"Young man, I'm afraid I can't give you the remittance account right now. I'll report this tomorrow, convene a meeting with the leaders of the office, and send you the account number after it's confirmed. Of course, it's best if you can come in person and sign a written agreement. ”

Donate money to individuals, just give money directly.

If it is a donation for a specific purpose, it can also go through an intermediate department.

Donate to the unit, the procedure is relatively troublesome.

Being able to sign a written agreement, Zhou Can thinks it's very good, and it is guaranteed for both parties. He was mainly worried that the money would be embezzled by the leaders of the institute.

Just because Chen Guoli can be trusted does not mean that other people in the institute can also be trusted.

In particular, the leaders of some administrative posts have first-class means of making money.

"That's fine, I'll be notified tomorrow when it's discussed. I have to go to work during the day, I don't have time, and if I sign a gift agreement, I'm afraid it will only be at night. If the donation is used for practical purposes and the effect is good, you can consider continuing to donate in the future. Ling's spirit of traditional Chinese medicine, as well as the remarkable curative effect of treating my girlfriend, made me see the potential and importance of Chinese medicine. It is sad to watch the continuous decline of Chinese medicine. ”

After Zhou Can and Chen Guoli agreed, they left with Su Qianqian's farewell.

"Walk slowly!"

Chen Guoli's attitude towards them this time is much more grand. personally sent them to the door, and Zhou Can turned around, "Please stay!" ”

……

Time flies, and in the blink of an eye, more than half a month has passed.

On the emergency side, because of Zhou Can's scalpel, the performance has risen gradually, and the number of official beds in the inpatient ward has increased from four to ten. Corey took this matter very seriously, and was stunned to vacate another ward from the infusion room.

The reason why the number of beds has not exceeded 10 is because the health authorities have clearly stipulated that for every 10 additional beds, at least one doctor and four nurses are required.

There are not enough people in the emergency department.

The staff was expanded last month, and now no matter how hard it is, we have to keep quiet for a while. If you go up too fast, there will be many people staring, and it will be easy to encounter resistance from all sides when the time comes.

The number of formal beds has been increased to ten, and with the addition of those temporary beds, it is basically sufficient at this stage.

Originally, there were three doctors in charge, two full-time residents, plus one intern.

Now that there are more than 20 actual inpatient beds, Director Lou has transferred another intern to help manage the beds together. The nurses are also tight, and the head nurse Niu Lan will find a way to solve it.

Overall, the operating room and inpatient ward of the emergency department are running smoothly.

The front hall receives the patient, the back laboratory does the emergency examination, and the patients who can be handled by the emergency department are screened out to the emergency operating room for surgery, and after the operation, the patients go home directly or are hospitalized for further treatment.

Now this industrial chain has been basically improved in the emergency department.

It has also become one of the most important income-generating industry chains for emergency medicine.

The income generated by the industrial chain of emergency rooms and intensive care wards is also considerable.

As for the other businesses of the emergency department, it is basically in a state of soy sauce.

The income from internal medicine doing various examination items and prescribing drugs can only be regarded as barely good.

In short, although the emergency department is very poor, with the help of the huge flow of Tuya's golden signboard, the number of patients received every day is very considerable. After so many years, under the leadership of Director Lou, the doctors and nurses of the department have long had a set of ways to generate income.

You can't be rich, and you can't starve.

Compared with those weighted departments, it is miserable. Compared with the deserted county-level hospitals, it must be much stronger.

From this point, it can also be concluded that it is good to enjoy the shade with your back against a big tree.

Master's, doctoral, and ordinary doctoral students try their best to squeeze into a compound like Tuya, which has its own reasons.

On this day, Zhou Can finished eating at noon and was about to go back to work in the operating room, but there was a quarrel in the emergency reception hall.

One patient was lying on a flat bed with the trouser leg of his right leg rolled up close to the knee, and the leg was badly decomposed, with some amount of oozing and tissue melting. The sutures have broken down in some places.

Zhou Can could see at a glance that this was a typical gangrene.

If you don't handle it well, you will die.

Wearing a limb to save life is a relatively common procedure.

Of course, in general, neither the family nor the patient himself would be willing to have his leg amputated.

So, I will ask the doctor to find a way to treat it.

The only way to treat such wounds with infection and suppuration and severe gangrene is to remove all the dead tissue. The patient is then admitted to the hospital, where the wound heals spontaneously with the help of antibiotics and professional care from medical care.

Usually, the patient's limb can be saved as long as the infection is controlled.

Some cases are severe, or the patient's immunity is poor, or there is an underlying disease, and surgery is useless.

In the end, he had to amputate his limb to save his life.

In particular, some elderly diabetic patients are very prone to black necrosis of the legs.

The family wept and fell to their knees, begging nurses and doctors to admit the patient.

However, the emergency doctor said that the disease needed to be taken to a specialist inpatient unit. The emergency department can only deal with simple emergency patients, and cannot treat patients whose wounds are infected and suppurated, and have gangrene.

It's so serious, how dare you accept it!

Look at the attending doctor in the emergency department, with a frightened face, shaking his head like a rattle, you can see how terrifying this patient is.

Don't look at the fact that the patient is still alive and well, the condition deteriorates, and it is normal for it to take a sharp turn for the worse in one night, and directly develop sepsis, or even more serious sepsis.

In the hospital, it is often seen that the patient's limb injury is not particularly serious, and he feels that he can be saved if he is treated well.

The doctor insisted that the leg be amputated.

And changing hospitals, the same result.

It is not that doctors are careless about human life, but that the consequences of limb necrosis are extremely serious. Sometimes patients and their families can only see the appearance, and doctors can see the direction of the patient's condition with their professional knowledge and experience.

Knowing that it can't be saved, it is better to amputate it than to endanger his life at that time.

Zhou Can sometimes seems ruthless, but when he sees this kind of scene, it is always difficult to control his sympathy.

Even though he has experienced the chills brought by patients and their families countless times, he still maintains an emotional side.

Especially when I saw that the little boy was only three or four years old, kneeling on the ground with his mother, begging the doctor to admit his father. This scene is defence-breaking.

"Don't you accept it from the specialty?"

Zhou Can walked over and asked the nurse on duty.

"The general surgery department is not admitted, and the intensive care department asks the general surgery department to deal with it, but our side is not capable of handling it. Therefore, we recommend that patients go to the Provincial People's Hospital for intensive treatment. ”

The nurse girls in the emergency department are all experienced in battles.

What kind of family members and patients have seen.

As long as those who can stay, they are basically masters of being exquisite and adaptable.

When encountering such difficult patients, the hospital is not stupid, and after the refusal to accept the patient in the specialist room, the nurse on the emergency department will try to persuade the patient's family to transfer to another hospital for treatment.

Small hospitals pit big hospitals, that's a matter of course.

A critically ill patient is pulled to a township health center or community health service station and told you to be sent to a major hospital for rescue, can you send it? The family members will not think about it, and will immediately agree to transfer to the hospital.

In fact, a big hospital like Tuya will also push patients.

There is a stipulation that it is not okay to refuse to admit patients.

So more often than not, some milder methods are used, or subtle methods. For example, not giving medication is basically no different from conservative treatment.

The family must be anxious when they see that their relatives are in danger, but the hospital does not give medicine!

After greeting the eighteenth generation of the ancestors of the hospital, he quickly transferred to the hospital.

There is also the trick that the nurse just used, so-and-so hospital is more professional and has a greater grasp of treating this disease, so it is best for you to go there for treatment.

The subconscious meaning is almost the same, please don't come to plague our hospital, you go to the other side!

"We have already seen it at the Provincial People's Hospital, and the doctors there told us that the problem is very serious, and the treatment plan at the Provincial People's Hospital is amputation. If you want to save your limbs, you must go to Tuya for treatment as soon as possible. ”

The female family member is a thirty-seven or eighteen-year-old woman, looking at her dress and temperament, she should be a country woman or a low-class worker in the city.

Now that her husband's life is hanging by a thread, her heart must be full of panic and despair.

After Zhou Can heard this, his face twitched.

These big hospitals are really interesting, pushing patients to each other.

"Did you do a check?"

Zhou Can asked.

"We didn't do an examination in the hospital, he did some tests in the Provincial People's Hospital."

"Show me the results!"

Seeing that there was finally a doctor in charge of this matter, the female family quickly stood up, took out the examination materials from the bag, and handed them all to Zhou Can.

"How did he get hurt before?"

"My husband and I took our children to the city to work, and in order to save money, we got stitches at a well-known local clinic. I didn't expect the wound to become infected, and then it became like this. ”

The female family must have something to hide.

The wound progresses over a long course from infection to gangrene, and it is by no means a day or two that it becomes like this.

Zhou Can didn't bother to ask.

It's nothing more than to save money, and after the infection, you can deal with it at home by yourself, holding on to a fluke mentality.

Coupled with the lack of professional medical knowledge, this is what it is.

The clinic's inadequate treatment of the patient's wound and poor suturing technique is also a key factor. Looking at the situation of this family, it is estimated that there is no drama in finding a lawsuit with that clinic and asking for compensation.

It is really not easy for the weak to survive in this society.

Judging from his blood and urine test reports, there are already signs of sepsis. Amputation should be the first choice. ”

After Zhou Can read it, he gave an evaluation.

"Doctor...... Please be kind and save my husband! He is the pillar of the family, and without legs, how will our family live in the future......"

The woman was already weeping.

When the child saw his mother crying sadly, he also pulled his mother's trouser leg and cried along.

There were many patients watching the excitement nearby.

Each family sweeps the snow in front of the door, and no one cares about the frost on the tiles.

Tragedy happens to others, and the people who eat melons don't care too much. It's just a good look.

Zhou Can saw that the woman and the child were crying sadly, and he was indeed pitiful, so he stepped forward to carefully inspect the patient's purulent wound. Getting a little closer, the pungent smell of rotting corpses came to my face.

The smell is much worse than that of rotten eggs.

Holding back his nausea, he examined the wound closely, revealing some bare red flesh buds.

"I'll ask the teacher to help you ask!"

Zhou Can took the examination report and went to Dr. Xu.

The admission of such a serious patient is not a trivial matter. What if something happens if something happens to me?

He didn't dare to do it himself.

Dr. Xu has extensive experience in diagnosis and treatment, especially in various surgical conditions.

Check with him and see what he has to say.

At this moment, Dr. Xu is operating on a patient in the operating room.

"Teacher, I'll stitch the patient, please see if a leg of a patient with gangrene in the lower limbs can be saved, okay?"

"Do you know how terrible gangrene is?"

Dr. Xu gave up the position, which was agreed to let Zhou Can suture.

Master and apprentice are more like father and son when they get along.

Zhou Can is like a Monkey King in the operating room of the emergency department, enjoying all kinds of privileges, and daring to do almost any kind of surgery. And it's actually the main knife. Without Dr. Xu's cover, this kind of treatment would not have been possible.

For every medical student, it is definitely a blessing to meet a good teacher in several lifetimes.

If you meet a teacher or senior doctor who only knows how to push responsibility, make money, dump the pot, and squeeze students, it is definitely the biggest misfortune in life. When you encounter this kind of bad teacher, you will either leave your job or wait for the other party to leave.

It is usually the medical students who leave the job themselves.

If the other party mixes well, it is impossible to leave the job.

"This patient is the breadwinner of the family, he really has an amputated leg, and the child is still so young, it is almost an unbearable disaster for his family. Gangrene is tricky, difficult to treat, and risky, I know it. That's why I want you to help me take a look. ”

Zhou Can replied while working neatly.

He sewed very carefully.

begged Dr. Xu to do something, if he didn't sew well, Dr. Xu would definitely scold him. Most of the things you ask for are not fun.

It didn't take long for him to successfully suture the patient's abdominal cavity.

"Teacher, please check."

"Well, it's okay! Push out the anesthesia to wake up! ”

After seeing it, Dr. Xu nodded in satisfaction.

He is still quite satisfied with Zhou Can's craftsmanship.

"Don't take the surgery patient in yet." Dr. Xu explained to the nurse.

Zhou Can has two surgical nurses, but Dr. Xu has only one. Basically, it was Liu Xia, a senior surgical nurse, who was his partner.

But sometimes it's someone else.

Dr. Xu's requirements for instrument nurses are much lower than those of Zhou Can.

Zhou Can only likes to cooperate with Qiao Yu.

Not only because she is professional, but also because she has a very high tacit understanding with her, and sometimes it is really the kind of heart-to-heart. Plus, she's beautiful and who wouldn't want to have a beautiful female partner during the surgery?

"Do you really want to save that patient?"

Doctor Xu stared at Zhou Can and asked.

"I'd give it a try if I could. I had already carefully observed the patient's wound, and although it was suppurating and the tissue was liquefied, I could still see the bright red granulation tissue. Moreover, the patient's age is less than 40 years old, and he is in the prime of life, and his basic conditions are quite good. He doesn't have any underlying medical conditions, and if he tries to fight for it, he may be able to save his leg. ”

Zhou Can's eyes were quite determined.

It's just that he doesn't have the final say in this matter alone.

If Dr. Xu didn't agree, he would have to give up no matter how much he wanted to save people.

"If you really want to try, then try it! When I go to talk to the family, I must first inform the family of the risks involved, and ask the family to sign the consent and information form. In addition, if the level of toxins in the body cannot be lowered and the wound becomes infected again, then you must not hesitate and must amputate the limb immediately and decisively to save your life. ”

Dr. Xu told Zhou Can the general idea.

The two of them were completely discussed.

"Okay! Then I'll do the surgery in the operating room first, and when it's done over there, I'll hand over the patient to me, okay? ”

Chow Chan readily agreed to Dr. Xu's plan.

Human life is at stake, and he will never dare to be careless.

"Let's work hard first, I'll talk to the family!"

Dr. Xu took the examination materials, went into the locker room, changed into a white coat and went out.

With a teacher out of the way, this matter must be handled more securely.

Some potential risks will also be avoided by Dr. Xu in advance.

Zhou Can went into the operating room inside to do the operation hard, waiting for the news.

(End of chapter)