Those who dare to take risks are all masters.

Some seemingly hasty or reckless arrangements just happen to prove his strategy. is like Zhou Yu in the Three Kingdoms, the lupine scarf, with a flick of his fingers, the canopy is gone.

That combination of stability and wisdom is the real wisdom.

Director Hu Kan directly asked Zhou Can to be responsible for the treatment of the patients in bed 19, which is also a bit of a taste of seeing the big in the small and seeking stability in the danger.

"Hurry up! Dr. Duan, pay attention to the comfort of the family. It is possible to tell the family directly that there are risks associated with any surgery and that our doctors have done their best. ”

Director Hu Kan's words basically mean to tell the family that the hospital is not responsible.

Compassion is not in charge of soldiers, and righteousness is not business.

To be able to become the head of the department, no one is soft-hearted.

When the iron and blood is ruthless, whether it is for the family or the medical care of the department, it must be ruthless.

Some are considered cold-blooded by outsiders, but in fact, they are also forced to survive in desperation.

For example, in this incident, the hospital took the initiative to admit its mistake and take responsibility.

Think you'll be able to get your family to talk to you?

Wrong!

Human nature does not stand up to any test.

The more they admit their mistakes and the more they show weakness to their families, the more unbalanced they feel.

Even if the doctor involved had tears in his eyes and a smiling face, he covered all the medical expenses and cured the patient. Instead of being grateful, the family may go to court and demand all kinds of compensation.

Why do I have to ask my family to sign a form of information before surgery?

In order to protect the interests of doctors and hospitals.

From this point of view, patients are actually a vulnerable group. In most cases, the only option is to trust the doctor.

Generally speaking, only when the person is killed or disabled, or the individual can clearly see that the doctor is seriously at fault, will there be a so-called medical trouble.

But these days, there are all kinds of black industries.

Medical trouble is also a black industry.

Many hospitals have suffered.

Of course, it is the patient who will suffer in the end. After the hospital suffered a loss, it will make the terms more stringent so that the medical troublemakers will not have loopholes to exploit.

One day, the doctor clearly found out that the patient had a tumor, but he did not dare to go under the knife.

When performing colonoscopy on a patient, if a polyp or tumor is found, it can be removed directly by taking the opportunity of colonoscopy, but he does not dare to do so. Because doctors don't dare to bet.

In case the patient only pays for the colonoscopy after surgery, who will go to the surgery fee?

In case the patient doesn't know what to do, but instead rakes it, I just do a check-up, and I don't ask you to do surgery. I didn't sign the consent form for surgery, how can I do this?

After the medical troubles became a black industrial chain, some people were specifically responsible for finding medical records, and then professionals instructed the family members on how to make trouble. After receiving the compensation, the medical organization took the lion's head, and the family members took the small head.

This is very bad for both doctors and patients.

What really gets is the medical team.

In such a harsh environment, Director Hu Kan would never let his doctors take the initiative to admit their mistakes to their families.

The family must be told that the doctor is not at fault.

The patient now has extremely rare postoperative complications, and the hospital is sympathetic to the patient and actively develops a treatment plan to save the patient's life.

"Director Xue, I heard that the family is quite familiar with you, you have to stand in line for this matter!"

Director Hu Kan's eyes looked at Xue Yan.

"Rest assured, I know what's at stake. The patient's family and I are ordinary acquaintances, and even if they really ask me, I will answer from the perspective of the hospital's interests. Eating with a bowl in my hand, I can't do it after I finish smashing the bowl. ”

Director Xue's statement on this matter was not ambiguous at all.

If she told her family that it was the doctor's mistake that caused the patient to have extensive tissue necrosis and sepsis, it would be strange if the family did not make a fuss.

As a result, Dr. Duan and Dr. Zhao were punished, the reputation of the hospital was damaged, and the family demanded a large amount of compensation from the hospital.

There will even be lawsuits, and there will be trouble with the competent authorities.

If this kind of thing really happens, the hospital will definitely have an opinion about Director Xue.

She couldn't do anything to destroy her future.

……

Zhou Can came out of the conference room, and the two doctors, Duan and Zhao, followed him honestly.

As soon as the three of them arrived in the corridor outside the specialized intensive care room of the Department of Cardiothoracic Surgery, the beautiful wife of the 19th patient immediately greeted them.

She must have cried, her eyes were red and her eyes were a little swollen.

If she doesn't make trouble, she will have to be a widow, and she must be afraid and anxious. Seeing that my husband was suddenly not good, I was sad in my heart.

"Doctor Zhao, Doctor Duan, is the result of my husband's consultation out?"

"After a joint consultation with a number of chief physicians, the results have come out. The patient's condition was very serious, and there were extremely rare postoperative complications, which required immediate secondary surgery, as well as anti-infection, anti-infection, and immune function therapy......"

Dr. Duan was able to become the attending physician, in addition to having a certain surgical strength, his flickering skills are also quite powerful.

called the three family members to the office and flickered, so frightened that the family members could only agree.

The biggest fear for families is the death of the patient.

Even if it's just a disability, they can't accept it.

Taking advantage of Dr. Duan's conversation with the family, Zhou Can entered the intensive care ward to check on the patient's condition.

High fever, confusion, chills, rapid heart rate, blood pressure, and breathing are relatively normal. The results of urine tests and blood tests were very bad.

Surgery is necessary immediately.

He looked at the wound on the patient's chest and the sutures were fine, but there was a problem with healing.

And necrosis is inside, and if it is not dealt with immediately, it will not be as simple as debridement at that time.

Coming out of the intensive care unit, Zhou Can returned to the doctor's office.

At this moment, Dr. Duan has already talked to the three family members.

"Doctor Duan, can that patient named Yang Tie arrange surgery today?"

"Yes, the family has signed the consent form for the operation, and immediately asked the operating room to adjust the order of the operation, and give priority to Yang Tie to do the operation."

Dr. Duan is very happy to have the family in order.

What he fears most is that his family will be entangled and he must pursue the doctor's responsibility.

At this time, the anesthesiologist also came to ask the family to sign.

The patient was quickly admitted to the operating room.

In front of his family, Zhou Can was a junior doctor to Dr. Duan and Dr. Zhao. Entering the operating room, Zhou Can was the chief surgeon.

Neither of them had any opinions.

They have all seen Zhou Can's surgical strength.

After the anesthesiologist administered general anesthesia to the patient, Zhou Can asked the instrument nurse to help put on sterile gloves and stood in the position of the chief surgeon on the operating table.

Carefully cut the sutures on the patient's chest wound and re-separate the wound.

There was a faint rancid smell wafting out.

When the wound was opened, Dr. Zhao and Dr. Duan were ashamed.

Looking at the already necrotic pectoral flap tissue is shocking.

Zhou Can's debridement is currently at the inferior level of the main treatment, and it is completely sufficient to clean the wound for the patient.

He cleaned up all the dead tissue.

The superb separation technology made Dr. Duan feel ashamed.

The attending doctor, the separation technique is far worse than Zhou Can. After Zhou Can's debridement was completed, one of the damaged blood vessels was repaired and anastomosed to ensure that there was no problem, and then the wound was re-sutured.

Indispensable to reveal a super suture skill.

Dr. Duan is almost not stupid, this is the level of sutures at the director level! It's awesome.

"Fortunately, the patient's wound has not yet become suppurative and infected, but has only developed an inflammatory reaction. Otherwise, the wound will not be able to be sutured at all. ”

Zhou Can took on this burden, which was a challenge for himself and a very good exercise.

This operation must be done well, and Dr. Xu's name must not be weakened.

Six years ago, Dr. Xu lost to Director Hu Kan.

Now, Zhou Can is the successor of Dr. Xu, and he will definitely win glory for Dr. Xu.

After the debridement and suturing of the patient, Zhou Can did not act arbitrarily for the next medication.

Although he already had a basic plan in mind, he was extremely humble and discussed it with Dr. Duan. It can be regarded as saving some face for Dr. Duan.

Let others have face, and you will definitely win favor and respect.

After a series of treatments, the fever also subsided and the symptoms of sepsis quickly subsided. After only one day in the intensive care unit, he was already transferred back to the general ward because his condition had improved greatly and his vital signs were stable.

At this point, the patient finally turned around.

Dr. Duan and Dr. Zhao finally put an end to the days of fear and restlessness.

In the morning, Zhou Can went to check the ward as usual.

Doctors Duan and Zhao followed.

"Doctor Zhou, take the time to check on the patient named Yang Tie first!"

It's hard for Dr. Duan to say this.

Anyway, he is an attending patient, and it is too shameful to ask Gui Peisheng to help check the patient's condition.

So he summoned Dr. Zhao, who was one level lower.

"Okay!"

Zhou Can readily agreed.

The patient was not discharged, and it was not good for him to be a shopkeeper.

Dr. Duan's level and experience are actually not worse than his, mainly because he was overly frightened in the first two days, so he became extremely unconfident.

Zhou Can showed an advanced sense of crisis prediction everywhere, coupled with the fact that the debridement operation was very successful, and the patient was also turned from danger to safety after Zhou Can's treatment. These results were all added together and constantly overlapped, and finally formed a deep impression in Dr. Duan's mind - Zhou Can was very reliable.

As long as Zhou Can helps to check the gates, he feels down-to-earth and stable.

Zhou Can walked briskly to the 6th bed.

When the man, Yang Tie, was transferred out of the intensive care unit, the 19-bed bed had already been occupied by a new patient.

It happened that the patient in the sixth bed was discharged on the same day, and the bed was vacant, so he was admitted to the sixth bed.

Almost all the beds in the hospital are used on a rotational basis.

The fastest bed turnover is in the observation room of the emergency department.

Many of the patients there were transferred the same day or the next day.

Most of the patients in cardiothoracic surgery have major surgeries, and the hospital stay is generally long. This has also led to an even tighter bed strain.

On the hospital bed, the patient slept soundly.

After many days of torture, now after a second operation, his body is getting better rapidly, and he naturally needs to make up for some of the lost sleep.

The patient's parents are afraid that they have been tossed enough these days.

After seeing their son's condition improve, they also went home to sleep with peace of mind.

The patient's beautiful wife lies in front of the hospital bed and plays with her mobile phone.

This time, it seems to be watching a short video, and finally I didn't search Baidu again for how to treat this disease, and whether the doctor's treatment is appropriate.

"Doctor Zhao, Dr. Duan morning!"

When the woman saw Zhou Can, she was still a little embarrassed.

She chose to turn a blind eye and did not say hello to Zhou Can.

"Is the patient okay?"

Zhou Can didn't care about her alone, and walked to the hospital bed to check the healing of the patient's wound.

There was no further redness and swelling, and the wound was unusual.

He picked up the patient's ward rounds and looked at them, and his body temperature, blood pressure, and urine output were normal.

The situation is not bad.

It seems that in a few days, the patient will be discharged.

"His body temperature has stabilized, the infection should be effectively controlled, the amount of antibiotics can be reduced, and the drugs for regulating immunity should also be lowered."

Zhou Can said to Dr. Duan.

Antibiotics or other drugs should not be used for a long time.

When the patient is critically ill, the main thing is to save lives, and the dosage of drugs is almost always used at the top level.

When the condition is under control, the dosage of some medications should be tapered so that patients can adapt quickly after they are discharged from the hospital.

It can also avoid a series of negative effects caused by overuse of antibiotics.

Of course, some small hospitals are often reluctant to reduce the dosage in order to pursue efficacy, in order to give patients a good review when they are discharged, and for the sake of personal performance.

This can result in patients who are discharged from the hospital with a relapse or a series of physical dysfunctions.

There are many patients who often scold the doctor for staying 'means', and the recovery period is seriously prolonged.

You need to go to the hospital repeatedly to get your medicine.

or multiple hospitalizations.

These are most likely the consequences of over-medication.

It's like weaning a baby, you can't stand it when you wean him all at once, and he will cry constantly. If you can slowly add complementary foods a few months in advance, gradually reduce the frequency of breastfeeding. When it's time for weaning, the baby is able to adapt well.

"If you prescribe a doctor's order today, I will lower the dosage for the patient!" Dr. Duan accepted Zhou Can's advice in full.

"Uh...... He is just a regular training doctor, which is equivalent to the level of probation, can he use what he says? Will it be okay for my husband to reduce his medication as soon as his condition improves? Rest assured, my family's economic conditions are okay, and the cost of medicine is not bad. ”

The beautiful woman hurriedly said.

Her concerns were rightly founded.

Especially people like her, who like to popularize science on their own.

It's good that the information checked is correct, but if you find pseudo-popular science knowledge, or if you have a wrong understanding, it is easy to form a wrong cognition.

"Although Dr. Zhou is only a regular doctor, his level is very high. Your husband's second operation and postoperative medication, he has made a great effort. It can be said that your husband's illness can improve quickly, and he has a lot of credit. In addition, I can clearly tell you that from a professional point of view, Dr. Zhou recommends lowering the dosage, which is responsible for the patient......"

After Dr. Duan's explanation, the beautiful woman was shocked and ashamed.

She didn't expect her husband's condition to improve quickly, which turned out to be the credit of this regular doctor.

And she spoke ill of Zhou Can many times, and constantly questioned Zhou Can's professionalism. As a result, instead of careless, Zhou Can repaid virtue with grievances and considered the patients everywhere.

At this moment, she really felt ashamed of herself and was very embarrassed.

"I see! It's all because I don't understand, and I like to be suspicious, so I misunderstood Dr. Zhou. I'm sorry. ”

She apologized to Zhou Can with guilt.

When he looked at Zhou Can, there was no cold confrontation and hostility in his eyes. Instead, be filled with gratitude and guilt.

"It's okay!"

Zhou Can waved his hand generously.

"Next time you have questions, remember not to Baidu, you can directly consult our professional medical staff. Your own Baidu content may be correct, but it may not be applicable. Even if it's just a small cold, there may be more than 100 ways to treat it. Which drugs to prescribe, the medication cycle, the dosage, the adjuvant treatment plan, etc., can only be accurately answered after the doctor diagnoses. ”

I wasn't going to say that.

This woman's apology attitude is quite sincere, and the doctor's parents are hearted, in order to prevent her from harming her family or herself next time, it is better to remind her kindly.

"Huh! It was because I saw that the shady scenes of the hospital were often exposed on the news, and I was worried that I would be cheated, and I was worried that I would encounter a low-level novice doctor, so I kept searching on the Internet. Not in the future. ”

She smiled awkwardly.

After experiencing this incident, she understood that the popular science on the Internet is very useless. On the contrary, it is easy to mislead her and make her resist the doctor.

Constantly questioning the doctor's treatment plan is indeed very bad.

"After being discharged from the hospital, remember not to give him all kinds of supplements immediately, you have to take your time. I see that you have been staying at the bedside these days and taking care of your husband, which is very touching and admirable. ”

Zhou Can praised her twice before leaving, so as not to be embarrassed by social death.

Today, there are two major surgeries in this group, both of which are performed by Director Xue.

He treated this patient named Yang Tie, and Director Xue and Director Hu Kan must be secretly paying attention.

Now that he has proved his strength, it should be much easier for him to get another chance to operate.

(End of chapter)