Chapter 244: Tragic Patient, Bian Que Sees Cai Henggong Three Times
There are really few nurses outside the gods who are good to talk to, and Zhou Can has trained there, so he can't know more about the urine sex of the gods.
As for the doctors outside the gods, they are also arrogant and arrogant.
All of them are 'Long Aotian' level characters.
In addition, Shenwai is very busy, if you just ask a resident doctor and an attending doctor to come over for joint diagnosis and treatment, it is not a big problem. However, this operation needs to be performed by at least one deputy director-level surgeon, which is a bit difficult.
Please be able to move it by all means.
But no one can find fault with the music and drag it out for two or three days.
After all, the patient who needs to be treated is a chronic disease, and it is completely reasonable to have surgery a day or two late.
Therefore, only the emergency department has the privilege of consulting the chief physician at any time.
However, emergency doctors and nurses are often angry when they ask for help.
"Some nurses are just that quality, and you can take your breath." Zhou Can knew that he was speechless, and hurriedly comforted Director Shang.
"The lesions have been detected, but because the chief physician outside the gods is not good at coordination, the patient's treatment time has been delayed in vain, what do you say is this!"
Director Shang is still angry.
"Tomorrow, I have to find Director Wu outside the gods and say, this little nurse who answers the phone is too annoying. I'm also the head of the Department of Gastroenterology and the chief physician, and I don't even have the least respect. ”
To the level of chief physician, even if it is the most watery third-level chief physician, the status in the hospital is quite high.
The weight of the Department of Gastroenterology is definitely not as good as that of the Department of Divine Surgery.
However, Director Shang is equivalent to a party, and if he really cares about that nurse, that nurse may not have good fruit to eat.
There was a commotion, and the hospital was 100% on Director Shang's side.
Zhou Can didn't say anything more.
I went to the cafeteria to eat after work, and by the way, I delivered food to the stomach cancer patient in bed 71, and then went back to the apartment to practice medical skills and read books, without mentioning it.
After entering the internal medicine department, the pressure is even greater than when I was in surgery.
Because he gained the initial trust of Director Shang, the patient who took over not only asked him to prescribe it when he was admitted to the hospital, but also asked him to prescribe it during the hospitalization. It can only be said that Director Shang's heart is really big.
Looking at this trend, it is estimated that the patient's postoperative medical instructions will also be handed over to Zhou Can to prescribe.
It's almost like an increase in some decentralization outside the independent tube bed.
Many cautious instructors ask the trainees to write medical records, disease course, discharge, and preoperative conversations. It is more important to let the trainees accompany the patients to do examinations, take medicines, help patients get reports, send them to the medical department to sign, and so on.
Even the chief physician who has too much will ask Gui Peisheng to help him make tea, mop the floor, and buy food.
The teacher is more vigorous in cultivating the trainees, at most they give oral medical orders, and then ask the students to prescribe laboratory tests or something.
Since Zhou Can took over the first patient yesterday, Director Shang has not taken care of him.
Needless to say, the admission doctor's order, and the medication after hospitalization are also handled by Zhou Can.
You must know that Zhou Can's previous training departments were all surgical except for intensive care medicine.
I was prescribed separately and only exercised for a few days in the last month of general surgery.
Before, whether it was the chief physician or the attending physician, although they trusted him very much and knew that he was very capable, because Zhou Can did not have a medical certificate, everyone had a tacit understanding and never let him prescribe a medical order alone.
One is procedural non-compliance, and the other is the fear of accidents.
In case there is a problem with the doctor's prescription and the patient has a problem after taking the medicine, the responsibility is greater.
Therefore, Zhou Can was transferred to the Department of Gastroenterology this time, and as soon as he entered the department, he was asked to prescribe medical orders alone and operate with full authority, and his pressure was very high.
I also felt that my knowledge of pharmacology was insufficient, so I returned to my apartment after work every day and took as much time as possible to read.
……
The next day at work, the first thing Zhou Can did when he arrived at the hospital was to run to the ward to check on the four patients he was responsible for.
As soon as I entered the ward, I saw a woman with gray hair in front of the 77-bed bed.
The age should be around fifty years old.
The crow's feet at the corners of the eyes are very deep, the edict is also extremely heavy, and the forehead also has wrinkles.
As human beings age, aging simply cannot be resisted.
Wrinkles on the skin are the most visible signs of aging.
As for gray hair, modern life is stressful, and many people already have gray hair at a young age. This can no longer be used to judge a person's age.
The female patient on the hospital bed should have cried, and her eyes were still wet.
It's just that her face is full of happiness at the moment.
If I guessed correctly, the mother of the female patient finally came from out of town.
"Good morning, Dr. Zhou!"
The female patient greeted Zhou Can with a smile.
I could clearly feel that she had become much more cheerful. In his eyes and face, there is a kind of positivity that he has never seen before, which is full of hope for the future.
"Morning! This is your mother, right? ”
Zhou Can asked with a smile.
"yes, my mom arrived at the hospital at eleven o'clock last night."
When she looked at the woman, she was full of affection and a trace of remorse that could not be concealed.
In this world, only parents will be unconditionally good to their children.
Parents are the true Buddhas.
No matter how miserable the children are outside, how flawed, and how rebellious, they always love their children unconditionally in their hearts.
"Hello Auntie! It's hard work to come from out of town, isn't it? ”
Zhou Can greeted the woman in a friendly manner.
"It's just that the train ride is a bit long, and the transfer is delayed for a few hours, otherwise I should have been able to get to the hospital earlier. I heard from my daughter that you bought her food out of your own pocket yesterday, thank you so much. By the way, how much money, I'll give it to you now. ”
The woman wanted to stand up, but Zhou Can realized that she was on crutches.
One leg, there seems to be a problem.
No wonder he has been sitting on his own pony and not moving.
"Auntie, it doesn't cost much to buy food, you don't have to give it. I told your daughter that she would actively receive treatment, and when she got better, she would invite me to a good meal when I arrived at your hometown. ”
Zhou Can hurriedly waved his hand to signal the woman not to be polite.
"Good, good! If you really go to our Shiniu County, I will definitely treat you to the most delicious local specialties. The woman agreed with a smile, looking at Zhou Can with gratitude. Alas, my daughter has been stubborn since she was a child. When she was just over a year old, I divorced and lived with her alone. Later, when she was only more than seventeen years old, she was deceived by the rhetoric of a middle-aged man while working in other places. Dead or alive didn't listen to my persuasion, married that old man......"
The woman recounted her daughter's misfortune.
"When she got married, I said, if you want to get married, don't call me a mother in the future. She hasn't been in touch with me all these years. My legs and feet are inconvenient, I want to go over to see her, but I am worried that my husband's family will look down on her, and she will not be able to live in her husband's house at that time. It's just that I didn't expect her husband's family to be so vicious, and during her pregnancy, she often didn't give her food, and many times only gave her some leftovers...... She's so stupid. ”
As she spoke, she wiped her tears from her eyes.
"Two days ago, I received her first call to me in four years, and when I heard that she had stomach cancer, everyone was confused. After her husband's family took her to the hospital, he just left. Now the phone can't get through, and he made it clear to her that he will not bear her medical expenses and let her fend for herself. ”
To put it bluntly, he was abandoned by his husband's family.
This girl, who looks so beautiful, married an old man, and ended up like this.
It's so miserable.
Not to mention Zhou Can, along with the other patients in the ward, they were also indignant.
The good people in this world can be very, very kind, and the bad people are vicious, immoral, and ruthless, or they can be unimaginably bad.
"Have you ever received a marriage license?"
Zhou Can asked the girl.
"I used to get it, but since I got sick, it forced me to divorce the marriage. When I didn't agree, he and his family beat me to death. As she spoke of these things, her voice whimpered several times.
No wonder she had so many traumatic injuries on her body.
This husband's family is simply not human, it is a beast.
"It's okay to leave, we orphans and widows, and I'm a disabled person, so I can't fight those wicked people at all. Over the years, I have also saved a little money from work, which was originally intended to be used for retirement. Now that she has this disease, as long as there is a glimmer of hope, I ask the hospital to save her. Even if it is to smash the pot and sell it for money, we have to treat it. ”
The woman said to Zhou Can.
They are two weak women, and the women are disabled, which already belongs to the bottom of the vulnerable group.
Even though the woman hated her daughter's ex-husband's family, she still chose not to pursue it.
It's not that I don't want to ask for an explanation, but I know that I can't afford to provoke it, so I can only break my teeth and swallow blood, and swallow this breath.
In the adult world, there is too much helplessness.
"Her current stomach tumor is still in the early stage, and as long as she is operated on in time, supplemented by chemotherapy and radiotherapy, she has a high chance of being cured. If you agree, I will report to the senior doctor and arrange surgery for her as soon as possible. ”
Zhou Can does not comment on other people's private affairs.
Rather, it only talks about things related to treatment.
This is also a medical principle taught to him by his teachers.
Doctors only care about the disease, not the private affairs of patients and their families. There are too many injustices in the world to be managed.
Almost all cancers should be operated on as soon as possible as long as there is a chance of surgery.
The longer it drags on, the more disadvantageous it is.
The spread of cancer cells to the surrounding lymph nodes, nearby organs, and tissues can also spread to the distant part of the body along with the bloodstream.
"Agreed, we agreed. Please ask the hospital to arrange surgery for us as soon as possible. ”
"Okay! I'll see Director Shang later, report this matter to him, and make arrangements for you as soon as possible. The exact cost of treatment is not yet known, but you need to be prepared. Before the surgery is scheduled, the hospital will ask for an advance payment for the treatment. The cost of her treatment mainly consists of two parts, the surgery to remove the stomach cancer, and the chemotherapy after the surgery. At least 60,000 yuan should be prepared, and the total treatment cost may exceed 100,000 yuan. If you have medical insurance, you can reimburse a large part of it. ”
Zhou Can told them in advance how much money they would prepare.
The most important thing in the treatment of cancer is money.
Gastric cancer resection surgery, if the tumor is small and the operation goes smoothly, may only cost about 6,000 for the operation. If the tumor is large and you want to open your abdomen for surgery, at least 20,000 yuan will go up.
The girl did not even have enough to eat at her husband's house, so she had to eat leftovers, and almost certainly did not pay medical premiums.
There is no medical insurance, and you have to pay for the treatment yourself.
This is also the importance of buying health insurance. If you are unfortunate enough to suffer from a serious illness, you can afford to treat it.
For some critical illnesses, the treatment cost of hundreds of thousands of yuan is really not affordable for ordinary families. Even if they can afford it, there is a risk that the family will fall back into poverty due to illness.
Zhou Can checked 77 beds of gastric cancer patients and 79 beds of liver cirrhosis patients.
At present, the patient's condition is still similar to yesterday.
There was no significant deterioration in the condition.
I really hope that Director Shang can agree to give this patient venous angiography sooner.
Early detection of the cause can lead to early treatment.
For patients like this who are not seriously ill, the chief physician generally does not care much.
Because they're worried about some key patients.
Wait a minute, Zhou Can may have to take the initiative to ask Director Shang to mention the 79-bed patient for examination again.
After inspecting the ward, he went to the ward where the 71-bed patient was.
Yesterday it was already said that the patient would be scheduled for surgery today.
Zhou Can specially made a preoperative explanation to the family.
As for the preoperative talk and signing, wait until a little later.
I checked the beds I managed.
Zhou Canshun took the other two regular trainees in the gang to check the other beds.
The 72-bed patient was fairly stable, and the 73-bed patient had begun to improve significantly, as he expected. There was no more continuous hum and hum.
It means that the patient's stomach is no longer so painful.
On the contrary, it was the patient's wife, that is, the aunt who did not listen to the persuasion, lying on the edge of the bed, snorting twice every few seconds.
The face looks particularly scary.
Miserable white, without a trace of blood.
Even the snorting was weak and weak.
"Auntie, Auntie, are you okay?"
Zhou Can gently nudged her.
"Uh......h I had a terrible stomach ache, dizziness, and chills. Doctor, could you please help me get a bottle of boiling water? I can't walk anymore. ”
She must have run to the toilet a lot in one night.
And if you have persistent severe diarrhea, you will soon become dehydrated and dehydrated.
"Okay! It's this boiling water bottle, right? ”
"Hmmm! Thank you ......."
Auntie nodded weakly.
Zhou Can helped her get a bottle of boiling water and poured a glass of water for each of them.
Seeing his aunt sick like this, he couldn't help but be full of worry.
Chills in the body, that's not a good thing.
In the words of traditional Chinese medicine, this is called cold evil entering the body, and there will be qi stagnation and blood stasis, and the body's yin and yang imbalance.
"You're so sick, let's go and register for a look! This disease can't be delayed! ”
Zhou Can persuaded again.
I really feel a bit like history repeating itself, Bian Que saw Cai Henggong.
The first time it was not cured, the second time it was not cured, and the third time it was already terminally ill, and there was no medical treatment.
Normally, Salmonella infection causes diarrhea, fatigue, nausea, vomiting, etc. But like my aunt, in just over a day, people are so sick that they can't turn on the water on their own, and it's difficult to even raise their heads.
This is unimaginable.
It also shows that her body's defenses against salmonella are likely to be completely broken.
"It's okay, I'm in good health, and the anti-primary antibody will pass. Isn't my husband much better today? I'll wait until tomorrow and I'll definitely get better. ”
The aunt still refuses to seek medical attention.
Zhou Can didn't persuade again, but went directly to the corridor and looked at the vomiting patient who was admitted yesterday evening.
The condition did not deteriorate further.
But if a bug is so big in the patient's head, the sooner it is treated, the better.
It's been delaying for a long time, and I'm really worried that something will go wrong.
In the unlikely event that the bug is agitated and moves to the brainstem area, the patient may need to be rescued in minutes.
Let's see the results of Director Shang's coordination with the gods!
If it doesn't work, Zhou Can is estimated to be revealing this old face again and come forward to help coordinate.
When I returned to the office, I happened to meet Yu Xin and Duan Zifu.
"Doctor Zhou, it's early!"
"Good morning, everyone!"
Zhou Can found that there were already five doctors in the office, and even Dr. Chi took the initiative to greet him with a smile.
That's all he could do in response.
"Doctor Yu, just now I went to the ward for rounds, and I saw that the aunt in bed 73 had become more ill, and she didn't even have the strength to raise her head. I advised her to register and see a doctor quickly, but she didn't agree. I think this is very dangerous and cannot be delayed. You have to report the situation to the deputy director of the department or the director Shang. In the event that a family member dies in the hospital, it will be a big deal. ”
Zhou Can came all the way from the emergency department and saw all kinds of strange things.
The patient was fine, and the family member who accompanied the bed died violently in the hospital for no reason, which really happened.
There was even a family member who smoked in the elevator, and a doctor in the cardiothoracic surgery department persuaded him twice, and then the family member was very angry and scolded the doctor.
As a result, without scolding, the family suddenly fell to the ground clutching their chests.
Later, the family died of a heart attack.
What's even more ridiculous is that the family's relatives sued the doctor in question.
(End of chapter)