

She looked unhappy.

Zhou Can gritted his teeth, only villains and women are difficult to mess with in the world.

Can't you hide if you can't afford to provoke it?

He could only bite the bullet and go to Dr. Cheng Gang.

After looking for a long time, I finally found it.

"Dr. Cheng, the excrement on the patient's body has been cleaned up. I need to do a sterilization, and the catheter is not guided, so I go to the nurse and they ask you to give you another order. ”

Zhou Can said cautiously with him.

On the first day I came to Shenwai, I felt that the doctors and nurses here were not easy to deal with.

It's like the people in the magic capital look like a hillbilly to everyone.

This deep-seated pride and discrimination is socially acceptable. In the hospital, it's really hard to deal with.

"Haven't taken the patient to the operating room yet? You're a. ”

Dr. Cheng Gang's face turned cold.

"Immediately ask the nurse to disinfect the patient, I'm busy here, just make up the doctor's order later." What is your name? The ability to do things needs to be strengthened! ”

He's really busy.

However, the criticism and number of criticisms made Zhou Can hold his stomach.

Damn, the nurses and doctors here are really hanging.

Such a small thing, passing the buck to each other, each holding the rookie doctor as a gas bucket.

"Zhou Can!"

Zhou Can didn't say anything more this time, please take care of me in the future, and so on.

In any department, it is to win respect with strength.

Hold this breath first, sooner or later, there will be this time for Dr. Cheng Gang to lick him.

At the beginning, Dr. Lu in the emergency department was so bad, wasn't he cleaned up by Zhou Can?

Don't look at the fact that Dr. Lu took the initiative to invite Zhou Can to dinner, and made all kinds of gestures, it was because he couldn't suppress it.

Zhou Can's status in the emergency department has surpassed him.

In order to survive, he had to do it.

It's not that Dr. Lu has gotten better.

The country is easy to change, but the nature is difficult to change.

Dr. Luk's work attitude has become diligent and conscientious, not because his heart has improved. It's about working hard so as not to be eliminated.

This Dr. Cheng Gang's skills are not clear for the time being.

Thirty-two or thirteen years old must have it.

This age has not yet risen to the attending physician, and it must not be a good person.

In fact, eight out of ten resident doctors who were sent to the inpatient department to manage the bed were not good. are all level in general, this is the arrangement of the tube bed.

But there are also powerful ones.

Because the tube bed is also a necessary process in the work experience.

In fact, only the internship and training stage will go through the bedside management. In the back, it is basically a mix of operating rooms or outpatient clinics.

That's called force.

Zhou Can ran to the nurse's station, and the other nurse was gone.

Only the cold-faced nurse in charge remained.

"Hello, I just told Dr. Cheng who is in charge of the bed. He said that when he was done with the business at hand, he would come and fill in the doctor's order for you. Now the operating room is urgent, first sterilize the patient and catheter. ”

Zhou Can learned smartly this time.

Move out directly to Dr. Cheng Gang.

If this nurse named Hu Shuiling refuses again, it will be to ignore Cheng Gang's words.

When the time comes, let the two of them tear B directly.

After more than ten seconds, she stopped typing on the computer, stood up, and walked directly to the dispensing room behind her.

Disinfectant and urinary catheter are common items.

Always in stock.

Soon a plate came out.

Disinfectant cotton, clips, disinfectant, urinary catheter, all available.

Zhou Can breathed a sigh of relief, and finally invited this female ancestor to move.

Disinfecting the patient, stunned by so many things.

The efficiency is pitifully low.

"Wait!"

She called out to Zhou Can and directly put the plate on the hoarding on the nurse's table.

"I can't pull away here, you go get it."

"Isn't that what a nurse is supposed to do?"

Zhou Can rolled his eyes.

Originally, the other party's attitude was good, and it didn't matter if he did it.

Now the nurse in charge is dragging like something, why is he helping them do these jobs.

Skin cleaning, disinfection, and urinary catheters are the jobs that nurses should do.

He's only 3,000 dollars a month.

The salary of this nurse in charge has gone up by 8,000 to say the least.

She got a high salary, so she sat here and pampered herself, knocking on the computer, and dispatching and directing.

It's a beautiful little life.

"Do you want to do it or not? I'll tell you, you're a new trainee, you'd better be diligent. After a while, the patient was sent to the operating room late, and the chief surgeon must not be me, but you. ”

Her attitude is very bad.

Zhou Can grinned, revealing his white teeth.

"Hehe, I forgot to introduce myself just now, my name is Zhou Can, and the last thing I am afraid of is threats. If you don't get it, you won't get it, I don't care! ”

The nurse in charge actually threatened him.

Is he a scared man?

In the face of Vice Dean Bai's coercion and temptation, he dared to stand hard, would he be afraid of such a supervising nurse?

To put it bluntly, no matter how good she is, she is also a nurse.

Director-level nurses and head nurses are a lot more cattle.

The status of the nurse in charge is far from being comparable to theirs.

(End of chapter)