Eight hours after cardiac surgery, it should be the most dangerous. Generally, if there is no obvious abnormality for more than 12 hours, the operation is successful.

They finished the operation at about 11 o'clock last night, and now more than eight hours have passed.

At present, the child is normal, and with Director Xueyan's experience, she can naturally judge whether the operation was successful.

"I believe cardiothoracic surgery will get better and better. If the teacher is in heaven, he will be relieved to see that the Department of Cardiothoracic Surgery is gradually on the right track and has begun to recover under your leadership. ”

Zhou Can is also happy about the progress of cardiothoracic surgery.

"I don't have the power alone. Thank you for always helping me. Stumbling all the way, being able to withstand the joint encirclement and suppression of the Provincial People's Hospital, Xinxiang Hospital, and the Third Hospital, and to keep the basic business of Tuya's cardiothoracic surgery department, to be honest, I still feel incredible when I think about it now. ”

She was full of gratitude to Zhou Can, and she was even more emotional.

In the past year or so, she has grown so much.

Medical skills, surgical skills, management skills, and the ability to deal with various crises are all different.

Compared to her, Zhou Can's progress is even more amazing.

With the efforts of Zhou Can, the emergency department has completed the first step of counterattack.

A 100-level laminar flow operating room that can perform at least two surgeries at the same time, with supporting facilities and rooms such as rest rooms and large storage rooms. On the surface, it is a 100-level laminar flow operating room, but in fact it is equivalent to two.

The application for the laparoscopic operating room has also been approved, and the construction project has been implemented and is under construction.

If nothing else, it will pass the acceptance in three months and should be able to be officially put into use.

The inpatient ward of the emergency department also received two rounds of expansion.

At present, the inpatient ward is divided into two areas: surgical patients and internal medicine patients, with a total of 30 formal beds for surgical patients and 10 beds for internal medicine. As for the temporary increase in the number of extra beds, this is needless to say.

Flexibility is enormous.

Doctors and nurses in the emergency department have also undergone two rounds of expansion.

It's all small-scale additions or recruitments.

Director Lou and Deputy Director Han are probably also worried that they will take too big a step and pull their crotch.

There is also the issue of employment costs, which is directly related to the operating costs of a department. The hospital pays wages in a unified manner, and it is absolutely impossible for a department that generates millions of dollars a month to raise a group of idlers.

Zhou Can came all the way to the pediatric outpatient department, and was still sitting in the No. 17 outpatient room.

Now, this clinic is his specialized office only on Wednesdays.

"Doctor Zhou, Doctor Zhou, you came just in time, come and help me consult a patient together."

Director Zhuang of the Department of Pediatrics seems to be waiting for Zhou Can to arrive.

As soon as I saw him coming, I immediately invited him over.

"What about the patient?"

Zhou Can found that there were no patients in Director Zhuang's consultation room.

"Hehe, isn't there more than ten minutes left until work time! I've got some information here, so I'll help you look at it. The child had undergone cardiac surgery at the Third Hospital, and now it seems that his condition is not good. The child's grandfather came to me and asked us if Tuya could accept it? ”

Doctors often encounter this kind of favor that cannot be pushed away.

Some family members, acquaintances, and relatives who have a very strong relationship greet each other, and they are really embarrassed to push them away.

However, the diseases of patients who are sought out may not be their area of expertise. In this case, the doctor who is asked can only bite the bullet and ask for help from a fellow doctor in the relevant field.

Relationships, sometimes that's how complicated they are.

Many people think that officials and public officials are the most likely to encounter all kinds of requests. In fact, doctors are no better, and they are also among the hardest hit areas.

People eat whole grains, and it is when people are sick.

As long as the condition is a little more serious and I want to go to a big hospital for treatment, I will do everything possible to find acquaintances in various relationships.

If you really can't find an acquaintance, then stuff the red envelope.

In short, those family members and patients always feel uneasy not to find an acquaintance.

"I had a cardiac surgery at the Third Hospital, and now I have a problem after the operation, and I want to transfer to our hospital for treatment?"

As soon as Zhou Can heard this, he knew that it was not a good thing.

The vast majority of hospitals are reluctant to accept such 'rotten patients'.

Because it is received in the hand, although it is cured, it is famous, and it can also bring certain benefits to the hospital. But if you mess up, you may turn against each other and get into trouble.

It is light to eat lawsuits and lose money.

Moreover, the strength of hospitals that have the ability to do cardiac surgery is not bad in itself. Why do you think you can do it when you can't even handle them?

Director Zhuang is in his fifties, and it is impossible not to understand the truth in this.

"I also knew that the stakes were huge, so I didn't take it lightly. However, the person asked by the child's grandfather was my mentor, and I really couldn't help it, so I asked him about it. ”

Director Zhuang has prepared all the information for the child.

Zhou Can didn't ask any more questions, and took the information and looked at it carefully.

The patient is a newborn who is only six months old. Congenital atrial septal defect, which belongs to the primary foramen type. Surgery for atrial septal defect repair was performed at the Third Hospital.

During the physical examination, the child is found to have a heart murmur and is presented.

After examination, it was found that the child had typical symptoms such as shortness of breath, excessive sweating, and limited mobility. However, congestive heart failure was not detected.

There were also no concurrent atrial arrhythmias.

It stands to reason that there should be no risks associated with this child's surgery.

At least in Zhou Can's opinion, when Director Hu Kan was alive, the mortality rate of this kind of surgery was extremely low, and there were almost no accidents.

The child's grandfather was quite well-connected and chose to have surgery in the Third Hospital, so there was no need to ask, the child's surgery must have been done by a Japanese cardiologist.

Zhou Can had long felt that the Japanese extramental expert might not be as powerful as he thought.

may be the hype, coupled with the Chinese people's admiration for foreign and flattering foreign psychology, which made the Japanese expert a myth.

"What's going on with the child now?"

"The main symptom should be heart failure."

Director Zhuang seems to have carefully inquired about the current situation of the child. When he answered, his expression was extraordinarily serious.

"Heart failure, this is really terrible! The child is only so old, no wonder the third hospital has no choice. Zhou Can can think of the Japanese expert in the Third Hospital with his toes, and now most of them are poor in donkey skills and helpless.

"Doctor Zhou, I know that you are Director Hu Kan's protégé, and Director Hu's thoracic surgical skills have all been passed on to you. Cardiothoracic surgery can stabilize the situation, and you are even more credited. You tell me the truth, can we treat this child? At present, the third hospital has given the family an explanation, because of serious postoperative complications, the survival rate will not exceed 20%. They proposed that the child be transferred to the imperial capital for treatment. ”

When Director Zhuang said these words, there was obviously a trace of anger on his face.

"The child is still so young, and he has serious postoperative complications, and then he is sent to a big hospital in the imperial capital for treatment, isn't this putting the person to death? It's been a long bumpy ride, and there was still a breath of air, but it would be gone. They are simply shirking their responsibilities. ”

It is not so easy to send it to the imperial capital for treatment.

Let's not talk about the long distance, first of all, you have to make sure that you send people over, whether the big hospitals are willing to accept them.

It is estimated that even a certain hospital in Zhengda does not dare to easily agree to accept this kind of patient.

You must know that the critical survival rate of a hospital in Zhengda is notoriously high. There are many patients who have been treated in other hospitals and are in critical condition, and their lives are already hanging by a thread, and their families are ready to do the funeral.

After being sent to Zhengda for rescue, it is not uncommon to see cases of people being rescued in the end.

"Director Zhuang, everyone is their own person, and I will say some things directly." Zhou Can's expression became serious.

"It's okay to be straight!"

Director Zhuang nodded again and again.

"Whoever picks up this child is unlucky, in terms of time, it is already the fourth day after surgery, and according to experience, it is difficult to survive more than ten days even if he is sent to the intensive care department. Most of the time, high mortality occurs within seven or eight days. As you said, this child was greeted by your teacher. If we don't look for trouble in the accident, the success rate of treatment on our side should be about 40%. I mean they turned around this morning, and they need to make sure they don't have a serious overdose of the rescue medication they were using. ”

Zhou Can paused, and then continued.

"If symptoms appear on the first day after surgery, the survival rate is at least more than 70%."

The likelihood of transfer on the first day after surgery is too low.

The third hospital would not agree, and the family would never have imagined that it would be the current result.

Now that the mess is out, the hospital is in a hurry to shake the pot and push the patient to be transferred. The family members were also full of despair, realizing that the strength of the Third Hospital was far from as high as they imagined, and they were anxious to find a new life for the children.

"Turn around, can you help with the checks in the rescue?"

Director Zhuang didn't know why, but he was full of trust in the young man in front of him at the moment.

Perhaps it is Zhou Can's good performance all the time, coupled with the eyes, tone, and demeanor when he talked about the treatment just now, which revealed Zhou Can's confidence.

"Yes, when the time comes, the person will turn around, go through the admission procedures, and just call me over for a while."

Zhou Can did not hesitate and agreed directly.

"Remember, when the child is transferred to the hospital, he must find a way to get all the information about the operation record, postoperative doctor's instructions, specific postoperative medications, and rescue measures. This will be very beneficial for our side to take over the baton. It is also convenient to divide responsibilities. Otherwise, I don't think the Department of Cardiothoracic Surgery will accept this child. ”

He said he wouldn't accept it, so he really wouldn't accept it.

This kind of thing, let alone Director Zhuang, even if Director Tang Fei of Pediatrics comes forward, it is useless.

Unless the pediatrician takes the child in himself.

It's not possible, though.

Unless Director Tang Fei and Director Zhuang are ready to use their jobs for charity.

"You go get busy first, thank you!"

Director Zhuang was full of gratitude to him.

The favor owed, when Zhou Can needs it in the future, he will automatically pay it back.

Just like Shangguan Yan of the Second Affiliated Hospital of Tuya owes Zhou Can a favor, and now the two are in contact from time to time. During the New Year's holidays, Shangguan Yan took the initiative to send a blessing text message to Zhou Can.

The most difficult thing in the world to repay is the debt of human affection.

Zhou Can went to the No. 17 outpatient room for a consultation, but he didn't mention it.

The family members who sought treatment had already lined up in a long line, and when they saw Zhou Can enter the consultation room, there were family members who knew Zhou Can, and they immediately greeted them warmly.

The family members who didn't know Zhou Can murmured to themselves in their hearts, this Doctor Zhou is so young.

"Dr. Zhou, my child has broken his hand, can you help him see it first? I've heard that your bone grafting can be done in just a few seconds. I will not pay a penny less for the treatment, I just ask that you can help treat my child first. ”

A woman in her forties stopped Zhou Can.

She was carrying a boy of eight or nine years old, with his left arm hanging so weakly. The child's face was full of pain.

Zhou Can glanced at the patient and could easily see that the boy should have a dislocated joint. As this woman said, with his current orthopedic technique, he can easily take it back without taking a film.

It only takes a few seconds and you're good to go.

"Dr. Zhou, please!"

The woman cried and knelt down for him.

"Don't do this, don't do this, get up."

Zhou Can hurriedly pulled the woman up.

"If you don't agree, I'll kneel here and won't get up, please......" The woman cried quite sadly, which moved the people around her even more. In order to relieve the child's pain as soon as possible, he did not hesitate to kneel down to the doctor in public.

even cried so sadly because he felt sorry for the child.

This is the great mother's love.

"Anyway, it's only a few seconds, doctor, or you can treat him!"

"Yes, this kid is so pathetic! Cure him! ”

Some family members, under the control of compassion, have spoken out to help the woman and the little boy intercede.

"Sorry, it's true that the time I give to my patients for osteopathic treatment is only a few seconds, but there is a premise. You need to watch the film to be able to operate so easily. I have great sympathy for your child and empathize with his suffering. But I really can't treat him right now. If the family members in front of you agree, I will give priority to your child's application for testing, which is fine. ”

Zhou Can's heart was like iron and stone, and he was not moved at all.

That's because this kind of family members and patients who kneel down at every turn, cry at every turn, and pretend to be pitiful family members and patients have pit him many times.

How pitiful this kind of family member is when they kneel down now, and how difficult it will be when they complain about you.

Doctors can be kind, but they must never be overflowing with compassion.

"A dislocated arm isn't a particularly fatal thing, is it? My daughter had a high fever all night, vomiting and diarrhea, we came to the line very early and I didn't agree to let her cut the line. ”

A father who took his daughter to see a doctor directly refused the kneeling woman's request to cut the line.

"Yes, I don't agree with that either. Whose child is not a life? Who comes to the hospital if they don't have any pain? It's fair to follow the rules. ”

Another family member spoke out against it.

This is the true portrayal of real family members.

Everyone has their own one-third of an acre of land, and whoever touches their interests, they will be anxious with whom.

"Why don't you two have any sympathy at all? What's wrong with your daughter having a fever? How can you compare with my son? If your daughter's arm is broken, I promise to give you priority. ”

The kneeling woman saw that the idea of giving priority to treatment was rejected.

Immediately turned into a shrew and began to scold the first family member who disagreed.

"And you, looking at how you are dressed like a dog, why are you so axial? It wouldn't hurt you to let my son see a doctor first, would it? The doctors have said that it only takes a few seconds. ”

When the woman quarreled, even the three Wang Lang could be scolded to death.

She fought second, and the two family members were scolded by her.

And that shrewd posture made Zhou Can chill when he looked at it.

He secretly rejoiced, fortunately, there was no overflow of sympathy just now, and he didn't agree to this woman.

The growth of a doctor is definitely not only the accumulation of medical skills, but also how to protect oneself when dealing with family members.

(End of chapter)