Under normal circumstances, the safe dosage for adults is about 40-100ml of 50% glucose solution intravenously.

Zhou Can had already given him the maximum dose.

If the patient eats normally, there is no need for intravenous injection, and oral sugar water, candy, biscuits, etc. can be taken directly.

After treatment, the patient slowly wakes up and returns to normal.

It's just that it still looks very weak.

If you don't help him cure the disease of vomiting, he will have something to do sooner or later.

Patients are unable to eat, which causes the calorie intake to be lower than the energy expended by exercise and metabolism, and the stored energy substances are constantly converted into glucose for energy.

However, the patient's energy reserves are limited, and there is no energy supplement into the body for a long time, and the energy reserves are converted into glucose due to consumption, and finally there is no excessive glucose consumption, and hypoglycemia will occur in the body.

This type of low blood sugar due to starvation is very common.

Some people are reluctant to spend money on food because they are shy enough to find a job for the time being, or because they are financially stressed.

Eventually fainted on the streets.

In this case, if there is sugar, give one to the patient in his mouth, and he can slowly recover.

Then let the patient eat in time to replenish energy.

"Let's give him a nutritional infusion first!"

Zhou Can gave another medical order.

I don't know how Director Shang's coordination is?

The patient's lesions were all detected, and the operation of craniotomy was not complicated, and it could be cured in time.

He decided to take the initiative to go to Director Shang's office to ask questions.

It is also a responsibility to the patient.

All the way to Director Shang's office, I heard a muffled sound of "bang" inside. It sounds like slapping a table or smashing something.

It seems that Director Shang has suffered a lot of anger.

Knock knock!

Zhou Can hesitated outside the door for a few seconds, and finally decided to knock on the door.

"Please come in!"

Director Shang's calm voice sounded.

Pushing the door in, I saw a thick book falling on the floor.

Zhou Can naturally bent down to pick it up, and after putting it on the table, he said, "Director Shang, the patient with parasites in his brain just now fainted with hypoglycemia. ”

"How are people doing now? He vomited so badly that he couldn't eat properly, so you quickly injected him with dextrose fluid, starting with 60 ml. Use a 50% dilution of glucose solution. ”

Although Director Shang was still panting with anger, he immediately became nervous when he heard that there was something wrong with the patient.

And quickly and calmly gave a treatment plan.

"The medicine has been used, and the patient is now basically back to normal. I'm worried that the worm is burrowing in his head, and it will be a pity if something happens to him. Did the gods agree to send someone over for surgery? ”

Zhou Can secretly guessed that this matter was likely not going well.

Director Shang was so angry that he dropped something just now, most likely because the coordination of this matter did not go well.

"Don't mention it! The group of grandsons outside the gods are all masters of officialdom. I said that I was going to find them Director Wu, but I was told that their Director Wu was operating on the patient, so I could talk about something first, and they would tell me when the time came. ”

Director Shang was angry when he talked about it.

And the more you talk about it, the more angry you get.

Yesterday I was beaten by a little nurse and was so angry that I couldn't do it, and the person I was looking for today should be a little higher, but I still delayed him perfunctorily.

"It's really annoying. I know your difficulties, so I'll have to wait a little longer. I just prescribed a nutritional infusion to the patient, and I have to go to the ward to watch it, you are busy. ”

After Zhou Can came out of Director Shang's office, he secretly pondered that he had to draw a thread and build a bridge from this matter.

If it drags on any longer, it will be bad for the patient and for the gastroenterology.

He is quite familiar with the chief physicians outside the gods, and Director Wen has the closest relationship with him. Wu Baihe can also speak there, but it will be a little worse after all.

Zhou Can thought about it and decided to try it with Director Wen first.

As for helping Director Shang get angry and clean up the nurse who answered the phone, that's still it.

Isn't there an old saying that the prime minister can hold a boat in his belly, and the general can run a horse on his forehead!

In life, there is no one who is not angry.

Zhou Can didn't come to the end of the corridor until he dialed Director Wen's mobile phone.

"Director Wen, hello, I'm Xiao Zhou!"

"You know, you know, I've always had your number! A few days ago, I was still talking about you kid, but today I finally waited for the call from the boy, it's really not easy. How's the recent training? Is it still going well? ”

Director Wen's attitude towards him was as kind as ever.

Filled with care.

"Thanks to you, the training went well. It's just that yesterday I received a patient with parasites in the brain who needed a craniotomy to retrieve the worms, and my gastroenterology department was not capable of doing this surgery. No, I'm thinking I'm asking for help. ”

Zhou Can talks to these people close to him, and never beats around the bush.

so as not to be revived.

Speaking directly is most popular with them.

"Craniotomy to remove parasites? Are you fully capable of this kind of minor surgery, and you still need to ask me for help? "Director Wen knows Zhou Can's ability very well.

When Zhou Can was training in the Divine Extraterrestrial Regulation, his surgical ability was already quite powerful.

With Zhou Can's progress rate, after such a long period of time, and in multiple departments in rotation and training, the surgical strength will only be stronger.

Not to mention a craniotomy to remove parasites, even if it is a more difficult operation, Zhou Can is also competent.

"Isn't my level enough! Craniotomy is a major surgery of the third or fourth grade, and at least the level of deputy chief physician or above. If you have time to come and guide me through the surgery, it will be perfect. ”

Zhou Can said with a smile.

He is growing too fast, and he will also have some troubles.

For example, because of the low professional title, there is no qualification for major surgery.

The working years and qualifications are not enough, and it is impossible to apply for the opening of a personal outpatient number, etc.

"What kind of parasite? How long do you expect the surgery to take? ”

Director Wen asked, obviously ready to help him.

"Schizocephalus, so far only one can be seen on CT scans of the brain. The operation time, if all goes well, can be solved in as little as 20 minutes. If a craniotomy is to be performed, it should be resolved within three hours. ”

Zhou Can estimated the operation time.

The body of the schizocephalic larvae should be very long, partly in the cranial cavity, and partly even out of the skull space, just below the scalp layer.

During the operation, if it does not run, Zhou Can can directly clamp its body part below the scalp layer and pull it out entirely. However, there are certain risks associated with this and need to be handled on a case-by-case basis.

If it will tear off its body, then it will definitely need to be craniotomy.

Many parasites have a powerful regenerative ability like earthworms and leeches. Even if the body is broken into many segments, they can still regenerate multiple new lives from the stump limbs.

Therefore, when the parasites are removed, the doctor will try to remove them from their bodies.

Prevent the torn body from remaining in the patient's body.

"When can a patient be operated on?"

Director Wen asked again.

"If you can agree to come and help, I can talk to a senior doctor right now. It mainly depends on when it is convenient for you. ”

Zhou Can sighed in his heart, connections are really too important.

If it weren't for his close relationship with Director Wen outside the gods, this matter would have to drag on for at least another day or two.

It is necessary to coordinate the joint operation of the chief physician of other departments, which is quite difficult.

It can be done.

But waiting for two or three days, or even longer, will undoubtedly increase the risk on all sides. The cost of treatment for patients will also increase considerably.

"After six o'clock this afternoon, if you can arrange it in place, then send the patient to the operating room outside the gods. When the time comes, I'll work overtime and help with the surgery. ”

Director Wen didn't even ask about the patient's situation, and directly agreed to this matter out of trust and care for Zhou Can.

The time is also very short, just on the same day.

The cost is that Director Wen needs to work overtime.

I have to say that Zhou Can's face is really big.

As for the arrangement of the operating room, this also needs to be coordinated by Director Wen himself.

In a humane society, with the care of acquaintances, many things that were originally difficult can be made simple and easy.

"Thank you for helping me so hard! I'm always bothering you, and I'm really sorry not to go. ”

It's really not the first time that Zhou Can has troubled Director Wen.

The other party happily agreed to help every time.

"You're welcome with me. Exercise your medical skills in all aspects and strive to develop your skills as soon as possible. We old guys, but we are very much looking forward to the day when you officially take up your post! ”

Director Wen helped him and didn't want to reciprocate.

is looking forward to Zhou Can being successful in the future and becoming a great doctor.

After ending the call, Zhou Can still felt warm in his heart.

He is very fortunate that since he trained at Tuya Hospital, he has met many very good senior doctors. One by one, they tried to help him and nurture him.

The matter has been negotiated, and then as long as you talk to Director Shang, you can arrange for the patient to have surgery in the afternoon.

I believe that both Director Shang and his family will be very happy.

He returned to Director Shang's office and found that Director Shang was gone.

It happened that Duan Zifu walked over from the direction of the ward.

Zhou Can hurriedly asked, "Doctor Duan, have you seen Director Shang?" ”

"I just left, and I seemed to be in a hurry to go to school. Let's find Deputy Director Shi first if we have something. ”

In Director Shang's group, Deputy Director Shi is the only deputy chief physician, and his qualifications are quite old. In the absence of the team leader, the big and small matters are basically handled by Director Shi.

"Okay, then I'll go find Director Shi."

Zhou Can is much more experienced than Duan Zifu, but he can't call the deputy director of Shi on the left and the deputy director of Shi on the right.

In case someone hears it, what a response!

He found Deputy Director Shi, who was about to go to the outpatient clinic.

"Director Shi, just now Shenwai agreed to operate on the patient with the brain parasite, and let us send the patient to Shenwai's operating room at six o'clock in the afternoon."

Craniotomy requires the use of specialized equipment.

The interventional operating room of the Department of Gastroenterology is only suitable for interventional surgery.

When the doctors did interventional surgery, if nothing else, just wearing a lead suit weighing 20 pounds was enough to make people uncomfortable.

Some of the lead clothes weigh as much as 40 pounds, and ordinary female doctors can't wear them at all.

Older male doctors, wearing them are like wearing a set of heavy armor. In this case, the burden on the body is much greater.

Therefore, if the internal medicine department cannot perform the operation, you only need to ask for help from other departments.

It is common to ask the patient to be pulled over.

No surgeon wants to go to the interventional operating room of the internal medicine department to eat radiation.

"Oh! Did Kamiwai finally say yes? When Director Shang left just now, he was still complaining that the doctors and nurses outside the gods were too difficult to deal with. It seems that it still works to find the leaders of the hospital. ”

Deputy Director Shi finally agreed when he heard this, and he was very happy.

When Zhou Can heard this, he couldn't help but be slightly shocked.

"Could it be that Director Shang found the leader of the hospital and complained about the gods?"

The chief physician's temper is really big.

After being angry with the nurses and doctors outside the gods, they directly complained to the hospital-level leaders.

This kind of thing has not only been done by Director Shang, but also by Director Xie.

It's like a child who has been wronged and likes to find a teacher, and it is a truth to find a parent to complain.

Sometimes, these chief physicians who have a very high status and have reached a considerable level of academic and medical skills also have a childish side.

"The vice president Ye who I was looking for is estimated to have been disciplined by the gods, so I quickly agreed to this matter."

Deputy Director Shi said with relief.

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

It seems that he is still too young.

I knew that I wouldn't have made that phone call to ask Director Wen for help.

Now that Director Shang is making such a fuss, how can he explain it in front of Director Wen?

……

In the afternoon, Zhou Can was assigned to three new patients.

That's a total of seven beds.

Director Shang went to school and never came back. Deputy Director Shi was sitting in the outpatient clinic, and he, Duan Zifu and others were busy in the inpatient department. It's equivalent to engaging in logistics.

After boiling until 5:40, Zhou Can had already handed over all the patients in his hands to Luo Shengsheng, the head of the hospital.

The fashion director also rushed back to the department after class.

Zhou Can, along with three graduate students under Director Shang, pushed the patient with a parasite in his brain to the neurosurgery department. Director Shang personally led the team. Family members are there to accompany them.

When the group came to the neurosurgery department, Zhou Can was on the way thinking about how to explain to Director Wen later.

"Hello, we are doctors in gastroenterology, and now we have brought the patient with a parasite in his brain. In which operating room will the patient be operated on? ”

Director Shang asked the nurses at the nurses' station with a blank face.

"Director Wen has already made arrangements, and it is in the No. 2 operating room. Dr. Zhou, do you want me to take you there? ”

Hu Shuiling, the nurse in charge, saw that Zhou Can was also there, and hurriedly greeted him with a smile.

In her heart, Zhou Can's status is much higher than that of Director Shang of the Department of Gastroenterology.

Zhou Can is deeply valued by many chief physicians outside the gods, and just one sentence may affect her future.

But no matter how high Director Shang's status is, he is only the head of the Department of Gastroenterology after all.

For her, the superintendent nurse outside the gods, it is beyond the reach of the whip.

Therefore, she didn't care much about Director Shang.

Zhou Can even doubted that Director Shang called yesterday, was it Hu Shuiling who answered?

"No, no, we'll just go over by ourselves. You're busy. ”

Zhou Can is very familiar with the operating room outside the gods.

Push the patient and walk to the operating room.

"Hmph, these people outside the gods were still difficult to deal with before. Now I know it's honest. It's relieving to see their enthusiastic attitude. Director Shang snorted.

Seeing that the Neurosurgery had already arranged everything, and the attitude of receiving them was quite warm, Director Shang felt particularly relieved.

After the evil breath in my heart came out, the whole person was much more comfortable.

He also thought that the change in God's attitude was because the complaint had worked, but he didn't know that this was the result of Zhou Can secretly asking Director Wen for help.

The patient was quickly wheeled into the operating room, and the anesthesiologist was ready to take position.

It was the official doctor that Zhou Can hadn't seen for a while.

For this level of surgery, it is enough to have an official doctor.

Only major surgeries with extremely high risks will be performed by Dr. Yu himself.

"Doctor Guan, I haven't seen you for a long time!"

Zhou Can greeted with a smile, and at the same time took the initiative to step forward to help perform anesthesia surgery for the patient.

"It's been a while. I heard that you entered the internal medicine department, and sometimes I miss you. "Dr. Guan has his help, and it is indeed much easier.

Zhou Can is almost completely capable of performing most anesthesia surgeries on his own.

It doesn't matter if it's general anesthesia or spinal anesthesia

"When I finish my training in internal medicine, there will definitely be a lot of opportunities in the future. I'm afraid that when the time comes, you will see me every day and annoy me. ”

As long as Zhou Can returns to the emergency department, he will definitely form a surgical team.

When the time comes, it is really possible to meet with the official doctor every day.

(End of chapter)