I don't know what kind of surgery it is.

There are many major surgeries in cardiothoracic surgery, and the vast majority of them are extremely high-risk.

To tell the truth, those doctors in the cardiothoracic surgery operating room are more than steady, but their hand speed is a big flaw. Don't look at Director Hu Kan who has done some difficult cardiothoracic surgery and has never had an accident.

That's because Director Hu Kan does a lot of calculations before surgery every time.

It is even possible to drill down to what may happen in each part of the operation, prepare for emergencies in advance, or avoid potential risks in advance.

Zhou Can has obtained the true biography of Director Hu Kan, and knows very well Director Hu Kan's routines for dealing with those difficult and major surgeries.

This way of avoiding the risks of surgery can be used well by Director Hu Kan, but it does not mean that Xue Yan, Director Le and others can also use it well.

Because it is a great test of a doctor's experience, prognosis estimation, and the flexible use of various techniques.

Director Xue Yan's surgical experience is still too far behind Director Hu Kan after all.

Some surgical techniques are even only at the level of deputy directors, and it is far from enough to flexibly use various medical skills in surgery, especially in the case of emergency and critical situations of patients.

In such a situation, the risk of challenging a difficult level 4 extracardiac surgery can almost predict the results.

It's so late today, and Zhou Can plans to find out about the specific situation tomorrow.

After all, the patient was dead.

For now, it's a priority to make sure nothing happens in the emergency department's operating room.

The patient who developed gangrene did not even dare to accept the specialist department, so you can imagine how high the risk is.

He made his way to the inpatient ward.

The emergency department is really changing every month, and it's not an exaggeration to say that it's changing with each passing day.

The inpatient ward went from one to two.

There are five beds in each room, and twelve temporary beds have been added in the corridors. If there is an emergency, there is still some room for maneuver in the observation area and infusion room.

Five or six more temporary beds would not be a big problem.

"Hey, Dr. Zhou hasn't gotten off work so late!" The doctor on duty in the ward tonight was Jiang Shuangshuang again.

"There was a patient who had gangrene in a leg wound and had just undergone surgery, and I was a little worried and came to see him. Has the patient been transferred to the inpatient ward? ”

Zhou Can asked.

"Not long after he arrived, he was already placed in bed 22. I checked it just now, and the patient's signs are fairly stable. But he still had a fever, and his wife fed him a bowl of broken noodles to eat. ”

Jiang Shuangshuang was full of respect for Zhou Can.

Doctors are like this, and they will respect those colleagues who are virtuous and skilled in medicine.

When Zhou Can came to make rounds, he had very clever and unique insights on some cases. Prescriptions are often forward-looking. These made Jiang Shuangshuang admire him from the bottom of his heart.

Sometimes when she encounters a problem she doesn't understand, she asks Zhou Can for advice, and Zhou Can will patiently give advice.

And some of the explanations given are even more clever than her previous teachers.

This especially shocked and admired Jiang Shuangshuang.

Zhou Can went straight to bed 22.

Along the way, some family members recognized him and greeted him warmly.

Zhou Can didn't have any arrogance, and responded one by one in an approachable manner.

The same level is like the thoughts of the closest relatives, and these words have basically been reflected in him.

This is a great medical quality, and it is difficult for ordinary doctors to do it.

"Doctor, thank you for your help, which allowed my husband to have surgery and be hospitalized." The woman with her son, who was a few years old, saw Zhou Can coming, and immediately knelt on the ground and was about to kowtow to Zhou Can.

This scene really scared Zhou Can.

Hurry up and hold the female family member.

"Eldest sister, you must not be polite, I am very happy to be able to help you, and I don't want anything in return. Have you had dinner? Looking at the dry and white lips of the female family member, it is likely that she did not eat dinner.

"I'm not hungry!"

The female family said this, but at this time, her stomach gurgled uncontrollably.

"My mom said that the food outside is very expensive, and she should keep the money for my dad's treatment!" The little boy timidly interjected.

Children are the most innocent, and they generally don't lie.

Zhou Can's gaze swept over a bag at the head of the bed, which contained an open bag of instant noodles. The little boy was carrying a stainless steel rice bowl with some leftover soup in it.

You can also see the residue of fast food noodles, and the fragrance that comes out of it also proves that not long ago, I soaked fast food noodles in this basin.

In order to save money, it may only be soaked in half a pack.

Seeing this scene, Zhou Can understood everything. I just feel that my heart is very unpleasant.

The world is never fair, and people who live well can eat thousands of them in a casual meal. People who don't have money are reluctant to buy a boxed lunch outside.

Even a pack of fast food noodles has to be soaked twice.

Zhou Can is a rich man and can't understand how difficult it is for this family.

I only know that their family of three went to the city to work, and after her husband fell on a motorcycle, he has been treated until now. The money must have been spent.

She has to take care of her children and her injured husband, so she can't go out to work.

The daily rent, water, electricity, food and drink, and husband's treatment expenses for a family of three are enough to make the family's small savings bottom out quickly.

"Kids, are you hungry?"

Zhou Can squatted down and touched the little boy's head.

Probably due to malnutrition, the boy's hair is fine, thin, and yellow.

"I ...... A little hungry! ”

The little boy peeked quietly at his mother, then whispered back.

"It's so cute! Uncle will bring you something to eat tomorrow. ”

Zhou Canchong smiled kindly at the little boy.

"Our hospital has a love project to help some out-of-town patients and their families, I will ask tomorrow. If you are eligible, you can eat in the cafeteria for free. ”

This sentence was obviously addressed to the female family.

"Thank you! Thank you! ”

The man on the hospital bed looked very weak when he spoke.

The human heart is made of flesh.

There are rude and difficult family members, and there are also chilling family members, and Zhou Can has also encountered a lot.

But he has always maintained the kindness and heat in his heart.

When he sees such a patient in need, he will give some appropriate help as much as he can.

"Big brother, you're welcome. How do you feel now? Is there anything uncomfortable? ”

Zhou Can asked the patient.

"I feel better, I just feel a little cold." The patient replied.

Chills, which is one of the more common symptoms of severe infections and widespread gangrene.

Sepsis can really kill people.

And it can easily take human life.

"I'll ask the nurse to bring another quilt later. Later, someone will come over and give you an infusion, so wait until tomorrow to see how it goes! Hopefully you can save this leg. ”

Zhou Can did not blame the patients and their families for tossing around blindly, and made a wound that could be healed by stitching to the point of infection and suppuration, and even gangrene.

Because it doesn't make sense anymore.

I believe that if we can do it all over again, patients and their families will definitely not hesitate to go to a regular hospital to treat their wounds.

Instead of going into a small clinic to save money, it was hastily handled.

This kind of tragedy, which saves money and ends up losing even more, is staged in hospitals almost every day. Sometimes, even lives are spared.

For example, a 41-year-old male patient felt that his abdomen was constantly suffering from irregular labor pains, and he was worried that it would be too expensive to go to the hospital for examination, so he did not take it seriously. Until one day, he fainted on the construction site.

He was sent to the hospital by a co-worker for examination, and he was already in the advanced stage of colon cancer.

If you can go to the hospital for a check-up earlier, you may be able to nip cancer in the cradle.

Another patient squeezed a red rash on the bridge of his nose and found that the bridge of his nose was swollen and painful and continued to be red and swollen. Then, less than three days later, he was directly admitted to the hospital ICU.

Come to think of it, the cost of staying in the ICU for a day is at least a few thousand.

It's common for people like him to just move in and tens of thousands a day.

Zhou Can noticed that there was a painful expression on the man's face.

This is by no means a sign of coldness.

"Is there any pain in you?"

"The leg that had the surgery was a little swollen and painful. Probably nothing, it's been happening for a long time. Ever since the accident, it has been swelling and aching from time to time. ”

The patient replied unconcernedly.

"Do you often have leg pain after the injury?"

Zhou Can asked.

As a professional, I can keenly detect some hidden dangers that patients cannot find.

"Well, it seems that after the surgery, this phenomenon has been happening." The patient nodded in confirmation.

"Is it a wandering swelling pain, or is it fixed in one place?"

Zhou Can asked again.

"It seems to be a wandering type! The area of swelling and pain is in this large area, and sometimes it looks like a drill bit is drilling through it. ”

The man thought about it carefully before replying.

Zhou Can had a bottom in his heart.

"Okay, you can rest first! You can drink water and eat, this leg can't move around, and it's best to go to the toilet in bed. Zhou Can made a request to the patient.

Walking and squatting may cause further cracking, bleeding, and oozing from the wound.

And now in the state of open drainage, the first surgical debridement has just been completed, and it is definitely necessary to prevent the wound from being contaminated with new contamination.

"When he goes to the toilet or scrubs his body, in order to prevent the gauze on the leg wound from being contaminated, you can protect it with plastic wrap, plastic bags and other things outside. Must not go to the water. ”

This water includes the patient's urine and feces.

After explaining, Zhou Can got up and left.

His brow furrowed slightly, apparently pondering the patient's condition.

Wandering swelling pain occurred in the legs, and it occurred from time to time, and it still persists today.

Is there a link to the patient's gangrene?

Zhou Can has extensive experience in surgery, and has encountered localized gangrene caused by arterial embolism.

He now highly suspected that the patient had a local arterial embolism in his leg.

If this is the case, then the patient must be removed from the artery for the blood clot or fat plug to be restored before the patient's leg wound can heal.

Zhou Can ran to the night market stall outside the hospital, bought three hot dumplings, and returned to the emergency inpatient ward.

"Hey, why is Dr. Zhou back again?" Jiang Shuangshuang is still dealing with the patient wholeheartedly.

Intravenous drips and dressing changes are basically the responsibilities of nurses.

But it's like a husband and wife, if it's too clear, it's not interesting. Doctors and nurses should work with the same goal in mind. It's about finding ways to help the patient recover.

At this point, Jiang Shuangshuang and Lin Ping are very competent.

"I saw dumplings sold outside the hospital, so I bought some for the extra 22 beds for the patients and their families. That child is so young, how pitiful it is to be hungry! ”

Zhou Can replied with a smile.

"It's pitiful. And I have never heard of any love project in our hospital that will provide patients and their families with three meals a day. Dr. Chow is really special! ”

The corners of her mouth showed a beautiful arc.

"Haha, it's the rule of our adults to see through it or not! If you can, you can help, who hasn't been in trouble yet! ”

Zhou Can smiled and winked at her.

Only Jiang Shuangshuang looked at his back, with a good-looking smile on his face.

Warmth can brighten everyone's heart.

It can infect others and play a role model.

Those who are virtuous can carry all things.

Needless to say, Zhou Can must have become taller in Jiang Shuangshuang's heart. Even this good impression will last in her heart for a lifetime. It has always influenced her medical career.

When Zhou Can delivered the dumplings, the nurse had already infused the patient.

"I went out for supper, and I bought you a little, and I don't know if it suits your taste."

"Thank you! Thank you so much! How much, I pay you! ”

The female family was so moved that tears rolled in their eyes.

Only by experiencing helplessness, despair, and coldness of human affection can we know how warm and precious this kind of care from strangers is.

When she called to lend money to her husband's doctor, she ran into a wall.

When she took her husband to seek treatment, the big hospital heard that she insisted on saving her husband's leg and kicked the ball everywhere, but refused to admit her.

Until I met Zhou Can, I gave their family too much help.

"No money, I'll treat you to food!"

Zhou Can refused to accept the money.

"I was thinking carefully about his illness on the road just now. It stands to reason that at such a young age, with a strong body, and the wound has been treated in a timely manner, gangrene should not occur. Thinking of the wandering swelling pain in the leg that he just mentioned, I suggested a color ultrasound to see if there was any embolism in the blood vessels. ”

He made some new recommendations to the family for testing.

"You must know how serious your husband's condition is. Now if you want to save your legs, almost every second counts. My personal opinion is that if you agree to do this test, I will ask my senior doctor for instructions and prescribe an expedited color ultrasound. The ultrasound room on our emergency side is manned at night. If it is a blood clot, it cannot be delayed and must be urgently removed immediately......"

Zhou Can carefully explained the truth to the family.

"Dr. Chow, we have a lot of faith in you. Since you said so, let's do this check! ”

The female family has a very high degree of trust in Zhou Can.

This is also the ideal doctor-patient relationship for doctors. Patients can trust their doctors in a high level of trust, and only then can doctors be free to do whatever they can to treat them.

"Okay, I'll go and ask the senior doctor for instructions first, and I will open an examination order and arrange for someone to do color ultrasound for your husband."

After Zhou Can came out, he called Dr. Xu directly.

This matter must be reported to Dr. Hui.

(End of chapter)