The patient's condition was very dangerous, but the level of the doctor in charge of the bed was limited, and he couldn't see it.

Zhou Canyi gritted his teeth and decided to talk about it.

After all, human life matters.

"Mr. Luo, there is something I want to report to you!"

Zhou Can first arrived and lowered his posture.

In the department he mixed in, not to mention the general hospital, even if it was the attending physician, they were all polite to him. Basically, they are currying favor with Zhou Can.

"Dr. Zhou is gracious! Just say something! ”

Luo Shengsheng saw Zhou Can's serious face, and couldn't help but look right.

"When I came, I happened to see a bedside doctor examining a patient in bed 51."

"Well, the patient in this bed, I know, was admitted to the hospital because of blood in the stool, abdominal distension, severe malnutrition. We have done gastroscopy and colonoscopy on him, and even used capsule endoscopy, but we still haven't been able to identify the bleeding point. He has intermittent bleeding, which will be a little more difficult to detect. ”

After listening to this, Dr. Luo took the initiative to explain the patient's situation to Zhou Can.

"Uh...... As I passed, the patient's condition looked quite dangerous, and from his face, lips, and some superficial symptoms, it was likely that he was bleeding internally. And it is likely to be bleeding in the jejunum and ileum area, where it is very easy to form blood clots, if it is not treated in time, wait until the patient is in shock and then rescue, it will be more passive. ”

When Zhou Can said this, there was a trace of solemnity in his tone.

This was deliberately to make Luo Shengsheng realize that the situation was urgent.

He has been to the gastroenterology department twice, and to be honest, the impression is not good.

The doctors in this department are a bit procrastinating, too formulaic and rigorous. Lack of flexibility.

The patient with gastrointestinal bleeding he met in the intensive care department last time, Zhou Can also deliberately looked for Xia Ping, the attending physician of the Department of Gastroenterology, but as soon as people heard that he was a regular trainee, they hung up the phone directly.

The style of the big guy is prevalent.

"It's not that serious! The patient has been hospitalized for several days and has been suffering from intermittent bleeding. However, if it is certain that he is bleeding, it can be checked again. ”

After Luo Shengsheng heard this, his attitude was similar to that of the doctor in charge of the bed.

It's a habitual mindset.

The patient has been safe and sound, how can something happen suddenly?

Many doctors have this paralyzing thought.

"I recommend getting a digestive angiography right away! After all, colonoscopy has already been checked, and if it is checked again in a short time, the patient may not be able to stand it. ”

Colonoscopy stimulates the anal or large intestine mucosa, which is more likely to cause mucosal damage and a small amount of bleeding. There is even a certain probability of complications, intestinal damage bleeding, and even perforation.

Therefore, under normal circumstances, it is not recommended to do colonoscopy continuously for a short period of time.

Zhou Can took the opportunity to cleverly propose to do a digestive tract angiography, and the probability of Luo Shengsheng adopting it would be much higher.

"Well, Dr. Zhou's advice is very good, but the treating doctor of this patient is Dr. Xia Ping, and it is better to decide what to do when he comes. He'll be here in a moment, and I'll focus on what you said about your advice on gastrointestinal angiography. ”

Luo Shengsheng's words are not leaky, and he is completely sleek in the style of old fritters.

"That'll do!"

Zhou Can didn't say anything more.

If he did his duty to remind, and the senior doctor didn't listen to him, there was nothing he could do.

Time passed little by little, and Zhou Can sat in the office quietly waiting for Dr. Chi to arrive.

Approaching eight o'clock, a middle-aged doctor of forty-seven or eighteen years old entered the office with steady steps.

"Dr. Xia is really a role model for my generation! I arrived at the hospital early to work every day and was never late. Luo Shengsheng greeted with a smile on his face, looking at his compliment, Zhou Can sighed when he saw it.

Different people have different ways of living.

Luo Shengsheng is so flattering to the senior doctor in order to survive better.

It is easier to get on the top of the department by having a good relationship with the senior doctors in the department.

You can take advantage of it in every way.

Promotion, taking advantage of further education opportunities, participating in important projects, obtaining surgical training opportunities, etc. These sycophants are indeed more dominant than honest people.

"Haha, I don't dare to be a role model, but it does take a certain amount of willpower to stick to it for decades. Well, there are no surprises for the patients in my group, right? ”

If there is only one Doctor Xia in the Department of Gastroenterology, this middle-aged man who looks elegant should be Doctor Xia Ping, with whom Zhou Can had a conversation on the phone.

Doctor Xia obviously didn't know Zhou Can, but just glanced at him slightly and didn't speak.

Instead, he walked to a seat at the desk, put down his handbag, and habitually turned on the computer to check the various records and care of the patients in his group.

"Just now, Dr. Zhou Can said that the patient in bed 51 may be experiencing internal bleeding, and it is recommended that we give the patient a gastrointestinal angiography examination."

Luo Shengsheng took the opportunity to tell the matter.

"Zhou Can?"

Physician Xia's gaze fell on Zhou Can's face again, and he looked at him carefully.

"The name is a little familiar, looking at the face of the raw tight, are you?"

"I'm a new trainee Zhou Can, and I'll ask Doctor Xia for more advice in the future."

Zhou Can greeted with a smile.

As for asking him to be as flattering as Luo Shengsheng, he can't do it.

Even when treating the chief physician, Zhou Can will never grovel, at most he will have normal respect.

There is no right or wrong in this kind of thing, and it does not mean that he is more noble because he is not willing to grovel.

It's just a different way of living.

He wanted to live with more dignity.

It is better to gain points in strength through diligent study and hard work, rather than to gain points by groveling to please superiors.

He occasionally slaps on the back, but it's much more advanced than Luo Shengsheng.

He mostly shoots that kind of high-level sycophant.

"Oh...... I remember. Last time there was a patient with lower gastrointestinal bleeding in the intensive care department, and you called me. Later, I heard that he was diagnosed by Ling, and the young man's strength is good. ”

Dr. Xia Ping remembers this incident well.

The patient had been treated in his hands for a long time without seeing results, and was eventually admitted to the intensive care department, where his life was hanging by a thread and he could be ready for the next thing at any time.

Unexpectedly, the real cause was found out by a small regulation trainee named Zhou Can, which turned out to be infected with a parasite that had never been seen before.

The patient was cured, which was equivalent to a slap in the face of Dr. Xia Ping.

Therefore, Xia Ping has a deep memory of this matter.

Today he is only afraid that he will be slapped in the face again.

"How did Dr. Zhou know that the patient in bed 51 was bleeding from the digestive tract?"

Xia Ping suffered a loss, but this time he learned a lesson and didn't dare to take it lightly.

"I came over in the morning to report, and just as I was passing by, I saw a bedside doctor taking basic signs of a patient in bed 51......"

Zhou Can recounted what happened.

"Therefore, I recommend that the patient be immediately treated with a gastrointestinal angiogram and deal with it in time to avoid tragedy."

"To do a gastroenterography, you need to make an appointment with the interventional department, and you can determine whether it is jejunal or ileal bleeding just by looking at it a few times?" Dr. Xia Ping has taken this matter seriously.

It's just that he is still skeptical about Zhou Can's diagnosis.

Not to mention Zhou Can, even he, the attending physician with more than 20 years of work experience, can't judge the patient's bleeding site with a few glances.

Gastrointestinal bleeding, in particular, is very difficult to tell.

At this moment, a nurse ran into the office in a panic.

"Doctor Xia, Doctor Xia, go and take a look, the condition of the patient in bed 51 has suddenly worsened and deteriorated, and the person is close to shock! Dr. Zhang, who was in charge of the bed, was doing his best to treat him, so I asked him to come over and report quickly. ”

Tragedy still happened.

Zhou Can sighed secretly.

These doctors in the gastroenterology department should be sent to the intensive care department for a few months of training.

Let them feel what it means to see what it means for a patient to die in the next second.

Diseases of the digestive tract are generally chronic, and patients rarely die suddenly. Generally, the disease progresses slowly, leaving enough time for the doctor to treat it.

Long-term diagnosis and treatment of this type of patients has also developed the work style of gastroenterologists who are slow to respond.

"I'll go right over!"

Xia Ping didn't even have time to think about it, and hurriedly ran to the ward.

Something happened, and he needed to take the blame.

And it happened under the condition that Zhou Can repeatedly reminded him, and this responsibility is even greater.

"Rub, something really happened!"

When Luo Shengsheng looked at Zhou Can, his eyes were completely different.

Not to mention him, the other two interns in the office also worshiped like gods when they looked at Zhou Can.

This Gui Peisheng is simply the Emperor of Prophecy.

"Mr. Luo!"

Zhou Can stood up and looked at Luo Shengsheng.

"Ah...... In, in! Doctor Zhou has anything to say. Luo Shengsheng took the initiative to lower his posture to the extreme.

The word command is used.

"I went to the ward to take a look, and the patient's condition had progressed to the point of shock, and I am afraid that there was not much time left for the doctor to report for help. When Dr. Huichi comes, please help me explain. ”

Zhou Can has super skills in rescue, intervention, and endoscopic surgery.

Let's take a look, maybe you can help.

It is an obligation and a minimum of professional ethics for medical staff to rescue patients in an emergency.

Zhou Can followed him to the ward, only to see that the patient was unconscious, and his family members were extremely sad beside him. The doctor in charge of the bed is in a hurry to do the necessary rescue measures.

"Immediately send the patient to the interventional department for urgent gastrointestinal angiography."

Doctor Xia Ping's face sank like water.

Looking at the patient's condition, with his decades of medical experience, his heart sank to the bottom.

I know that things are not good.

If you don't do well, you have to make a big mistake today, and your career and future will be seriously affected.

At this moment, there was a trace of remorse in Dr. Xia Ping's heart.

If you had followed Zhou Can's advice at the first time, instead of asking questions and being indecisive, maybe this kind of thing would not have happened.

"Now that everyone has had an accident, you are allowed to do this imaging test. Earlier, this Dr. Zhou proposed to do a contrast examination, but you did not agree. If my dad has three longs and two shorts, I will sue you to the end even if the family is bankrupt, so that you, a quack doctor who does not act, will be punished as he deserves! ”

The patient's son at this moment, completely exploded.

In other words, any family member would be extremely angry.

As early as more than 20 minutes ago, Zhou Can suggested that Dr. Zhang, who was in charge of the bed, should send the patient to a digestive tract imaging examination as soon as possible.

As a result, Dr. Zhang, who was in charge of the bed, scolded Zhou Can.

Now that the patient looked dying, the senior doctor at the hospital agreed to do the imaging test.

In the patient's opinion, isn't this deliberately delaying until the person is dying, and then starting the treatment?

"Now is not the time to make noise, the most important thing is to try to save the patient's life. Once a person falls into shock, it will be very dangerous and can die at any time. ”

Dr. Xia Ping calmed the excitement of the patient's family and arranged for the patient to be sent for an emergency examination.

Zhou Can pushed the flat bed over, but the family still bought his account and cooperated to get out of the way.

"Hurry up and lift the patient up!"

Zhou Can glanced at Dr. Zhang, who was scolded as a dog by his family, but didn't dare to say a word.

This doctor in charge of the bed is a lack of beatings from his family, and he can learn a lesson if he suffers a loss.

So as not to use the official to treat the patient next time.

Dr. Zhang didn't say a word, but helped to lift the patient to the cart and urgently sent the patient to the interventional operating room for examination.

Soon, the patient was sent to the intervention room.

This test requires a catheter to be inserted into the superior mesenteric artery, and the doctor who performed it is a novice who can see that the person can die in an instant.

"I'll do it!"

Zhou Can couldn't say anything, and stepped forward to take over the job.

I saw that he was skillful and successfully inserted the catheter into the superior mesenteric artery very easily.

The contrast agent was injected, and it took almost only two or three seconds for the anomaly to be discovered.

The patient has abnormal staining and contrast spillage in the left upper abdomen.

Leakage of contrast media in this area means that it is a bleeding spot.

"It turned out that the bleeding point was in this area, no wonder the colonoscopy could not find it. At the time of the examination, the patient stopped bleeding and could not have imagined that the bleeding point would be there. ”

Dr. Xia Ping admired Zhou Can so much at this moment.

It's hard to put into words.

This rule trainee is too good B. Just by looking at the patient with the naked eye, it is possible to pinpoint the bleeding site in the ileum or jejunum area according to the patient's symptoms.

Now the bleeding point has been identified, and it is the blood vessel branch of the upper jejunum that is bleeding.

"Doctor Peng, where is your master? The patient's condition is so serious that it must be treated urgently, and you usually do not operate much, I am afraid that it will be difficult to be competent. Hurry up and call your master to come over! ”

Dr. Xia Ping's status in the Department of Gastroenterology should not be low.

At least some can be seen from the attitude of the doctors in the interventional operating room towards him.

"Okay, I'll call right away!"

The young interventionist didn't say a word, and hurriedly asked the master for help.

On duty at night, seeing that it was almost time to hand over shifts, I didn't expect this to happen.

This patient has fallen into shock, and it is probably the first time he has encountered it after such a long period of gastrointestinal intervention. His face turned pale with fright.

"Before his master comes, let me try it! Patients don't necessarily have to wait until that time! ”

Zhou Can said this to Doctor Xia Ping.

"Okay, there's Dr. Lao Zhou!"

Xia Ping felt that Zhou Can was simply a savior sent by God at this moment.

Just now when he saw Zhou Can easily complete the catheter insertion into the artery, he knew that Zhou Can must have a strong strength in interventional surgery.

With the approval of the senior doctor, Zhou Can no longer hesitated.

A microcatheter is operated to the bleeding blood supply artery.

Reach the first branch of the superior mesenteric artery, the vascular branch of the upper jejunum.

The seemingly simple operation cannot be operated at all without a certain level of intervention skills. At least Xia Ping and Dr. Zhang don't have this ability.

In order to confirm the accuracy of the examination results, Zhou Can was injected with contrast medium again for examination.

This is the root of the blood vessel that caused the bleeding.

Just as Zhou Can was about to discuss the next treatment plan with Xia Ping, the patient's condition deteriorated sharply again.

I saw that the patient's eyelids suddenly turned up, the whole person convulsed, and his blood pressure went crazy.

Dropped directly to 45/28mmHg.

This frightened Dr. Xia Ping. Not only him, but the doctors and nurses next to him were all highly nervous and solemn. have been put into the rescue.

Even the doctors and nurses who were doing another operation in the operating room next to them, but who could spare their hands, ran over to help rescue the patients together.

Dr. Xia Ping directly adjusted the patient's infusion speed to the maximum.

"Adrenaline, hit two first!"

He urged repeatedly.

"Two is too little, at least push four at a time!"

Zhou Can's rescue skills are by no means worse than that of Dr. Xia Ping.

With the anesthesiologist, Dr. Guan, and Dr. Xu, I learned so much first aid knowledge and life support skills. He has also been trained in the intensive care medicine department for three months, which is enough to make Zhou Can's rescue level much better than that of ordinary attending doctors.

After all, there is a specialization in the surgical industry, and many attending physicians are only good at knowledge in their own field.

"Push four!"

Doctor Xia Ping hesitated for a moment, and finally chose to listen to Zhou Can.

Although this made him somewhat disgraced, when he thought of Zhou Can's many excellent performances, Xia Ping could only do it willingly.

In fact, when rescuing patients, one or two doctors with the highest level are definitely the backbone of the operating room.

All the doctors and nurses are under their command.

Zhou Can is so young, but the rescue decision he made can make an attending physician obey his words, which will inevitably provoke other doctors and nurses to take the time to look at him.

"Is the red blood cell suspension in the blood bank adjusted?"

Zhou Can was not polite at all, and asked directly.

"It's been adjusted, and it will be delivered soon."

A nurse rushed to answer.

"Give me the deep vein catheterization package!"

Zhou Can's catheterization ability is afraid that few people can be stronger than him. After that, the patient is directly given a deep venous catheter.

At this time, the blood bank finally delivered the blood.

After a series of fluid replacement, catheterization, pressurization, blood transfusion, and embolization of the bleeding blood vessels, the patient was finally pulled back from the line of death.

All the medical staff were slightly relieved.

But that's just an emergency rescue measure. It doesn't really address the lesions.

"Call the Department of General Surgery for help and ask them to send a surgeon to come and perform an emergency laparotomy on the patient."

Physicians do the surgery, not their specialty.

For the patient's condition, only by asking the general surgery doctor to come to help, can the patient's lesion be completely cured.

Zhou Can's mouth moved, and he finally swallowed back what he wanted to say.

He is now not senior enough to preside over the operation.

I can only wait for the general surgery doctor to come.

I just came out of the Department of General Surgery yesterday, and it was interesting to see the doctors of the Department of General Surgery again in the Department of Gastroenterology today.

I just don't know which doctor the general surgery department will send to support?

(End of chapter)