Zhou Can even suspected that this guy had a habit of cleanliness.

For him, it's the same for any patient in the bed. The trainees themselves work with the purpose of learning, and they can gain from any kind of illness.

The key is to deal with all kinds of emergencies and avoid accidents.

Zhou Can quickly rushed to the ward where bed 31 was.

Extraterrestrial can generally be divided into three to five wards.

The most common are intracranial tumors, traumatic brain injuries, functional neurosurgical diseases, and cerebrovascular diseases.

Then, intensive care is considered a comprehensive independent ward.

Those whose lives are on the line must be in intensive care.

That is, the strength of Tuya Hospital, which is able to establish multiple intensive care units. There is one intensive care unit in the emergency department and three in the outside of the temple. Cardiothoracic surgery, neurosurgery, and intrathoracic surgery must have also built intensive care units in these departments.

The obstetrics and gynecology side is not familiar, according to common sense, and the status of obstetrics and gynecology in Tuya, there are at least two intensive care units.

Premature babies, critical pregnancies, and mothers need to be sent in to save their lives at critical moments.

Many family members were very scared when they heard that they were going to be admitted to the intensive care unit, because they burned money. The cost of one or two thousand a day is a disaster for ordinary families.

But the intensive care unit really has the strength to fight for Hades at a critical moment.

You can snatch the patient back from the ghost gate.

Then stay for a few days or half a month, a month or two, and finally pass the dangerous period safely, transfer to a general ward, and slowly recover.

Since the construction of intensive care units in major hospitals in China, the mortality rate has been significantly reduced.

Many lucky patients survived and eventually recovered.

There are also tragedies of both people and money.

Zhou Can came to bed 31, and the patient was a fairly young man, estimated to be no more than forty years old. His wife, with a haggard face, stood by the bed, holding a washbasin in her hand.

The man is still vomiting at the moment.

"Do you vomit badly?"

Zhou Can asked with concern.

A forty-year-old man, who is old and young, is the pillar of a family.

I can't imagine what will happen to the family behind him if this man falls?

Some experts say that health is 1, and career is N zeros.

If the health is gone, there is no point in any more zeros in the future.

"My husband was complaining about a headache not long ago and it didn't take long for him to start vomiting." The patient's wife saw the doctor coming, and her nervous expression relaxed a little.

In the minds of patients and their families, doctors are the nemesis of disease and the straw that saves lives.

Zhou Can took the patient's examination data and medical records and looked at them.

"Cerebral arteriosclerosis, with cerebral aneurysms!"

Seeing the results of this examination, Zhou Can couldn't help but be taken aback.

Since the patient is admitted to the hospital, he must be preparing for elective surgery.

For other diseases, vomiting may not be a big deal.

However, vomiting from a cerebral aneurysm is a bad omen.

Even a trainee like Zhou Can, who doesn't have any similar experience, knows the dangers involved.

Didn't Dr. Cheng Gang, who was in charge of the bed, know that bed 31 was a cerebral aneurysm?

He looked at the patient's hospital stay date and was admitted yesterday.

"Did the nurse tell him to fast?"

Zhou Can asked this because he wanted to know whether the department had formulated the operation plan and time for the patient?

"I didn't say it."

The patient's wife shook her head.

It seems that the doctors in the department have not yet formulated a surgical plan.

"Where's the pain in your head?"

Zhou Can asked the patient directly.

"Here, and here, there are bursts of sharp pain...... Vomit! ”

As he spoke, the patient vomited again.

The basin was just some sour water that had been spit out, and there was no food residue.

"Has he not eaten since he was admitted to the hospital?"

Zhou Can asked.

If the patient had eaten something in the morning, it would certainly not be acid and bile water that he spit out now.

"I can't eat it. I bought bread to feed him and shook my head as soon as I took a small bite. Not to mention a boxed lunch. From yesterday afternoon until now, only a small glass of water has been drunk. Doctor, when will my husband be scheduled for surgery? ”

The patient's wife looked at her husband with a lot of worry.

Judging from his examination report, it should be the aneurysm in the brain that compressed the nerves, which caused anorexia, nausea, and headaches. Severe vomiting is now a sign that the condition is worsening. I will immediately report to the senior doctor, who from now on, do not eat and preferably do not drink water. If the aneurysm ruptures and bleeds in the brain, emergency surgery is likely needed. ”

After Zhou Can finished speaking, he carefully checked some of the patient's conditions.

The main manifestations are headache and vomiting.

In addition, the patient reacts to vomiting with significant neck stiffness.

There are various indications that the patient's cerebral aneurysm is very likely to rupture and hemorrhage.

This matter cannot be delayed, if something happens, a fresh life will be lost.

Zhou Can hurriedly went to bed 22 to report to Dr. Cheng.

Cheng Gang is his senior doctor, and he can only report to Cheng Gang.

The hospital implements a three-tier responsibility system.

The director is responsible for the attending doctor, the attending doctor is responsible for the resident doctor, and the resident doctor is responsible for the regular trainees and interns.

Level 1 is in charge of level 1.

If something happens, the junior doctor reports it in time, and that is the responsibility of the senior doctor.

When he came to bed 22, he saw the patient lying on the bed convulsing wildly, rolling his eyes and foaming at the mouth, which was very scary.

And the patient's head is wrapped in gauze, indicating that surgery has been done.

It is likely to be a craniotomy.

However, Zhou Can just came, and he was not too sure.

No wonder Dr. Cheng sent Zhou Can to bed 31 to check on the patient's condition.

Compared with the vomiting in bed 31, the patient in bed 22 was in a more urgent situation and needed to be dealt with personally.

Jiang Xiaohua thought that she could do some easy and clean work with Dr. Cheng.

At the moment, I had to frown and clean the white foam from the patient's mouth.

There is also nasal discharge from the nasal passages.

"Is this an epilepsy symptom? It seems to be quite serious. ”

Zhou Can asked.

"Not long after the operation, the patient developed severe epilepsy." Jiang Xiaohua explained.

As for Dr. Cheng, he directly ignored Zhou Can's questioning.

While performing various examinations on the patient, we perform a comprehensive diagnosis and come up with a treatment plan.

He has not been able to come up with a solution for a long time, and he is obviously a little uncertain.

At this moment, the patient, who was convulsing violently, suddenly fell unconscious.

Dr. Cheng's face changed drastically, and there was already a panicked look in his eyes. He's just a resident after all.

Generally speaking, residents who are qualified to manage a single bed have at least two years of work experience.

This work experience is not counted from the first day of training, but from the beginning of obtaining a medical practitioner's certificate and successfully registering with our hospital.

Undergraduate students need five years of residency work experience, which is also counted from this moment.

So, strictly speaking, after getting the certificate, you are considered a resident.

"There is no need to panic, the patient should be in a coma due to epilepsy and will wake up soon. However, this matter needs to be consulted with Director Wen or Director Wu. Doctor Cheng said not to panic, but when he reached out for his phone, his hands were shaking.

The patients are in a coma, can they not panic?

It may be inconvenient to call in front of family members.

After all, the patient had epilepsy after surgery, and although the family had not said anything, their faces were already gloomy and frightening.

If any sentence is not said well, it is easy to detonate a doctor-patient dispute.

"You two are here to watch first, and I'll report the situation to the senior doctor."

After speaking, Dr. Cheng walked into the distance.

Zhou Can followed.

"Dr. Cheng, the patient in bed 31 vomited violently, accompanied by symptoms such as neck stiffness and severe head pain, and I suspected that the patient had a ruptured intracranial aneurysm and hemorrhage."

Zhou Can can't help it, he can't react to the situation.

Even though he knew that Dr. Cheng was a little anxious at the moment, he still had the courage to explain things clearly.

On the first day of work outside the gods, I encountered so many dangers.

Zhou Can can be regarded as deeply aware of the difficulty of being outside the gods.

Many seniors said that persuading people to enter the emergency department to become doctors thundered and thundered. Persuading people to go outside of God is stupid and bad.

It's not easy to mix in any department.

Whenever a doctor encounters a patient with a complex condition, he or she will immediately become stressed.

"Did you get a picture test? The patient just vomits, and you are bluffing here, how can you not speak responsibly at all? ”

Dr. Cheng must be in a bad mood.

The temper has also become much bigger.

After reprimanding Zhou Can, he didn't say how to deal with it, forgave Zhou Can in place, and walked in the direction of the far office while dialing his mobile phone.

"Hello Director Wen!"

When the phone was connected, Dr. Cheng immediately changed his posture.

Half of his shoulders collapsed.

"I would like to tell you something, the patient who had cerebrovascular malformation surgery last night suddenly developed epilepsy symptoms in the ward just now, and before I could deal with it, the person fell into a coma. What do you think you should do? ”

Cheng Gang cautiously reported.

Zhou Can stood in place and could hear clearly.

As for what Director Wen on the other end of the phone said, he didn't know.

"Okay, okay!"

Cheng Gang seemed to have received a holy decree, and his heart was full of determination, and he agreed again and again.

I thought that Cheng Gang would report the situation of the 31st bed together, but I don't know if he was afraid of being scolded or if he had other considerations, so he didn't mention anything.

Hanging up the phone, Cheng Gang turned around and saw Zhou Can still standing in place.

Directly said to him, "Whoever is there, immediately send the patient with 22 beds for an electroencephalogram examination." Then tell the family that epilepsy after surgery is common. You can prescribe some medicine first to see the effect of the treatment. If the results are not good, consider a second surgery. ”

When Zhou Can heard this, his head was big.

The patient has just undergone surgery and has complications, which must be difficult for the family to accept.

Let him explain to his family members a regular trainee, isn't this just getting cannon fodder to beat the family?

This Cheng Gang is too treacherous.

"Doctor Cheng, I don't have a good memory, my mouth is stupid, I'm afraid of passing on the wrong thing, or you should go and tell your family in person!"

Zhou Can is not a fool, and he will never agree to this kind of thing.

Even if he is asked to clean up the patient's feces and urine, it will be easier for him to accept it. This kind of thing that may be beaten by his family, he would rather be scolded by Cheng Gang than shirk it.

"A fool, you can't do anything like that."

Cheng Gang scolded him, so he had to explain to his family in person.

In fact, in many departments of the hospital, there are treacherous senior doctors like Cheng Gang.

It's not that they are not responsible, but they rely on their rich work experience to hand over some work that may be scolded to junior doctors.

Then when the junior doctors were scolded, they stood up and comforted them.

When Zhou Can was an intern, he was called by Dr. Fang.

After suffering two losses, he will never do such a stupid thing again.

It didn't take long to hear that the family members of the 22-bed bed were arguing with Cheng Gang.

Jiang Xiaohua was directly frightened and hid far away.

It is even more impossible for Zhou Can to be a good old man in the past.

If Dr. Cheng didn't take advantage of him, he might have come over to help.

Now, he doesn't have any affection for this Dr. Cheng.

He was more worried about the 31-bed patient. The man was the breadwinner of a family. The aneurysm in the brain may be broken, so why not rush to surgery, but wait until irreversible consequences occur before surgery?

That wouldn't make sense.

A family can be ruined because of it.

If nothing else, even if the patient's life is saved afterwards, in case of cerebral palsy or limb paralysis, the patient will not only lose the ability to work. And for the rest of his life, he needs to be taken care of by his family.

This is definitely a heavy burden for the patient's family.

Cheng Gang's ability to quarrel was not good, and he was soon defeated by the patient's family.

came out with a black face in anger.

"What are you two doing in a daze? Quickly pull the patient for an EEG. ”

He poured his anger on Zhou Can and Jiang Xiaohua.

Any examination can be done, not empty white teeth. The doctor in charge may open the application for the examination, and then the family member shall pay the fee. That's what it can do.

Here's the process.

If it is an emergency and the family members are unable to come in time, or are temporarily unable to pay the fee, they can handle the arrears first.

It is generally difficult for specialists to do arrears treatment.

Because too many patients and their families, after being cured, whether they have money or not, will default on their medical bills. If the patient is not cured, or dies, it is even more unlikely that the medical bills will be collected.

This money will eventually be borne by the doctors in the department.

Therefore, none of the doctors in the department want to do such a thankless task.

After Dr. Cheng left, Zhou Can and Jiang Xiaohua looked at each other.

"Originally, it was a family affair to take patients for examinations, and we can help do it. But I didn't check the application form, how do I get it? ”

The inspection department will not operate in violation of regulations just because the two of them are doctors.

"Why don't I go find Dr. Cheng and get it!"

Jiang Xiaohua didn't cheat and play cunning this time.

I took the initiative to go to Dr. Cheng and got the examination application form.

"Did you scold you?"

Zhou Can asked in a low voice.

"I'm not afraid of being scolded by him, I'm afraid that I will be asked to deal with the patient's feces, urine and vomit."

Jiang Xiaohua was probably scolded, but she acted like a nobody.

"Hehe, I'm convinced of you."

Zhou Can smiled.

"I'm going to tell the family and ask them to pay the fee first."

Zhou Can has always been kind.

He is more treacherous than the other when dealing with treacherous people. Deal with kind-hearted people, never let people suffer, let alone bully honest people.

"I'll tell you! You've taken care of me many times. ”

Jiang Xiaohua bared her teeth at him, and walked towards the three family members with gloomy faces with the inspection application form.

Zhou Can smiled secretly, it seems that Jiang Xiaohua is not a person who doesn't know what to do.

He followed.

I'm always embarrassed to ask Jiang Xiaohua to fight alone!

In case the family starts beating someone, Zhou Can is a practitioner, at least he will not suffer.

"This is an application for EEG examination issued by a senior doctor, please go and pay the fee." Jiang Xiaohua looked white and clean, and she was shy, but in the face of the fierce family members, she was not stage frightened at all.

You can’t judge a book by its cover.

Everyone has their own strengths and weaknesses.

"What? Is your hospital embarrassed to ask us to pay for it again? It's polite to treat my brother like this, and it's polite not to ask you for compensation. Don't think we're bullies. ”

"If something happens to my husband, I will definitely call your hospital to a lawsuit."

"This is medical malpractice!"

"Record it, record it, go to court, it's all evidence."

The three family members were like machine guns, each more fierce than the other.

"Ladies and gentlemen, I understand your feelings and sympathize with the patient's plight. But I want to tell you that any surgery has risks, and post-operative complications are extremely common. Before the surgery, I believe that the surgeon has also talked to you and obtained your consent before the surgery. ”

Zhou Can's height is 1.85 meters, and when he stands forward, the natural momentum of people who practice martial arts has weakened the ferocity of the three family members a lot.

"You all signed the consent form. Besides, if the patient does not have surgery, he may even lose his life, and now there are only minor postoperative complications, and you have this attitude towards the doctor. Who else would dare to perform surgery after that? ”

In terms of negotiation skills, Zhou Can is much more powerful than Cheng Gang.

After all, it's a rich second generation.

Since I was a child, I have been exposed to my parents and learned a lot.

The expressions of the three family members were visibly relaxed.

Zhou Can strikes while the iron is hot.

"The sooner the patient gets checked, the sooner the cause of the epilepsy is identified, the sooner the patient can be treated. The longer it drags on, the worse it is for the patient. In fact, the examination fee is not much, and if the patient's treatment is delayed, the loss will be great. ”

After being preached by Zhou Can like this, the three family members exchanged glances, and then muttered a few words to discuss.

Compromises were made quickly.

"I immediately went to pay the examination fee and troubled the two doctors to send my husband for a examination. There are too many people in your hospital, and you have to wait in line for half a day to do any examination. ”

"Okay, we'll pull the patient over right away. Don't worry, I'll give you a green channel and do it urgently. ”

Zhou Can successfully persuaded his family, and he was also secretly relieved.

Originally, the posture of the family members could hit the doctor at any time.

Jiang Xiaohua winked at him and gave him a secret thumbs up.

Seriously, the patient's vicious momentum just now made Jiang Xiaohua's heart sink straight down.

I was very afraid of being beaten.

The two pulled the patient outside the EEG examination room, where there were quite a few patients queuing.

Jiang Xiaohua's routine is quite sufficient.

With the checklist in hand, I ran to the window and handed it to the entry clerk.

"This patient is already unconscious, please arrange for an urgent EEG test immediately."

The identity of a doctor is sometimes quite useful.

This should be regarded as an open queue cut.

The key is that others are willing to buy it.

"That's it!"

He ran back and said to Zhou Can.

"It's really yours, and I learned a trick from you."

Zhou Can's words made him smile smugly.

While waiting for the inspection, Zhou Can faintly heard many people mention the word "Director Wu".

It's like taking the initiative to say hello.

His gaze looked over, and it was really the pinnacle scalpel of surgery, Wu Baihe.

Thank you book friends, OUO, meow, reward support.

(End of chapter)