"Let me tell you, this doll has a congenital heart disease that definitely requires surgery, and his surgery is very complicated and the risk is extremely high. If you are willing, you will find a way to admit the child to the hospital first, and the specific surgical plan will definitely need to be assessed and discussed by many parties before it can come out. ”

After watching the film, Director Zhuang must also understand that this case of congenital heart disease surgery is not easy to treat.

He mentioned that it needs to be evaluated and discussed by many parties, and if he guesses correctly, it is likely that a cardiothoracic surgeon will need to come and consult with him.

"Yes, we do!"

The family was worried that something would happen to the child, and they no longer dared to confront the doctor.

Even the child's mother is honest.

"Doctor Zhou, this patient is your doctor, I'm afraid you have to ask you to stand to the end and continue to follow up. You are responsible for the formulation of the surgical plan, the linkage of various departments, and the consultation. ”

After Director Zhuang negotiated with the family, he made Zhou Can stupid in one sentence.

"Well, that's not quite right! I'm just training, and such a big operation must be done by you, the chief physician! If Zhou Can hadn't been intimidated by the other party's identity, he would have cursed.

Director Shang of the Department of Gastroenterology is already exploitative enough.

All sorts of things pressed directly on him.

Now as soon as Director Zhuang came up, he directly pressed a child with congenital heart disease to him. This is a fourth-level major surgery, and it's scary.

Although Zhou Can had a tiger scurrying in his heart, he felt that if he could invite Director Hu Kan of the Department of Cardiothoracic Surgery to guide him in the back, it might not be impossible to challenge this operation.

"I'm here to help! You young people are full of energy, and it is the age when you should fight hard, and this matter is decided. ”

Director Zhuang shamelessly pressed the task directly to Zhou Can in front of the patient's family.

The official level crushed people to death.

He is the chief physician, and he has also been authorized by Tang Fei, the director of pediatrics, Zhou Can really wants to cry without tears.

At this time, Zhou Can could only look at his family for help.

Glancing at the child's parents, as well as grandparents.

I hope that these family members will come forward to help say something.

Someone finally understood what Zhou Can meant.

The child's grandmother said in a sharp voice, "Director Zhuang, my wife has a lot of mouths, don't be weird!" ”

"If the eldest sister has anything to say, just say it!" Director Zhuang is about ten years younger than the child's grandmother, and it is no problem to call the eldest sister.

"You see, although Dr. Zhou is very good, he is too young after all, and his experience is somewhat lacking. My grandson's congenital heart disease is quite serious, and the experts at the Provincial Children's Hospital say that surgery is a life-threatening death. In order to increase the success rate of the surgery, it is definitely safer for you to preside over it yourself. ”

The old man does not speak as impulsively as the young man.

Quite tactful.

After listening to this, Director Zhuang explained seriously, "I didn't say that I didn't care about it, but it was just Dr. Zhou taking the lead." This practice is also in line with our hospital's first visit system. Besides, Dr. Chow looks young, and his surgical experience is not necessarily less than mine. There is a saying, the old man, not age, but mood. Age is not everything. Especially in our medical profession, technology is changing with each passing day, and excellent young doctors have an advantage over our older doctors in many ways. ”

"If nothing else, an operation requires more physical energy than you can imagine. I'll let you have another secret, this kind of major surgery is never done by one person, but by a whole surgical team, so you don't have to worry about anything. ”

Under Director Zhuang's explanation, the family had no objections.

Zhou Can couldn't ask for help from others this time.

He will be in charge of this child to the end.

The first thing to do is to find a way to coordinate a bed for the child. If the child is transferred to cardiothoracic surgery, the pediatric side will definitely not agree.

The benefits of a congenital heart disease surgery are considerable.

Even the cost of the simplest treatment of congenital heart disease is basically more than 10,000 yuan. The condition of this child is so serious, the operation is extremely complicated, and the cost of surgery and treatment is likely to exceed 120,000 yuan.

There is no way to estimate the specific cost for the time being, and it is necessary to wait until the surgical plan comes out to get a more accurate cost result.

Although the cost of surgery is high, for a family, as long as the child can be saved, it is estimated that it will be treated by selling cars and houses.

"Director Zhuang, I think it would be better to arrange this child directly to your neonatal department? Let him live in another department, and people won't agree! ”

Zhou Can's arrangement has its own deep meaning.

Didn't Director Zhuang ask him to preside over the treatment of this child? No problem. But if people are arranged to be admitted to the neonatal ward where Director Zhuang is located, Director Zhuang will not be able to be the shopkeeper.

"Yes!"

Director Zhuang and Zhou Can glanced at each other and readily agreed.

"You promise to do the rounds at least once a day!"

He added one more condition.

"No problem!"

Zhou Can also readily agreed.

Both of them are smart people and easily understand each other's intentions.

At the end of the discussion, the patient was hospitalized, and Director Zhuang naturally coordinated the matter of not having a bed. Zhou Can arranged for the child to be admitted to the neonatal department, but it was not for nothing.

And every day of the bed check, Director Zhuang also has to keep an eye on it.

……

Back at the gastroenterology department, it was only two minutes before 12 o'clock in the afternoon.

Director Shang also told Zhou Can to help the gastroenterology department work more, but he went to the pediatric department for more than an hour. After a while, Director Shang will know, and I am afraid that it will be indispensable to chatter.

Zhou Can simply went to the cafeteria for lunch, and then returned to work in the Department of Gastroenterology.

Less than one o'clock in the afternoon, Director Shang came.

He was very happy to see that Zhou Can was dealing with the patients in the group.

"Xiao Zhou, that's good! After a while, I was busy with this case, and hurried to the outpatient clinic to sit with me. The time is almost one o'clock, so I'll take them to the outpatient clinic first. ”

Zhou Can was secretly happy in his heart, this level was over.

However, the child with congenital heart disease had to find a way to formulate a surgical plan.

He made up his mind, got off work, and went to the cardiothoracic surgery department to ask Director Hu Kan for help.

……

The afternoon of sitting in the clinic passed quickly, and I was able to learn a lot of useful knowledge by sitting with Director Shang.

Although Director Shang treats his doctors harshly, he is also very patient when teaching them. The level itself is also very high, and he has shared all kinds of valuable diagnosis and treatment experience with them, which has benefited Zhou Can a lot.

After work, Zhou Can went straight to cardiothoracic surgery.

The same building, the same busy scene, but he clearly felt some changes.

I can't say it, but I feel that the atmosphere of this department is no longer the familiar atmosphere before.

After all, it has been more than a year since I left cardiothoracic surgery.

"Dr. Zhou is here! Long time no see! ”

A passing doctor greeted him with a warm smile.

"Hehe, it's been a few days since I came. There's no way, I'm so busy every day. Did Director Hu Kan get off work? I came over to him and asked him about his medical problems. ”

Zhou Can asked.

"Director Hu's health has not been as good as before, and he has rarely operated on it himself. However, as long as his health allows, he will come to work in the department every day. Either sit in an outpatient clinic or instruct other doctors in the operating room to perform surgery. Don't you know, we didn't do a good job during the operation, as long as you are scolded, Director Hu will mention your name. ”

Hearing that Director Hu Kan's physical condition was not good, Zhou Can couldn't help but feel worried.

Director Hu Kan's age is actually not very old, at least in this good era of 78 years of average life expectancy, about 60 years old is really not old. Many well-maintained men are still in good shape at the age of 60.

Doctors are the people who know how to maintain health in the world, but they are also the group of people who know how to maintain health in the world.

Surgeons, in particular, often do surgery for seven or eight hours, or even more than ten hours. By the time the busy work is over, it's already past the time to eat.

There is also the problem of drinking water, no matter how thirsty you are in the operating room, you can't drink water.

Then the rest is also irregular, at three o'clock in the middle of the night, even if you sleep soundly, as soon as you hear the mobile phone ringing, you will immediately get nervous. I'm afraid that something will happen to the patients in the department.

It is not uncommon to run back to the hospital in the middle of the night to rescue patients.

Someone has made statistics that the average life expectancy of doctors is only 54 years. This is a very frightening statistic.

If it is announced, it is estimated that many teenagers will give up the idea of studying medicine.

"What are you talking about me?"

Zhou Can didn't understand what other doctors' scolding had to do with him.

"Praise your high surgical talent and fast learning progress! Director Hu also said that it is a very happy thing to take an apprentice like you. Oh, by the way, you're lucky today, Director Hu is still in the office, but after listening to the doctors' summary, it is estimated that he is about to get off work. Hurry up! ”

"Okay, thank you! Good bye! ”

Zhou Can walked briskly to the doctor's office.

The door was hidden, and the sound of doctors discussing cases could be heard inside.

In many pragmatic departments, the summary is never a mere form of report and speech, but the most simple case discussion.

There are even times when a fight is like a quarrel.

Knock knock!

Zhou Can knocked politely on the door.

Although he was familiar with many doctors in cardiothoracic surgery, he had to be polite.

"Please come in!"

There was a slightly old, but very calm voice.

It was Director Hu Kan's voice.

Pushing the door and walking into the office, I immediately saw Director Xue Yan and others showing surprised expressions.

"Wow, Dr. Zhou is here!"

"Hello Director Hu! Director Xue, Director Le......"

Zhou Can greeted these old acquaintances with a smile one by one.

In private, he called Director Xueyan Sister Yan. The relationship between the two is very close. The basic medical knowledge that Zhou Can is learning every day is personally formulated for him by Director Xueyan.

When encountering difficult problems, he will often ask Director Xueyan for advice.

"But I haven't seen Xiao Zhou's child for some days. I don't have to guess to know he's coming to ask us for help. "Director Hu Kan looks very bad, but his mental state is not bad.

In particular, Zhou Can's arrival added joy and made him very happy.

"Hehe, Director Hu is still so aware of things, he can't hide anything from you. I was in the pediatrics department yesterday for a day and saw a boy with congenital heart disease, less than four years old. The child's condition is very serious, and now the skin of the whole body is severe cyanotic, and he has even suffered from hypoxia coma. The family has agreed to be hospitalized for surgery, and I don't have any bottom in my heart, and the pediatric department is rushing ducks to the shelves, forcing me to preside over it. I have no choice but to go up here and learn from the teachers. ”

Zhou Can could feel that many old acquaintances of cardiothoracic surgery still treated him the same.

His eyes are also extremely friendly.

It's a great feeling of camaraderie all the time.

"You kid got cheap and you're still selling here! What to catch ducks on the shelves? The young doctors here are all eager to have a chance like you to catch ducks on the shelves. Tsk, Director Tang Fei of the Department of Pediatrics is really willing to give you the opportunity to exercise, even if it is just the simplest congenital heart surgery, it is a major operation. The risk is huge, and if something really goes wrong, it won't be your turn to be a trainee to take responsibility. Be content, boy. ”

Director Hu Kan couldn't help but laugh and scolded him after hearing this.

"I must be content! It's just that I'm quite scared, if I really mess up, I have to make Director Tang Fei and the others sad! Fortunately, I also had the help of the teachers of cardiothoracic surgery behind me, so I was not so panicked. ”

Zhou Can replied with a smile.

How could he be so ignorant?

Don't look at Director Zhuang wanting to be a shopkeeper, it seems that he is lazy, and he is a little irresponsible. In fact, as Director Hu Kan said, Zhou Can is just a trainee, and if something really happens, he must be tall.

Director Zhuang and Director Tang Fei are the main responsible persons for this operation.

Their pressure is estimated to be much greater than that of Zhou Can.

"Did you bring the information? Just by the fact that everyone is present, let's discuss and discuss together! Director Hu Kan's eyes looked at the bag in Zhou Can's hand.

"Bring it! There is a first come, first come, and I will wait for you to finish discussing the work, and then ask you to help me solve the problem. ”

Zhou Can didn't dare to take the lead.

"We've just finished talking about it. Dr. Chow take out the information! Director Le helped him speak.

"What the hell, hurry!"

Director Hu has already begun to urge.

"Then you're welcome!"

Zhou Can took out the patient's information and first handed it to Director Hu Kan for review.

Then it passed on to several chief physicians.

As for the other attending and inpatient doctors, they all gathered around their senior doctors with interest to watch together.

There is definitely a need for maximum time savings.

Learning is more proactive.

"Everyone has basically read the inspection report, don't express your opinion yet, let me see if Xiao Zhou has grown!"

Director Hu Kan's gaze locked on Zhou Can.

"Let's talk about your surgical ideas and plans first."

Zhou Can didn't hide it, and directly said his surgical plan.

"I'm going to set up cardiopulmonary bypass for the patient first, and then do the total vena cava-pulmonary artery connection...... After the completion of the first stage of surgery, about 24 hours later, the operation was performed again, the tunnel barrier in the atrial was removed, the superior vena cava-right pulmonary artery anastomosis was preserved, and the roof of the right atrium was closed......"

After listening to Zhou Can's surgical plan, the entire office was so quiet that it was audible to drop needles.

Director Le looked at him with an extremely exaggerated expression of adoration.

Director Xue Yan smiled knowingly. The surgical plan given by Zhou Can today is so clever, which involves a lot of basic medical knowledge, which shows that he is not lazy in his usual life. She helped Zhou Can formulate a study plan, and he must have been studying pragmatically.

The two attending physicians, who were very high-level, showed exaggerated expressions of shock when they looked at Zhou Can again after digestion and deep thinking.

"This kid is amazing. Although this surgical plan is not perfect, it tests all aspects of surgical skills, basic medical knowledge, and even some advanced medical knowledge. What's even more terrifying is that it is not enough to understand these knowledge and skills, but also to apply them comprehensively in practice. ”

It's amazing.

(End of chapter)