"Teacher, please check, is it okay to debride to this step today?"

After Zhou Can completed the debridement just now, he has already received a reward of 100 experience points for debridement. From the debridement of this patient, he did learn a lot of experience and skills.

Surgery is practice-oriented.

Many surgical techniques are easier said than done.

How to do an operation, many surgeons may be able to say one, two, three, but when it comes to hands-on operation, there are very few people who can successfully complete the operation.

Those who can do it well are even rarer.

Because the growth of surgeons is difficult and slow, doctors who do surgery well in various hospitals have a very high status.

At least among clinical health care workers, they have a transcendent status.

"Well, your debridement skills are really good! For example, the figure of that young woman, a little more is too fat, and a little less is too thin, just right. ”

Dr. Xu is usually a very serious and rigid person, but at this moment, he even uses the figure of a young woman as an analogy.

made Zhou Can and others feel a little strange.

Two words that would never dare to come out of his mind popped up in his head - sullen.

There are many men, especially men who are usually very decent, who are somewhat sullen.

It's just because of the constraints of etiquette, morality, and reputation that they hide the side that may attract jokes.

"Let's go back to the inpatient ward for nursing first! Observe closely for a day or two to see how well you can go before deciding whether you can undergo a second debridement surgery. ”

After Dr. Xu's examination, he personally gave the patient a medical order.

It mainly starts from two aspects, anti-infection, anti-inflammatory, and nutritional supplementation. Another point is to keep the wound draining smoothly.

After the initial debridement, it only takes two or three more days to see which tissues are developing necrosis.

Debridement should be continued at that time.

The biggest challenge this patient has to take on at the moment is not the pain of the wound and the continued decay. It is whether the trend of sepsis can develop for the better after this operation.

If it develops in the bad way, even if Zhou Can and Dr. Xu want to help him save his limbs, they won't be able to save it.

A decisive amputation must be made to save lives.

After the patient was sent out, it was already past nine o'clock in the evening. Sometimes surgery is like this, the surgery is not done, and the doctor has to grit his teeth and persevere.

During this period, there is no way to go to the toilet, drink water, or eat, and if it is a strong team with a large number of people, everyone can take turns to rest, which will be easier.

The operation took Zhou Can more than four hours in total.

It is the most cost-effective surgery.

He sometimes doesn't take that long to have a tertiary surgery.

"Everyone has worked hard, let's get off work!"

Dr. Xu said to several people.

"I asked Xiaolan to order a meal for everyone. It's so late, there's nowhere to eat. Teacher, eat your share before leaving, otherwise it will be wasted! ”

Zhou Can greeted Dr. Xu.

"Are you kid letting us eat you?"

Dr. Koh did not refuse.

"I don't dare to call it a big family. But please have a few meals, it's totally fine, I'm very happy. My father taught me since I was a child that in this life, people will not be poor in food, clothing, and addiction to the vices of prostitution, gambling and drugs. ”

Zhou Can said with a smile.

"Yo, the tutor is pretty good! I really want to meet my parents when I have the opportunity, and I want to see what kind of parents can educate such excellent children. ”

Dr. Xu said as he took off his gloves and threw them in the trash can and walked towards the locker room outside.

I have to complain that the emergency department is too low in status, and the operating room is shabby. There wasn't even a place to eat.

Like other weighted departments, their operating rooms are much more luxurious.

The sterile room and the reading room can be used as a temporary place for medical staff to eat.

In the emergency, when the new operating room is obtained, there will definitely be a decent operating room when the time comes.

A few people gathered around eating fast food.

"Dr. Zhou, can you ask me about the surgical debridement of a gangrene patient, why can't the debridement be thorough?"

This question must have held Luo Shishen for a long time.

He had wanted to ask for a long time.

I was afraid of being criticized by Zhou Can, so I waited until the end of the operation to ask questions.

"Thorough debridement is to cut off necrotic tissue and tissue that still has some repair ability together to achieve the purpose of deep debridement. It seems to be done cleanly and thoroughly, but have you thought about it? Doing so will definitely increase the size of the wound and make it more difficult for the wound to repair itself. It will definitely have a significant impact on the healing of the wound. ”

Zhou Can explained.

The so-called speed is not reached.

In the face of different gangrene lesions, the debridement plan is also different.

The patient's gangrene wound was not only extremely wide, but also very deep. If a complete debridement is done in one go, how much wound does it have to cause?

You must know that the patient's wound has not healed after such a long period of rest, even if the infection is suppurated. However, in the wound part, a certain healing layer has actually formed.

Removing it is equivalent to removing the newly formed scar, which will cause great harm to the patient's body.

So you can't just look at the surface.

"Got it!"

Sentry Luo nodded.

He had been affected by the previous suture cutting and was obviously a little nauseous and unable to eat.

No one can help him, so he can only adapt to it slowly.

Ma Xiaolan was also not much better, she only ate a few bites and then didn't eat.

Zhou Can was busy until so late, thinking of using his mobile phone to send Su Qianqian a message first, so as not to worry her.

Tuya Hospital is very user-friendly in the management of the use of mobile phones.

Healthcare workers are allowed to bring cell phones to work, including in the operating room. However, working hours need to be adjusted to silent, and if you are caught playing with your mobile phone during working hours, you will be deducted 50 yuan at a time and 2 points will be deducted from the department.

If it is caught three times in total, it will be criticized by the whole hospital.

In fact, as long as he is caught twice by the administrative staff in total, the department director should jump his feet.

Because the total score of a department is only 12 points.

That's only enough for five deductions in total.

If it is deducted, it is possible for the head of the department to get out of class. The lightest is that the department's bonus is confiscated, and the whole hospital will be criticized by name, plus a deep review.

Generally, there are no doctors and nurses who go to work to play with mobile phones.

Because many family members nowadays will secretly photograph the work of medical staff. Especially when rescuing patients, it is most likely to be secretly photographed.

Some family members are particularly scheming.

On the surface, I chatted politely with you, but in fact I turned on the recording. By the time the defendant went to court, the recordings were taken out as evidence.

In this era of tension between doctors and patients, it is not uncommon for medical and nursing defendants to go to court.

Some doctors or nurses perform their duties normally, but as a result, patients die during treatment. Then the family members made a violent fuss, and the hospital may promise to compensate the family members for a sum of money in order to calm the situation.

Even if only 50,000 or 60,000 yuan of funeral expenses are paid, it is a burden that doctors cannot bear.

Don't think that the hospital will pay the money, the medical department or the administrative department of the hospital will negotiate with the family and then pass it on directly to the doctor concerned.

The doctor must have felt wronged!

Obviously there is no fault, and he has to pay such a sum of money.

However, the hospital will not take care of these things, and many times, the hospital only deals with the problem from the perspective of the hospital's interests.

and does not care about the life or death of the doctor.

The leaders of the medical department will even choke the aggrieved doctors, why don't the patient's family say goodbye and sue you?

When encountering such a chilling thing, many doctors will choose to resign.

I really can't do it.

In some hospitals, whenever a patient complains, they will withhold money from doctors or nurses.

Regardless of whether the patient and the family are reasonable or not, they are on the side of the patient's family anyway. And this phenomenon is not an isolated phenomenon, many hospitals do this.

It is understandable that after a few attempts at chilling, the medical staff eventually became businesslike and indifferent.

While eating, Zhou Can took out his mobile phone and prepared to send a message.

Then I saw a number of unread private messages.

Su Qianqian was at half past five, and sent a message, "Honey, are you going home for dinner tonight?" Make you your favorite sweet and sour pork ribs! "A row of symbols with hooked fingers at the back.

"I haven't replied to messages for so long, I guess, you must be working overtime! Waiting for you at home! Stay safe when driving on the road! ”

The warmth of home filled Zhou Can's heart.

Many migrant workers who are thousands of miles away, or even thousands of miles away, want to go home for the Chinese New Year. It's because there are people in the family who make them worry and miss.

has a beloved girlfriend waiting for Zhou Can to come home at home, and this happiness is irresistible to him.

Therefore, no matter how late he gets off work every day, he has to go home with the stars and the moon.

"I just got off work, and I was ready to go home after eating with my colleagues."

Zhou Can also took a picture and sent it over.

"It's so late to get off work today! Stay safe on the road! Slow down! ”

Su Qianqian replied to the message in seconds.

I guess I've been waiting for him to reply with my phone.

She must have been very worried that she hadn't come home so late and hadn't replied to messages.

Zhou Can replied with a flying kiss symbol.

There are good wives and few husbands in the family.

He continued to check for other private messages.

Mom sent him two voices, and now that his colleagues were present, he didn't dare to click on them.

Recently, my mother has begun to urge marriage.

She already knows that her son has a big career in Tuya Hospital, the provincial capital. I am also very proud.

But seeing that the young men who were about the same age as Zhou Can got married and had children one by one, my mother couldn't hold it back. urged him to get married early.

For Su Qianqian's daughter-in-law, Zhou Can's parents are very satisfied.

The son can marry a female star and go home, and they are very supportive.

Turn off the sound and convert speech to text.

"Son, have you eaten?"

"I've been in love with the shallow girl for so long, do you want to make an appointment with the woman's parents to discuss marriage?"

As expected, my mother urged me to get married again.

"I've been busy with work lately! I'm very busy, it's the rising period of work, so let's slow down the marriage! ”

Zhou Can can only use his busy work as an excuse to delay this matter.

His girlfriend suffered from kidney failure, and he didn't dare to tell his parents. I'm afraid that they will oppose this family business, and I don't want them to worry.

I hope that I can find the two main medicines as soon as possible, cure Su Qianqian, and then get married and have children normally.

Nine times out of ten, people who are truly self-reliant never bow to fate.

Even if they touch a bad hand, they can still play the ending of the king bomb.

Those who want to give up at the slightest setback, they have already lost before they even start. No matter how good the cards you draw, they will be played poorly.

The true portrayal of many successful people is that the life you envy has hardships behind you that you can't endure.

Everyone's success and happiness are no accident.

Zhou Can finished replying to his mother's message, and then ordered the private chat message of Director Le of the Department of Thoracic Surgery.

"Doctor Zhou, you persuade Director Xue! She had to challenge a fourth-level cardiac surgery, which was extremely risky, and she was afraid that something would happen. ”

Director Le rarely chats privately with Zhou Can.

At most, it is a New Year's holiday, and the two sides greet each other.

"I just had surgery, is it too late to persuade her now?"

The message was sent to him at about two o'clock in the afternoon, and as a result, Zhou Can was working hard in the operating room at that time, and it was impossible to check his mobile phone at all. It's already past nine o'clock in the evening, and I'm afraid the matter is already a foregone conclusion, and the operation has probably been done.

"The operation failed, and it has been reported to the medical department for processing!"

Behind it is a tearful expression.

Director Le is usually a cheerful person, but recently the cardiothoracic surgery has continued to decline, and he must be very depressed.

This time, Director Xueyan forcibly challenged a fourth-level difficult surgery and failed, I don't know how it will end?

Some family members will pinch their noses and admit it.

Because before the operation, the family members all signed.

For this kind of major surgery, the signature of the first-degree family member is usually required. Doctors will inform family members of the risks.

Even if something happens and the patient dies on the operating table, legally speaking, as long as the doctor operates according to the regulations, it is not a violation.

I'm afraid of meeting the kind of family members who make trouble.

Carry the dead body to the outpatient clinic, or put wreaths, burn paper money, pull banners, and make a fuss in any way, the hospital will be particularly passive.

It is by no means what many people think, as long as there is trouble in the hospital, it is a disturbance of medical order and will be arrested by the police.

When encountering such a patient being treated to death, the police can't control it.

At most, let the two parties negotiate, or let the family go through the legal process to sue.

The family is not stupid, not to mention that the lawsuit costs money and time, and it may not be able to win. Larger hospitals often have cooperative legal teams, and they are not afraid of lawsuits.

Therefore, the smarter family members will only make trouble in the hospital and ask for an explanation.

As long as it does not interfere with other patients' treatment, such as blocking the gate and not allowing them to enter, under normal circumstances, they will not be arrested.

This is also the least costly way to enforce your rights.

And this trick hit the seven inches above the hospital.

Hospitals are afraid of medical trouble.

Good things don't go out, but bad things spread thousands of miles.

What will other patients think of the hospital? The negative impact on the hospital is too great.

Hospital leaders will try to calm things down and calm things down.

"Did you die?"

Zhou Can replied with a message.

"Hmmm! Didn't get off the operating table! ”

Behind it was a tearful, silent expression.

got Director Le's reply, and Zhou Can's heart sank.

The patient is dead, and there is no turning back. It depends on the attitude of the family.

Tuya's medical department, doctor-patient dispute office, and publicity department are not furnishings.

This matter will definitely be dealt with positively.

It's just that no matter what the result is, it will be bad for Director Xueyan.

Soon after she took office, she forcibly challenged a major surgery beyond her ability, which would make the hospital leaders have a bad impression of her.

If the department director is not qualified, it is a high probability that he will be replaced.

Hospital leaders will not tolerate an unqualified physician leading a clinical department. Especially the old ace department of cardiothoracic surgery.

The cardiothoracic surgery work group was quiet, and no one discussed this matter.

This is just a precursor to a storm.

It is estimated that it will not be long before a storm of public opinion will be set off. At that time, Director Xueyan is in danger.

"Sister Yan is really, you called me to help with such a big operation!" Zhou Can buried her recklessness in his heart.

If Zhou Can was called over to help, he knew that the operation was risky and difficult, and he would try to prevent her from doing this operation in the first place. If I can't persuade him, I will invite Dr. Xu over to sit down.

Dr. Xu was wearing 'shackles' and could not participate in the fourth-level surgery, but he was able to give him some pointers.

After eating, Zhou Can did not go home immediately, but decided to go to the inpatient ward to see the gangrene surgery patient.

Director Xueyan had an accident during surgery, which gave him a strong sense of crisis.

Nothing can happen to his side.

Otherwise, if something happens to Director Hu Kan's two apprentices, even if he dies, his reputation will be ruined.

(End of chapter)