Chapter 443: Fighting a protracted battle with the disease, stinky and shameless

This person's energy is quite large, and his social status should not be low. At this moment, he was waiting in the corridor with Director Zhuang to get off work at noon.

The first thing I want to express to Zhou Can is a kind of respect.

Because of Director Zhuang's familiarity with Zhou Can, he could go directly to him when Zhou Can was in the clinic.

But they didn't do it.

This is like going up to the mountain to seek Buddha, talking about a sincerity. Obviously, you can drive directly up the mountain, but in order to show respect and devotion to the Buddha, you choose to walk up the mountain.

This man named Chen Shaoqiang, in order to save his grandson, chose to ask Zhou Can for help with the greatest sincerity.

He knew that he was not familiar with Zhou Can, so he specially asked Director Zhuang to invite Zhou Can.

It can be said that all aspects reveal the superb skill of interpersonal communication, as well as the worldly tactfulness.

At least the whole process made Zhou Can unable to refuse, and it was very comfortable.

On the way to cardiothoracic surgery, Chen Shaoqiang had been secretly observing Zhou Can.

Maybe it's because Zhou Can is too young, he doesn't think Zhou Can can be more powerful than Japanese extra-mental experts.

"Hello Dr. Zhou!"

"Dr. Zhou is here!"

When he came to cardiothoracic surgery, Zhou Can was too familiar here.

Along the way, doctors and nurses greeted him warmly. Many people have a lot of respect for him.

All of these were seen by Chen Shaoqiang, and his eyes when he looked at Zhou Can gradually changed a little. Although he had already learned some about Zhou Can's situation and knew that this young man was very capable, he was still a little shocked to see that many doctors and nurses in the cardiothoracic surgery department respected Zhou Can so much at this moment.

"Where's that kid? Is it in the intensive care unit? ”

Zhou Can asked Director Zhuang.

"That's right, the child's condition is not ideal, and he was admitted to the intensive care unit for safety."

Director Zhuang nodded in confirmation.

"Who is the attending physician?"

"Director Snow!"

The two chatted and arrived outside the door of the intensive care unit. Miscellaneous people are not allowed to enter the intensive care unit.

Even if a family member wants to visit a patient, only one person can go in and the visit needs to be completed within the stipulated time. This is for the safety of all patients in the monitoring unit.

Because the more people enter, the risk of bringing bacteria in is much higher.

All ICUs are aseptically managed, and medical staff are required to strictly follow the relevant disinfection procedures when entering and exiting.

"Hey, Dr. Zhou, why are you here? Director Xue was still thinking about inviting you to come over for a consultation just now! She was worried that you were still in the pediatric clinic and had just gotten off work and didn't have time to eat, so she asked me to call later. ”

The female nurse on duty at the window was very surprised when she saw Zhou Can.

"Hehe, I'm calling it uninvited! Where's Director Xue? ”

Zhou Can asked.

"Participate in the rescue of patients inside! Transferred a child who had heart surgery in another hospital, and it was very bad to see that the situation was very bad......" The female nurse noticed Director Zhuang and his family behind Zhou Can at this time, and immediately stopped talking.

"Director Zhuang, Mr. Chen, then I'll go first to see the child's situation, and you can talk first."

Zhou Can said hello to the two, and the nurse opened the door and let him in.

Wash his hands first, then go into the locker room to put on protective clothing, and after strict disinfection procedures, Zhou Can entered the ward inside.

At a glance, I saw that Director Xueyan and his staff were treating patients in front of a hospital bed.

"Sister Yan!"

Zhou Can walked up to the front and said hello.

"It's coming so soon! I asked Xiao Tang to call you later, why didn't she listen! Surely you haven't eaten yet, have you? ”

Director Xueyan's concern for him was written on his face.

"It's none of Nurse Tang's business, Director Zhuang and his family called me over. Is that the kid? ”

Zhou Can's eyes looked at the child on the hospital bed.

The baby is only half a year old, his face looks pale, and his breathing is very scary. It is like someone put a plastic bag on his head, causing the child to lack oxygen and need to use all his strength to breathe.

The retraction sign is quite pronounced.

In addition, the patient has developed severe edema in the lower extremities.

The upper body has been arranged by the medical staff to put a pillow. In this category of patients with severe heart failure, the upper body often needs to be raised to help reduce the symptoms.

Patients with heart failure need to lie in a high position, because if they lie flat for a long time, the amount of blood returning to the heart will increase, and the diaphragm will lift up to compress the heart, which will aggravate the onset of heart failure.

"The current condition of the child is extremely unsatisfactory, the heart failure is particularly severe, and I am very worried that the rescue will not work."

Director Xueyan's brows furrowed tightly, and her tone was heavy.

"Did you bring his information?"

"Hmm."

"If you look at this wound, it should be minimally invasive or endoscopic. The Japanese experts are really powerful, if it were us, the atrial septal defect surgery would definitely not be completed through endoscopic surgery. ”

After Zhou Can saw the wounds on the child's body, he felt quite shocked.

For such a long time, I have been hearing in the news, newspapers, and various online channels that the Third Hospital has done some kind of heart surgery, and the patient has recovered and been discharged from the hospital in a very short time, and presented flowers and pennants to the cardiac surgery team of the Third Hospital.

Anyway, it's all kinds of boasting.

At the beginning, Zhou Can felt incredible when he heard that the patient could work after only six hours after heart surgery.

I was deeply shocked by the advanced technology and medical skills of foreign countries.

Later, I slowly heard some negative news about the Third Hospital, and some patients had serious postoperative complications not long after surgery, or new problems occurred shortly after 'recovery'.

There have even been deaths of patients.

It's just amazing that the negative news often comes out shortly and disappears very quickly.

I don't know if it was the public relations team of the Third Hospital who settled the family and asked the other party to take the initiative to delete the post, or other reasons.

All in all, it looks very weird.

At present, on the Internet, there is no negative news about the Third Hospital, not a single one.

If you search for negative news about Tuya Hospital, quite a lot.

In particular, some patient forums, post bars and the like can be seen everywhere.

This is like a country, when all you hear in the country is singing and dancing, there is a sound of praise, and there is never bad news, it means that the country is terminally ill, to the point that everyone does not dare to tell the truth.

The third hospital can do no negative news, clean as a mirror, which inevitably makes people feel that there is a weird demonic atmosphere in it.

At least people in the industry don't believe it at all.

"Let's go outside and discuss!"

Director Xue Yan has carried out preliminary treatment of the child. Now that Zhou Can is here, she is going to talk to Zhou Can about it again.

She must have had a discussion with the chief physicians in the department before that.

But no satisfactory results were obtained.

When he came to the duty room outside, Zhou Can first read all the information of the child.

"It's more like it's been artificially processed. In particular, there are some traces of modification in the surgical records, as well as postoperative medications and rescue measures. "Zhou Can is a professional, and after reading it, he immediately found the problem.

"This matter has been reported to the family, and the family is trying to collect more accurate information. It's just that I also know that when the whole hospital deliberately hides some real data, it is actually very easy to do. In this kind of matter, without the intervention of the higher authorities, it is difficult to get complete real data. Even if a higher authority intervenes in the investigation, it will be difficult to find out unless a case is filed. ”

Director Xue Yan deeply understands how deep the water in the hospital is.

Especially when dealing with some medical malpractice, the doctors, nurses, and administrative staff of that hospital have basically the same interests, which will also lead to their consistent positions.

No matter how you ask, most of the answers you get are unanimous or vague and vague.

"Since we have told the family, let's just take blood and take two for testing, and keep the evidence at that time, and we are not afraid of dumping the pot over there."

Zhou Can deals with all kinds of bad people and bad things, and he never lacks means and eyes.

The defense must be defended.

No one will be a wronged person and carry the black pot for others.

"Samples have been taken for testing and specimens have been sealed. They may also be worried about the child dying in the hospital, so they are conservative about all aspects of their medication. At least from the three current routine results, overmedication has not occurred. ”

Director Xue Yan motioned to Zhou Can to check the results of the three routine examinations done by the hospital.

In addition to the three routine examinations, I also performed a number of examinations such as chest CT, which was quite complete.

It seems that Director Xueyan is not stupid, and he also guards the Third Hospital like a thief.

I guess this is the attitude of any hospital.

Tuya's willingness to accept this patient is already a great kindness.

Especially in today's harsh medical environment, doctors, nurses, and hospitals will be especially cautious.

"Judging from the film, the child's heart is obviously enlarged, coupled with heart failure, if the atrial septum is repaired by surgery, this symptom can be treated. When my teacher was alive, he told me about the handling of similar cases. ”

What Zhou Can wants to rule out at present is whether the atrioventricular septum of the child's heart has really been completely repaired.

He took the film and studied it carefully.

Director Xueyan waited for him to see about it, and then said, "I have seen it with other directors in the department, and judging from all aspects of data, including blood flow signals, CT images, and electrocardiograms, the repair of the atrial septum should be in place." At least no obvious problems were found. ”

"Or ...... Let's try to administer the drug, observe the child's reaction after taking the drug, and then make adjustments? ”

Zhou Can consulted with her.

"Just what I wanted. At the moment I have used some medications, including symptomatic treatment, but the effect is not obvious. ”

She gave Zhou Can the doctor's order to see.

"Switch to cardiotonic and diuretic, two-pronged, insist on treatment and try."

Zhou Can made suggestions for modifying the medication prescribed by the doctor.

"I've already used Qiangxin, you reduce the dose, is there any meaning to this?"

Don't look at her, she is also Director Hu Kan's mantle disciple, but she is obviously inferior to Zhou Can in terms of many medications, intraoperative emergency treatment, and flexible use of surgical skills.

It's like a teacher teaching the same arithmetic formula to a student, and someone can get a full score, or even draw inferences from one another, and deduce many problem-solving ideas related to this arithmetic work. Someone learns to add, and then learns to subtract without a teacher.

Although some people have learned, they can only score 90 points, and they can learn and apply it, but they can't draw inferences from one another, or even think backwards.

Zhou Can's contrarian thinking has always been a very big clinical advantage.

It can only be said that everyone thinks differently about problems.

For the same street lamp, some people see light, some people see the road, and some may see that electricity is converted into light energy.

"The dose is reduced because the child's body is weak in tolerating it. Your treatment is more like a fight against the odds, trying to storm and turn the tide quickly. My idea is to run a marathon and fight a long-term battle against heart failure. Reducing the dosage of medication has the advantage of forcing the child's heart to adapt to a heavier burden in disguise. This is also a kind of exercise for it, which is more conducive to the real recovery of the child. ”

Zhou Can said his treatment ideas.

After listening, Director Xueyan first fell into deep thought, and then her eyes brightened little by little.

Finally looked up at him with admiration.

"No wonder the teacher wanted you to inherit his mantle so much! You are indeed a genius, with a longer vision than me, and you can really see the big picture, both wise and courageous. When we saw that the child was in such a bad condition, the first thing we thought about was to save his life. How to correct the condition in the shortest possible time, but I never thought that I would slowly spend time with the disease like you. ”

The treatment ideas of Director Xueyan and other chief physicians are more popular.

Zhou Can's thinking height is higher, his wisdom is deeper, and his concentration is stronger.

In fact, this is also the current tense doctor-patient relationship, forcing most doctors to choose a treatment method that has immediate results and quick results when choosing a treatment plan.

Because the family members could not see the effect of the treatment, all kinds of doubts, even complaints, transfers, loss of confidence, etc., made the doctors very headache.

Everyone has the idea of seeking advantages and avoiding disadvantages.

When choosing a treatment plan, doctors will naturally cater to their families and strive for their support and recognition.

"I'm going to change my doctor's order right now and change the way I'm treated." Director Xueyan has completely fallen to Zhou Can, giving up the thunderous treatment ideas that he and other directors have discussed.

"When communicating with family members, it is important to be adequate. I estimate that this marathon run will take at least three months or more. Because the child's condition has been delayed for a while, it may take longer. Of course, we must also prepare for the worst, in case we can't save it, then we can only say that we did our best. ”

After Zhou Can explained some details, he left in a hurry.

I haven't eaten yet, so I have to fill my stomach first to cope with the afternoon consultation. Then in the afternoon, he had to go back to the emergency room for surgery until 12 o'clock in the evening.

Only he knows how tiring this kind of work intensity is in two shifts in a row.

In the afternoon, I sat in the outpatient clinic and didn't mention it.

At about six o'clock in the evening, Zhou Can had already gotten out of the outpatient clinic and rushed to the emergency department after dinner.

When he passed by the door of the rescue room, he accidentally spotted a familiar figure.

"Isn't this the mother of the child whose son fell on his left arm and was extremely difficult? How did you run to the rescue room? ”

Zhou Can was very puzzled.

Suddenly, he seemed to think of something, and his heart trembled.

That boy must have really broken his head and caused intracranial hemorrhage, right?

Maybe Zhou Can looked at it twice, and was noticed by the woman, so she turned her head to look.

Zhou Can hurriedly looked away.

This woman is so powerful, he doesn't want to be entangled.

Now that her son has entered the rescue room, it will be too annoying if he spreads his anger on Zhou Can's head and splashes all kinds of spills.

"Doctor Zhou!"

The woman's eyes were very sharp, and after recognizing him, she took the initiative to call out.

This kind of woman is generally very vindictive, so it is not strange to recognize Zhou Can at a glance.

Zhou Can didn't want to pay attention to this woman, pretended not to hear, and quickened his pace and wanted to slip away. He still has a lot of surgeries to do.

Emergency patients who are evacuated for surgery usually need to be operated on the same day.

It can't be delayed.

"Dr. Zhou, I was wrong in the morning, I'm sorry! I now regret that because of my stupidity and ignorance, I put the child in the emergency room. You have a lot of acquaintances in the hospital, so help say hello and let them definitely save my son, okay? Please! ”

This woman has nothing else, just a shameless death.

In the morning, I turned my face with Zhou Can in the pediatric outpatient clinic, which was really faster than turning a book.

Fierce face.

Now that his son has entered the rescue room, he is embarrassed to ask Zhou Can to help say hello.

Who is she?

(End of chapter)