Chapter 439: The Consequences of Excessive Cleaning, Good News

"I'm not married."

Zhou Can is quite willing to end the long-distance love run and achieve positive results with Su Qianqian.

But she was worried that her kidney disease would not be cured, and she did not agree to get the certificate.

"So did you talk about girlfriends?"

The anesthesiologist could talk to him. Maybe Zhou Can is the apprentice of the director of the anesthesiology department, and he can be regarded as a doctor in half of the anesthesiology department, so he is particularly friendly to him.

"Let's talk! It's been almost four years since we talked! ”

Zhou Can didn't expect that along the way, it had been almost four years before he knew it.

Time flies.

"It shouldn't be bad to see your economic conditions! Why aren't you married? Her eyes flashed as she said this.

Because after talking about girlfriends, most of the men who are reluctant to get married are thinking about playing.

"Uh...... There is a small problem that has not been solved yet. I just want to ask, is it good or bad to have a child? ”

Zhou Can changed the subject.

"It's up to you personally. Having a child means that the financial burden will increase, and you will also need to spend time with your children and educate them. But children can bring life and hope to the family. Take me for example, sometimes I work late and get off work, and I'm tired. But when I walk in and see my daughter, I feel like it's worth it. There is also a quarrel between husband and wife, and children can become a bond to ease the conflict...... Overall, having a child is definitely a good thing. A life without children is not a complete life. ”

As a person who came over, she shared some of her experiences with Zhou Can.

"Okay, I still have to go to the ward to help Director He take a look at the patient with alveolar leakage, go first, goodbye!"

Zhou Can waved his hand and walked out of the operating room.

The anesthesiologist's words rang in his ears.

He seemed to understand Su Qianqian's position a little. If her kidney disease is not cured, Zhou Can's parents will probably not agree to this marriage after they find out. After the novelty of the married life of the two fades, they may quarrel over the fact that they can't have children.

Their marriage will be full of crisis.

"Purple-backed star anise, where can I buy it?"

The colorful toad is already there, only the last medicine is missing, but there is no progress.

Maybe with the help of the circle of friends.

Zhou Can's circle of friends has many classmates and colleagues in the medical industry.

After making up his mind, he posted a news in the circle of friends.

"If anyone has any news of this purple anise lotus, please tell me, thank you!"

The picture was found online.

After the news was issued, he didn't care anymore.

He came to Director He's office, and sure enough, he saw Director He making a simple folding bed in the office to sleep.

This kind of folding bed is often used by hospitals to add temporary beds to patients.

Sometimes the doctor is too busy until late, and he will temporarily borrow it from the material room to deal with it for the night. This material room refers to the small storage warehouse of the department, not the material department of the hospital.

Applying for items from the Materials Section is a cumbersome procedure.

It is estimated that the doctors would rather lay on the floor than go to the materials department to borrow a bed to sleep. Just moving here is enough to tire people over.

"Director He!"

After a call, Director He woke up.

Middle-aged and elderly people are generally more alert when they sleep and are easy to wake up.

"Have you had the surgery? I'm sorry to have to trouble you to diagnose the patient for me so late. ”

Director He slept with his clothes together, and covered his body with a thin quilt.

Although he is very selfish, he is quite responsible for his patients. When encountering such patients with serious complications after surgery, he often tries to ask for support, and it is even more common to fight at night.

As I get older, my energy is not as good as before, and I can still work hard and always insist on putting the patient's life first, which is definitely admirable.

"Director He, you're welcome. What bed is that patient in? ”

"3 beds in the intensive care unit."

This ICU refers to the small ICU of the department, not the intensive care department of the hospital.

The two came to the intensive care room, changed their clothes and entered the ward, where there were special doctors and nurses on duty.

Compared to the intensive care unit of the intensive care unit, the patients who live in it are relatively less critical. However, it is still not possible to be careless, otherwise it is easy to cause the death of the patient.

Suction of sputum, change of dressing, and strict monitoring of the patient's blood pressure, blood oxygen, heart rate, and respiratory signs are the most basic routine work.

In addition, you have to record the amount of urine, color, body temperature, blood pressure, etc. every 15 minutes or half an hour.

Then all kinds of pump medicines, nasal tube feeding food, and so on.

There are basically only two conditions for patients who live here, either they need close monitoring after surgery and need to live in a sterile environment for a period of time, or the patient is in a critical condition and is temporarily not eligible for surgery.

Such as car accidents, high falls, accidental stab injuries, and so on.

After evaluation, the doctor believes that the patient will die on the operating table, or the bleeding is not clear, and these patients can only stay in the intensive care unit for observation and treatment for a period of time to see if they can create a chance for surgery.

"This is the patient! After surgery the day before yesterday, there was a condition. ”

Deputy Director He took Zhou Can to the 3rd bed.

I saw that the patient's blood oxygen is still very low, and he has a lot of trouble breathing. Air bubbles continue to escape from the drainage bottle.

This is especially true when the patient has a cough.

"It's the second day after surgery, right?"

"Yes!"

"Is the drainage done as soon as the surgery is over?"

"That's right!"

"Does the patient have emphysema or pulmonary fibrosis?"

"There is emphysema, which is mild."

Director He replied.

"Let's go, let's go outside and talk first!"

After Zhou Can finished reading it, he and Deputy Director He came to the discussion room of the intensive care ward.

"I'll look at the patient's information first, and it's best to look at the surgical records together. He felt a little tricky in this situation. Normally, this type of patient drains for two or three days, and the air leak stops on its own. However, when I observed the patient's cough just now, the air leakage was quite severe, and according to my clinical experience, it was difficult to stop it on its own even if it was a week for three days. ”

Zhou Can is especially grateful for the time spent in the intensive care department.

There is also the days of studying with Director Hu Kan.

He has been given a wealth of experience in clinical critical care.

"I also have this bad feeling, and seeing that his air leakage has not diminished at all, I feel very nervous, and I am afraid that something will happen." Deputy Director He wants to work peacefully until retirement now.

He had already prepared the patient's information, including the operation records, and printed them out.

Zhou Can carefully examined them one by one and studied them.

Occasionally, a doctor from the intensive care unit will come in to eat or discuss the patient's condition on an impromptu basis.

However, Deputy Director He's status is there, and no one dares to disturb the two easily.

Zhou Can now basically belongs to the recognized 'Buddha' of cardiothoracic surgery.

Something happened, and the chief physicians of cardiothoracic surgery invited him to help. If it can't be solved, I will consider inviting doctors from other departments to come for consultation.

Time passes little by little.

Zhou Can's brows have been furrowed tightly because this patient's condition is quite complicated.

Director He was next to him, ready to answer his questions, and the two discussed the patient's condition together.

"If the pulmonary fissure is underdeveloped, the adhesion between the lung surface and the chest wall is not serious, and the pleura is not damaged during surgical separation, then I can only think of one possibility." After repeated discussions and research, Zhou Can finally locked down the cause of alveolar air leakage.

Looking at him as if he wanted to speak and stopped, Deputy Director He was so anxious that he went crazy.

"If Dr. Zhou has anything to say, don't care about my feelings."

He also saw from Zhou Can's expression that the postoperative complications of the patient were likely to be caused by improper operation during the operation.

was worried that he would have an opinion, so Zhou Can would hesitate to say it directly.

"Then I'll leave it at that, you don't have an opinion."

"No opinion, absolutely no opinion. You helped me analyze the condition and find the cause, it's too late to be grateful! ”

Director He hurriedly said.

"The patient had lung cancer and had surgery to remove the left lower lobe and dissect the lymph nodes in the lung. Cutting the lobes of the lungs, there should be no problem, I have seen you have had lobectomy surgery. There is only one possibility, that there is a problem with the lymph node dissection in the lungs. ”

Zhou Can's thinking is clear and clear.

"Do you suspect that there are lymph nodes that have not been swept clean? Probably not, my assistant and I checked it twice. It was confirmed that there were no fish that slipped through the net, and that the cleaning area was deliberately expanded. ”

Deputy Director He vetoed this possibility.

"I don't suspect that you didn't clean it, but you swept it too clean, and you injured the lung parenchyma during the operation, which caused the air leak."

The reason why Zhou Can refused to say it was because it questioned the other party's surgical ability.

Hitting people doesn't slap them in the face.

Deputy Director He is an old-timer of the department, and he is also the chief physician and deputy director of the department. Then in the field of thoracic surgery, he has been deeply involved for decades, and lung cancer removal surgery is his area of expertise. In this field, it is doubtful that his surgery is not done well, I am afraid that it will be difficult for him to accept.

"This ...... Probably not! However, during the lymph node dissection, I did deepen the wound, and I was worried that it would not be completely dissected and cause recurrence. ”

After Deputy Director He's face changed for a while, he had to face the reality.

Sweeping the lymph nodes has swept over, and this is really the first time this kind of thing has happened.

At least that's what he thinks.

Even if it happened before, the problem was not serious, and it may take a little longer to drain and heal itself.

"So what should I do now?"

Deputy Director He felt a fever on his face.

Fortunately, it was not the first time he had asked Zhou Can for help, and his skin slowly thickened a lot.

At such an age, it is impossible to be a glass heart.

"I estimate that the patient has emphysema and poor lung distension, so I can try closed thoracostomy and low negative pressure suction, which can promote pleural adhesion in the visceral wall. It is then followed by subcision or skin incision for exhaust. It is estimated that it will work in about a week. If you want to puncture, I can do it for you. ”

Zhou Can is worried that Deputy Director He will poke the basket again.

Subcutaneous puncture is not very difficult, but Deputy Director He is sloppy in his work. Coupled with the fact that he is now flustered and anxious about the patient's condition, it is more likely that there will be improper operations when operating.

"Okay, okay, just try it according to what Dr. Zhou said. The puncture is done by Dr. Lao Zhou. ”

Deputy Director He readily agreed.

Anyway, he has lost face, and now he only wants to help the patient get through the postoperative danger period safely. If you don't intervene in time, in case of a decline, it will be a big problem.

……

It was close to one o'clock in the morning, and Zhou Can dragged his tired body home.

Since the hospital is a bit far away from Bajing Lake, Zhou Can feels that it is not a way to continue like this.

He discussed with Su Qianqian, or buy a house near the hospital to live in.

The location of the Tuya General Courtyard has always been an inch of land and belongs to the center of the city. The stock of villas here is extremely scarce.

Even if there were, there were few willing to sell.

However, if you can buy a villa, it will definitely be much more comfortable to live in than to live in a high-rise building.

In addition, even if Su Qianqian has withdrawn from part of his career now, he still has a high reputation and popularity. Her safety has always been one of Zhou Can's top concerns.

It is precisely because of these years of caution that it has been safe and sound.

In the end, after discussion, Su Qianqian agreed to Zhou Can's proposal, and the two decided to find a suitable single-family villa near the hospital.

Professional things are left to professional people.

If you want to get a listing, it's a good idea to find a real estate agent.

Don't even think about buying a first-hand villa in the old town.

There's no way a developer would do such a stupid thing. You can't get back the demolition fee or the land fee alone.

If you can really buy a villa near the hospital, not to mention the wedding room, it can also save Zhou Can a lot of commuting time.

The next day at work, Zhou Can first went to the emergency department to check the ward, and then rushed to the pediatric department.

I heard that his current pediatric outpatient number is more sought-after than the old professor's.

Those who come to the clinic have a comparison in mind. The special needs expert number starts at least 300 yuan, and Zhou Can's number is 12 yuan.

The key is Zhou Can's cure rate, and the obvious improvement rate has been high, which has also brought him an excellent reputation. After nearly two years of accumulation, he has some fame in pediatrics, which is normal.

There are even some provincial children's hospitals and provincial people's hospitals, and children who cannot be treated well are finally cured after his diagnosis and treatment.

Or the condition is effectively controlled and significantly improved.

There are many chronic diseases that require lifelong medication, so it is quite good to be able to control some diseases.

For example, people who have had cardiovascular surgery may need to take anticoagulants for life. No matter which doctor treats it, it is the same result.

If there is no specialist treatment, there is no need to take anticoagulants.

On the way to the pediatrics, Director Xue Yan called.

"Sister Yan, you shouldn't have summoned me to rescue the patient so early, right?"

"Haha, are you scared of my call? Every time, I either call you to come over to help with the operation, or to consult and rescue the patient. Director Xueyan smiled happily.

"It's okay, it's okay! If you are smiling happily, it means that there must be something good, not to save the patient. ”

Zhou Can went to the cardiothoracic surgery to help, but he never complained.

He himself is Director Hu Kan's apprentice, and he also got Director Hu's deathbed orphan, so that he can take care of the cardiothoracic surgery and help Director Xueyan.

Also, every time he goes over to help, he basically earns a considerable amount of surgical experience points.

So he was happy to go over.

"You're so smart! You can hear that. I will tell you the good news, the child with tetralogy of Farlot last night has passed the postoperative danger period, and his vital signs are stable and he is doing well in all aspects. It shows that the surgery was done very successfully. As long as there are no accidents, wait for about seven days, and basically nothing will happen. This also means that after more than a year, our cardiothoracic surgery finally has the ability to do this kind of surgery again. ”

She said happily.

(End of chapter)