"You, you...... It's so unbelievable! Such an irresponsible doctor, I really don't know how to get into a famous hospital like Tuya. If I don't let you go to class today, that's my responsibility. ”

The woman was so angry that she really took out her mobile phone and called.

Her mother-in-law also has a similar attitude, and she wants to teach Zhou Can a lesson.

Only her father-in-law still has some ability to observe words and feelings, and his social experience is obviously richer than that of the two women. saw that Zhou Can had no fear, and he was not frightened at all.

He hurriedly glanced at his daughter-in-law.

It's a pity that the daughter-in-law who is angry doesn't listen to him at all.

"Hello Director Xue, I am Chen Jinyue's daughter-in-law, and I have something to reflect to you......

She was annoyed, and really called Zhou Can to complain on the spot.

And directly complained to Director Xue.

It seems that the person who knows Director Xueyan is her father-in-law.

The call ended quickly.

After the beautiful woman hung up the phone, her face became even more ugly.

Needless to say, it didn't achieve the results she wanted.

"What did Director Xue say?"

The woman's mother-in-law hurriedly asked.

"She told us to find a bedside doctor or an attending doctor." When she said this, the woman's arrogance and sense of superiority were gone.

What is the beating of society?

I'm sure she's feeling it at the moment.

In her thoughts, Zhou Can was just a regular doctor, but they were familiar with Xue Yan at the director level. If you want to clean up a regular trainee, that's not a matter of words?

As a result, reality taught her what it means to be low-key.

Just then, Dr. Zhao came over.

Which patient should be given a dressing change.

The beautiful woman's eyes lit up, and she was about to find Dr. Zhao to complain about Zhou Can again.

Because it worked to complain to Dr. Zhao last time.

Who knew that when Dr. Zhao saw Zhou Can, it was completely different from the cold face that stood tall yesterday. Instead, he quickly squeezed out a smile and took the initiative to greet Zhou Can.

"Doctor Zhou is still used to being transferred to Director Xue's group, right?"

"It's okay!"

Zhou Can responded with a smile.

"Just get used to it. Following Director Xue is much better than staying here in charge of the bed. I didn't rest in the morning, no, just after eating, I had to change the dressing for the 20-bed patient. It's all trifles, and there's very little to learn. ”

Dr. Zhao is truly envious of Zhou Can.

In addition, I saw Zhou Can's strong strength yesterday, and when I talked to Zhou Can today, the roles of the two had been reversed. He was full of flattery.

Adults are so realistic.

"Busy!"

Zhou Can said hello and walked straight to the doctor's office.

The beautiful woman swallowed all the words that came to her mouth and prepared to complain about Zhou Can.

She saw Dr. Zhao's flattering attitude towards Zhou Can just now.

Obviously, in just one day, the identities of Dr. Zhao and Zhou Can have changed.

At this time, I asked Dr. Zhao to complain about Zhou Can, unless she had a brain disease.

She secretly wondered, what happened yesterday?

can make that Gui Peisheng's status skyrocket so much.

Seeing that Zhou Can was no longer something she could bully, she could only stop fighting.

"Dr. Zhao, you've come just in time! My husband's chest hurts terribly, can you prescribe some more painkillers? ”

She pleaded with Dr. Zhao.

"Didn't you just start this morning? For your husband's safety, painkillers cannot be used continuously. After the operation, it is normal for the wound to be somewhat painful after the anesthetic period. Do you think, if the skin, subcutaneous tissues, and muscles are cut open and then sutured up, can the recovery process be painless? ”

Dr. Zhao's statement is consistent with that of the nurse.

In fact, both doctors and nurses have a high level of professional knowledge. As long as the reasonable request made by the patient can be agreed, it will basically be agreed.

"Bear with me! The pain will gradually decrease. The more you are afraid of pain, the more it will hurt, so be sure to be strong. ”

After speaking, Dr. Zhao walked to bed No. 20 next to him to change the patient's dressing.

This matter did not attract Dr. Zhao's attention.

And just like that, it dragged on for another day.

The next morning, Zhou Can rushed to work in the department and felt that the atmosphere was a little dignified.

"Hey, why didn't you see Director Xue and Deputy Director Lu today?"

Zhou Can felt a little puzzled.

"Something happened to a patient!"

Dr. Long lowered his voice and whispered.

"Ah...... Are there any patients in our group? "Zhou Can has checked the patients in this group, and several of them are high-risk and need key care.

Which patient could have had an accident?

It can't be the patient who had the heart aneurysm clipping surgery yesterday, right?

"It's not from our group, it's the patients from Director Le's group. I heard that it was a patient with a torn brachial muscle, and he had suturing surgery, and he had a high fever in the morning, and his body developed sepsis. At present, the chief physician of the entire department is consulting this case, and if it cannot be detected, I am afraid that I can only invite experts from the internal medicine department to come for consultation. ”

Dr. Long is worried.

Being able to alarm all the directors in the department at the same time shows that the patient's condition is critical and urgent.

After hearing this, Zhou Can was slightly stunned.

The 19-bed patient still had an accident after all.

In fact, there was a premonition yesterday.

The patient has been complaining of chest pain, is in a manic mood, and is not entirely squeamish.

Avascular necrosis of any part of the body's tissues can be painful and unbearably uncomfortable.

Just then, a nurse ran in.

"Doctor Zhou, Doctor Zhou, I just called from the conference room and told you to go to the consultation immediately." The nurse girl doesn't understand why so many directors and deputy chief physicians have to consult together, why do they have to invite a regular trainee to come over?

"Okay, I'll be right over!"

Zhou Can agreed, while standing up and walking outside.

Only he understands what is going on.

The day before yesterday, he reminded Dr. Zhao and Dr. Duan in the operating room that the patient's valve was over-electrocoagulated and that he should be careful of necrosis.

But he was soft-spoken, and no one listened to him at all.

"Didn't you call me over?" Dr. Long asked the nurse girl.

"Nope. I just said that I asked Dr. Zhou Can to come over immediately and consult together. ”

She shook her head.

After hearing this, Dr. Long was somewhat depressed. He, the attending doctor, is so bad that he can't even be a regular trainee.

In fact, his level is not low, just because Zhou Can is too demonic, and it just so happens that this incident is the first time Zhou Can discovered the danger. That's why I asked Zhou Can to come over for a consultation.

Zhou Can quickly came all the way to the conference room of the Department of Cardiothoracic Surgery.

Morning meetings and consultations are usually held here.

The construction area of the hospital is limited, and there are only one or two office rooms that are idle most of the time, such as conference rooms.

The freed up rooms will be used to place beds for patients.

One thing that all well-known hospitals have in common is that beds are highly strained.

"Knock knock!"

Zhou Can knocked on the door.

"Please come in!"

There was a majestic, steady voice from inside, revealing a low voice.

After pushing open the door and walking in, I saw the leaders of cardiothoracic surgery gathered together, all with serious expressions.

A screen on the wall is playing the examination report of the patient in bed 19.

Dr. Duan and Dr. Zhao were pale, frightened, and deeply remorseful.

If the day before yesterday had listened to Zhou Can's 'contrary words', or if the patient had been more careful and patient when he reacted to chest pain yesterday, he would not have fallen to this point.

The person sitting on the main seat is Director Hu Kan, who has met him once from afar.

is still as steady as an old monk, and there are not too many waves on his face.

When Zhou Can walked into the consultation room, he immediately felt many pairs of eyes watching him.

These people are all important bosses in the department.

Some have high attainments in the cardiovascular field, and some have achieved extremely high achievements in thoracic surgery.

All of them have real talents and practical learning, and their surgical abilities are outstanding.

"Doctor Zhou, please take a seat!"

The female nurse standing by the door invited Zhou Can to sit at the end of the conference table.

She should be temporarily adding tea and water to these directors who participated in the consultation. She is also responsible for who needs to be contacted.

"Dr. Zhou, the 19th patient had chest wall muscle suturing surgery the day before yesterday, do you still have any impressions?"

"Yes!"

Zhou Can replied very simply.

"According to the relevant personnel who participated in the operation at that time, before the operation was about to end and the skin was ready to be sewn, you reminded the two senior doctors to be careful of large-scale tissue ischemia and necrosis. Can you tell us about the situation? ”

This matter was brought up again, but Zhou Can was nothing.

Dr. Zhao was already ashamed, and Dr. Duan also lowered his head, not daring to raise his eyes to look at people.

The main thing is that there is no face.

"Okay!"

Zhou Can nodded in agreement.

Begin to describe the situation at that time.

"At that time, during the operation, when Dr. Duan cut the pectoral muscle flap, the bleeding was quite severe. A thick artery was cut. Dr. Zhao then performed electrocoagulation on the bleeding point to stop the bleeding. Maybe the electrocoagulation time is a little long, but I stood under the operating table and noticed a slight discoloration of the electrocoagulated body tissue. How to put it, it's like pork has been blanched, shiny and a little off-white. ”

"I read it at the time, and I was a little worried about tissue ischemia and necrosis, so I did remind Dr. Duan and Dr. Zhao."

Zhou Can just stated something related to his condition.

Dr. Zhao was so angry that he punished him for cleaning the operating room, but did not say a word.

This also avoided Dr. Zhao's disrepute and the destruction of his image and character.

Even after he reminded him that there would be tissue ischemia and necrosis, Dr. Duan carefully examined it and thought it was okay, and then asked Dr. Zhao to sew the skin without mentioning it.

A good character can sometimes bring many unexpected gains.

To save face for the two doctors, Zhao and Duan, they must be grateful in their hearts without saying anything.

"On the third day after surgery, the patient developed symptoms of high fever and sepsis, what do you think could be the problem?"

Director Hu Kan's gaze locked on Zhou Can.

Since Zhou Can came in, it was the first time he had spoken.

"There is a greater possibility of necrosis of the pectoral muscle flap."

Zhou Can gave his opinion.

"What about the treatment?"

Director Hu Kan asked again.

I don't know why, when he asked, there seemed to be an invisible coercion.

"Uh...... With so many department bosses present, it's not appropriate for me to talk about the treatment plan as a trainee! Zhou Can quietly checked, there were at least seven or eight directors and deputy chief physicians.

The strength of cardiothoracic surgery is really strong.

"It's okay, you can say it boldly. I've heard of your fame for a long time, and if I have a chance today, I also want to see what kind of apprentice Lao Xu has accepted? ”

Director Hu Kan, like many bigwigs, likes Yangmou.

What is the purpose, put it forward openly.

Many little people like to play with conspiracy, that is because their strength is weak, and they must secretly cross Chen Cang and attack the west to make it possible for them to defeat their opponents. Or grab huge profits.

The bigwigs don't like to play with conspiracies, that's because the society is getting more and more civilized.

Everyone is a figure with a head and a face, after mixing to a certain level. The circle becomes small. Playing conspiracy, no one wants to play with you, and you will be isolated.

And it's also very cheap.

So they prefer to delve into Yangmou.

Director Hu Kan has said this part, and Zhou Can naturally can't avoid it anymore.

"If you want me to say, re-cut the patient's wound, debride it first, and then re-suture it. Patients are then treated with a variety of supportive therapies to fight infection and prevent sepsis from worsening. In particular, renal failure should be prevented, and if necessary, extracorporeal renal function replacement can be established. Anti-infection, organ and life support at the same time, supplemented by immunomodulation therapy. ”

Sepsis progresses rapidly and is extremely harmful.

Early and effective symptomatic treatment is important.

It can be roughly divided into three directions, the first is the etiological diagnosis, the detection of the lesion, and then the removal of it, and then the use of corresponding antibiotics to prevent infection treatment.

The second direction is life support treatment.

These include circulatory resuscitation, mechanical ventilation, renal replacement, and more.

The third direction is immune conditioning.

The human immune system is the ultimate magic weapon to defeat all diseases, and no surgery, any drug, or even the most advanced equipment can compare to the immune system.

Even the latest anti-cancer drugs developed by humans start from the aspect of immunity, such as activating immune T cells and so on.

"If this patient is dying right now and you are asked to take over the treatment, would you be willing?"

After listening to Zhou Can's answer, Director Hu Kan's eyes brightened a little.

Furui Wubo's face showed a little interest.

"Of course! It is the duty of a doctor to save lives and help the wounded, and the patient is critical, so I should do my best to treat it. ”

Zhou Can replied very decisively.

"If something happens and you can't save it, aren't you worried about the consequences?"

Director Hu Kan's soul torture is pressing step by step, this time even fools can see that he is testing Zhou Can.

You may want to observe Zhou Can's abilities and qualities in all aspects.

"I'm human too, so I'm definitely worried! This kind of thing, just do your best. I really tried my best to save the patient back, and I believe the family can understand. As for reputation and stuff, I really don't like those vain things. ”

Zhou Can only cares about strength, never cares about fame.

On the contrary, he especially likes to treat patients silently without being famous. In this way, there is no need to bear too much psychological pressure, and people will live a very easy life.

"Kind of interesting! You are much stronger than Lao Xu. If he had been able to understand the truth of false fame harming people earlier, he would not have had an accident. I hope you can go longer and farther than Lao Xu. ”

Director Hu Kan's open-mindedness and bearing also made Zhou Can secretly admire.

Dr. Xu and him are competitors, and the two have been fighting for many years, but now Dr. Xu has an accident and has become the attending physician of the emergency department, while Director Hu Kan has a stable status and is higher than before.

But he didn't do anything to fall into the trap.

It's a form of respect.

"Whether you are trained in cardiothoracic surgery or later study, as long as I stay in the position of director of this department, I can ensure that how strong your ability is, how big a stage can be provided for you. Our department will also give you the best training. ”

Director Hu Kan said these words in front of the big boss in the undergraduate department, which was almost equivalent to helping Zhou Can say hello.

It means to tell the other directors and deputy chief physicians of the department to give Zhou Can the best guidance and cultivation.

This is true generosity and fraternity.

It is equivalent to helping former opponents cultivate successors.

Ordinary people, I'm afraid it's difficult to have this kind of mind.

"Thank you! Thank you, teachers! ”

Zhou Can stood up and bowed to all the bigwigs and thanked them.

He is also smart, such a thanks, these bigwigs in the department can acquiesce.

In the future, Zhou Can must be given the best training.

"The patient in bed 19, from now on, is left to you for treatment. Dr. Tuan, Dr. Zhao, both of you assist. Director Hu Kan's words surprised everyone again.

Human lives are at stake, and this is no joke.

The patient's condition is so serious that it is not safe to be treated by a general chief physician.

It is best for Director Hu Kan to take over in person.

Now it's handed over to a regular trainee to preside, which is too thunderous.

"Director Hu, don't do it! Even if you want to train Zhou Can, you can slowly give some minor surgeries, and patients with mild conditions can give him hand training. If the patient's condition deteriorates further, the consequences will be severe. When the time comes...... What if something really happens? ”

A 47-7-year-old male doctor hurriedly dissuaded him.

"Fill your hearts in your stomachs. I have competed with Lao Xu for so many years, and I know him too well. Lao Xu's heir is by no means a vegetarian, and I can see from this kid's eyes that he eats meat. ”

Director Hu Kan tried his best to disagree with the public and directly decided the matter.

"Xiao Zhou, don't worry about doing it boldly, I believe you won't discredit your teacher."

"Thank you for your trust, I will do my best to treat that patient. If you can't afford it, you will ask the chief physician for help at that time. ”

Zhou Can really didn't expect that Director Hu Kan would make such an arrangement.

The patient himself had a serious problem because the surgery was not done well. If you are an ordinary department director, you will definitely be cautious and personally deal with it.

He directly handed it over to Zhou Can, a regular trainee, for treatment.

It seems to be child's play, but in fact, there are deep multiple considerations.

The 'most stable scalpel' is unlikely to make an unstable arrangement.

This also shows that Director Hu Kan's state of mind has reached a height that is difficult for ordinary people to achieve in his life.

Thank you to the three book friends, the off-line kite, the book friend 20220308082254110, and Zhou Zhou AI Weiwei for your tipping support!

(End of chapter)