Chapter 510: Sudden Accidents, Everything is Ready
He would never have promised to operate in front of his patients.
There are things that can be done, but you can't say it, and that's the rules of the adult game.
Many people in the company knew that the boss slept with the new female secretary, but absolutely no fool dared to stab this in the face.
"Doctor Zhou, although you are very young, I only trust my instincts. After two contacts with you, I knew you were a trustworthy person. Even if I knew about the new surgical plan proposed by Ling, I still insisted on staying in Tuya for this surgery, because I believed in you. ”
When Chen Zhongzhi said these words, his tone was frank, his eyes were sincere, and he looked at Zhou Can.
He couldn't say it, but when he saw Zhou Can for the first time, he felt that this young man was different.
The more successful people are, the more stubborn they are.
The rich second generation, the second generation of officials are even more conceited.
Because they were born with a golden key in their mouths, they ran on the shoulders of giants, and at a young age, they had insights and cognition far beyond their peers. Coupled with the fact that the resources that can be called up are indeed considerable, it is natural to be conceited.
"Mr. Chen, thank you very much for your trust. All I can guarantee is to be involved in your surgery and work with all the medical staff to do my best to operate on you. ”
Zhou Can looked into the other party's eyes and replied.
He believed that as long as this person didn't come to find trouble, he would basically be able to agree.
"Thank you! Then I will entrust my life to you! ”
Chen Zhongzhi stood up and took the initiative to shake hands with Zhou Can.
Then shake hands with Director Bu.
The preoperative conversation is basically over.
The surgical plan has already been talked to the patient, so there is no need to say more.
The next step is to arrange hospitalization, do various preoperative examinations, and arrange surgery after there is no problem.
"I wonder when your family will arrive? It must be signed by a family member before surgery, and a special person needs to accompany you after surgery. ”
"Do you have to need dependents? Can I sign it myself? ”
"According to the regulations of our hospital, this kind of major surgery requires the signature of the patient himself, but also the signature of relatives."
Director Bu hurriedly replied.
His clinical experience is much richer than that of Zhou Can.
And don't let your guard down just because a patient says "I believe in you". In particular, patients with such a distinguished status need to be extra cautious. In the unlikely event that something goes wrong during the operation, or if you die unexpectedly or become disabled after surgery, it will be troublesome to start a lawsuit.
"Okay, I'm single now, and I've been divorced from my ex-wife for almost three years. Only my father or mother can make decisions for me. I'll call one of them when the time comes. ”
This is the second time that the patient has disclosed his marital status.
It's natural to say these words.
Divorced middle-aged men are actually quite pitiful.
Generally speaking, by the time they reach their forties, some get married early, and their children are already adults.
At this age, whatever is there, the couple will discuss it.
There is something that is easily not told to parents.
And the parents are also old, and they have basically entered the age where they need their children to raise them.
After discussing with the patient, the next step is to arrange for the patient to have a pre-admission examination. It's already night, and the beds are already full.
However, the patient's condition is very dangerous, let him stay in a hotel, in case of a dissection rupture, there is no chance of rescue.
In the hospital, the medical staff will monitor his blood pressure in real time and control the patient to do some strenuous activities or dangerous things. In this way, accidental rupture of the aorta can be avoided to a large extent.
……
At night, Zhou Can slept in a daze at home, and the phone rang non-stop.
Su Qianqian snuggled in his arms like a bird.
He gently broke free of his hand and took his phone outside the room to answer.
"Doctor Zhou, come to the hospital, that Chen Zhongzhi's aortic dissection may be broken. Now my blood pressure is very low, my face is pale, and I am preparing to arrange emergency rescue here. ”
"Ah...... How so! Okay, I'll rush to the hospital right away! ”
Zhou Can hurriedly got dressed and ran directly to the hospital.
By the time he arrived, the chief physician on duty had already organized medical staff to rescue the patient.
Intravenous use of hemostatic drugs, antihypertensive drugs, sedatives, transfusions for anti-shock.
"Why did the mezzanine burst all of a sudden?"
"The patient called the family to discuss the signing of the operation, but I don't know what was said, and the patient dropped the phone. Then there were symptoms such as angina pectoris, paleness, etc. ”
The nurse secretly told Zhou Can about the situation.
"What kind of family members are these, and they don't have any sense of responsibility at all. My son is already sick like this, and I have to stimulate him. ”
Zhou Can was really speechless to the patient's family.
It is often encountered that such family members, children or relatives have fallen ill, and they are still there to scold and count.
"Did you get an angiogram?"
"Director Miao has contacted the interventional room and is preparing to do aortogram for the patient."
"I'll do it! I'm a little bit faster. ”
Zhou Can said to Director Miao.
"Okay!"
Director Miao knew Zhou Can's ability and readily agreed.
The patient was rushed to the interventional room, where a contrast agent was injected after a series of interventional procedures.
"Luckily, the rupture wasn't very serious. A sudden drop in blood pressure may also be due to a cardiac disorder. It is caused by strong irritation, pain and bleeding from dissection rupture. Patients can no longer communicate with their families, so our hospital can call and communicate with their families directly. The patient then had to schedule the surgery as soon as possible, and it is now estimated that absolute silence is required. ”
Although Zhou Can's rank is not high, at this critical moment of saving lives, even Deputy Director Miao has to listen to him.
Not to mention Director Miao, the deputy chief physician who has not been newly rated as a deputy senior professional title for a short time, is Director Xue Yan, and Director Le is present, most of whom are mainly based on Zhou Can's opinions.
Strength is always the strongest trump card that determines status.
Absolute rest, generally used to deal with a little more deep vein thrombosis in the lower extremities.
The purpose of this is to prevent the blood clot from escaping and traveling to other places, which will pose a serious threat to the patient's life.
At the moment, it is to try to prevent the patient's bleeding from expanding as much as possible.
At this time, Director Xueyan got the news and rushed over.
"How's the patient doing?"
She asked nervously.
The more highlights she had, the tighter her nerves became.
It is difficult to fight the country, and it is even more difficult to defend the country.
Director Xueyan has been beaten many times, and after many major setbacks, she has a calmness far beyond her 40s.
This is also the state of mind cultivation that a department director should have.
"The bleeding is not serious for the time being, and the possibility of automatic hemostasis is relatively small. What I fear the most is that the bleeding will expand, and then we will be extremely passive and the patient's life will be lost in a very short time. ”
Zhou Can said worriedly.
Rescuing many patients with aortic dissection, Zhou Can knows how dangerous this disease is.
What's more, this patient's aortic dissection zone is frighteningly long.
If it all ruptures, it is estimated that it will take twenty or thirty seconds at most to drain all the blood in the body.
As long as a person loses more than 800 to 1000ml of blood in a short period of time, symptoms such as shock will occur. Twenty or thirty seconds can drain all the blood in the body, what is this concept?
Any salvage will be ineffective.
Not to mention that Zhou Can's current hemostatic technique is only level six, even if it is promoted to level seven, he can only sigh.
"We have already negotiated with the patient last night, and the patient has agreed to the operation, as long as the family members sign, it can be arranged immediately."
Director Xue Yan said.
"The stents and blood vessels are special, do they need to be customized?"
Zhou Can is not worried about any problems with the technique of the operation.
The biggest concern now is the lack of materials.
Vascular stents will be very long, and then artificial blood vessels will have special requirements.
If these two materials are to be temporarily customized by the manufacturer, God knows how long it will take to get the goods.
"Vascular stents are available in our hospital, and artificial blood vessels have been found. If you need to be in a hurry, it should be delivered before 1 pm. ”
"Great! As long as there are materials, we have the power to fight. There are several things to do now, first, let the patient lie absolutely still as much as possible, control blood pressure, and continue to stop bleeding. Second, urge the artificial blood vessels to be sent as soon as possible. Third, our medical staff directly contacted the family members and asked them to come and sign. Don't let the patient have any contact with the family, if it causes emotional agitation, they will die. Fourth, the patient is given the necessary examinations and surgery is arranged. ”
Zhou Can calmly made the patient's preoperative planning.
The innovative plan for this operation was designed by him, and he was probably the chief surgeon at that time.
The Department of Cardiothoracic Surgery attaches great importance to this operation, and as long as it is successful, it will once again create greater brilliance for the Department of Cardiothoracic Surgery.
It can more stabilize the benefits and glory brought by the live broadcast the day before yesterday.;
There is also a huge benefit, because it is an innovative procedure, that is, unique.
From a market perspective, this is basically equivalent to a technology monopoly.
As long as the surgery can be done successfully, it means a lot.
For a long time to come, Tuya Hospital will be the original and leader of this kind of surgery.
Other hospitals may send experts to learn from the scriptures, but the apprentice is an apprentice after all. Whether in terms of prestige or technical maturity, there is a gap with Zhou Can.
"It's up to me to arrange these things. If the patient's condition is stable, you can go to the duty room to get a good rest, or go back to your accommodation. ”
Director Xue Yan already knew that Zhou Can's residence was very close to the hospital.
But I didn't know that Zhou Can bought a villa.
After all, this is a personal private life, and she and Zhou Can are equivalent to a sister and brother relationship, but some things are never inquired about.
It may also have something to do with the fact that both of them are busy people.
In addition to work contact, I only have the opportunity to chat a few words when I eat supper or eat together during surgery.
It's also usually about work.
As for private communication, it is more about the development and planning of the department.
Zhou Can looked at the time, it was two o'clock in the morning, so let's go home and sleep again. Sleeping with Su Qianqian in her arms is much more comfortable than sleeping in the duty room.
Anyway, his residence is not far from here.
……
At half past seven in the morning, Zhou Can arrived at the emergency department of the hospital on time.
The cardiothoracic surgery department did not call him, and the situation of the aortic dissection patient should be stable.
Zhou Can was relieved to make rounds in the emergency department, and then what to do.
However, he said hello to Dr. Xu, and as soon as the cardiothoracic surgery side was ready, he would go over to operate on the patient at any time.
In the emergency operating room, Qiao Yu and others heard that Zhou Can and others were going to the cardiothoracic surgery department for an innovative major surgery, and they showed great enthusiasm.
A few people muttered and whispered.
They all want to follow Zhou Can to see and learn, but they are a little afraid of Zhou Can, and no one dares to open this mouth.
In the surgical team, only Qiao Yu is not afraid of Zhou Can.
After some secret deliberations, they seemed to have reached a consensus.
"Doctor Zhou, as soon as you leave, our side is also in a semi-suspended state anyway, take us to see it!"
Qiao Yu sent a request for everyone.
She herself was also eager to see the operation.
Zhou Can's gaze stared at Qiao Yu for two seconds before sweeping over the others.
"One by one, I thought I was discussing something! Don't you just want to go along and see the major surgery? You should report this to Dr. Xu!"
Zhou Can seemed to be scolding them, but he also revealed the doting of the doctors and nurses under him.
Everyone has worked together for a long time, and they have established a certain emotional foundation for each other.
Yang Zhi and Pu Dingdong's qualifications are older than Zhou Can, but they are Zhou Can's apprentices. Although Zhou Can never admitted it, his careful guidance to them in his work and the creation of surgical opportunities for them as much as possible were enough to make them feel the treatment that only core disciples have.
This is also the reason why the two are afraid of Zhou Can.
Fear also means respect.
Ma Xiaolan relied on Ye Tingting's line to climb the relationship with Zhou Can.
Although she sometimes loves money, is selfish, and spicy, she has always respected Zhou Can. Now I am full of gratitude from the bottom of my heart.
This is also reflected in her specific behavior.
Through her continuous efforts and dedication, she gradually won Zhou Can's recognition.
As for Qiao Yu, there is no need to say it.
If Zhou Can hadn't fallen in love with Su Qianqian, the two would have been together a long time ago.
Now, the two are both confidants and comrades-in-arms.
At Zhou Can's insistence, the purity of friendship has always been maintained.
"We're a little scared of Dr. Xu, why don't you say hello for us!"
Qiao Yu said.
"Okay!"
Zhou Can did not refuse, and he generally would not refuse Qiao Yu's request.
"Yay! Thank you Dr. Chow! ”
All five of them cheered happily at the same time.
"This is the operating room, do you want to be scolded?"
Zhou Can hurriedly suppressed their joy.
When it was time to eat at noon, Zhou Can found an opportunity to mention this matter to Dr. Xu.
As a result, as soon as he spoke, Dr. Xu said with a cold face, "Am I that terrible?" They don't talk about it themselves, they want you to talk about it. If they want to follow along, let them go! ”
"Thank you, teacher!"
Zhou Can smiled.
Dr. Koh is actually quite a good person. As for being usually very serious, this can't be helped, there are special reasons.
It was close to two o'clock in the afternoon, and Director Xue Yan called.
"Zhou Can, this side is ready, just waiting for you."
"Okay, I'll be there right away!"
Zhou Can had already made preparations, quickly finished processing the patients in his hands, and then rushed to the cardiothoracic surgery department with a group of medical staff.
"What are you?"
Director Xueyan saw that he came over with his medical staff, and thought that he wanted to use his own people.
After all, it was an extremely difficult and risky fourth-level operation, and with the medical assistants and surgical nurses in the emergency department, she was naturally unwilling to take this risk.
"They wanted to come with them, and after I left, they couldn't do any surgery, so they thought it would be good to take them over."
Zhou Can replied with a smile.
Pu Dingdong worked in the Department of Cardiothoracic Surgery, and when he saw Director Xueyan, he was still quite embarrassed.
(End of chapter)