"Uh...... I think he might have some good treatment advice for us. No matter how stupid Dr. He is, he will not say something that makes the two directors unhappy.

It is impossible to say that they have not made much progress in rescuing patients, Zhou Can has a better way, right?

I believe that the two directors have understood this meaning.

"The patient is currently unconscious, and we are trying to stabilize his vital signs and then find a way to develop a further treatment plan, and there is no problem. No matter how powerful Zhou Can is, it is still the same as our treatment steps. ”

Pang Houzhong said disapprerovingly.

Originally, the attending doctor and the chief doctor were talking, and he, a young resident, was not qualified to interject.

That is, relying on the identity of Director Xiang's apprentice, he dared to be presumptuous.

In fact, no matter which unit you are in, if you have the appreciation of the big leaders, you can really walk sideways in your own unit. At least the status and status are much higher than those of ordinary colleagues.

"I don't know about this, but I'll just report to the two directors what I've observed."

Dr. He glanced at Pang Houzhong and did not argue on this matter.

However, Pang Houzhong spoke without scruples, which must have made him feel a little unhappy.

"Professor Xiang, why don't we ask Zhou Can? You can also learn more about his medical skills. ”

Ru Yaji's idea is very simple, that is, she is not convinced in her heart, and wants to see if Zhou Can is so strong?

Not long ago, Zhou Can accurately diagnosed that the cause of the patient's critical illness was the formation of a blood clot in the central vein.

Or maybe it just happened to happen.

For example, Zhou Can happened to have similar clinical diagnosis and treatment experience. It is not difficult to point out the problem.

"Confused! On what grounds should we communicate with him? Would you like to ask him to come over for a consultation? ”

Director Xiang reprimanded Ru Yajiao in public.

Her idea was too simple, and she had no idea what reputational impact it might have on the Provincial People's Hospital.

If Zhou Can were a doctor in this hospital, he might be able to reluctantly pull down his face and invite someone over for consultation. People are doctors from Tuya Hospital, and they invite people over for consultation, if they are really like this thrombus and are slapped in the face again, where is the face of the Provincial People's Hospital?

Director Xiang stood at a different height and could see farther.

At that moment, a nurse walked in from outside.

"Professor Xiang, this is a note left by the family member who visited the 13th bed, so I must hand it over to you in person." This nurse is the young nurse who led Zhou Can to visit in the ICU.

She has a low status in this area and a very young seniority.

At present, I am mainly engaged in miscellaneous work.

Every nurse is trained step by step from the trivial work.

The hospital pays attention to the names of doctors at all levels.

The deputy chief doctor is generally called Director XX directly, don't say the deputy director on the left and the deputy director on the right. For the assistant and vice president, they are all called the dean.

Deputy chief physicians and chief physicians, generally don't call the teacher, people will be unhappy when they hear it.

The chief physician either calls Director So-and-so, or has a higher emotional intelligence and calls someone Professor So-and-so.

It's like when we go to the administrative department to do errands, and we see a miscellaneous person, you call someone comrade, but they don't necessarily take care of you. But if you call someone else's leader, your face will be much kinder. If you have any questions, they will also be happy to answer them or give some advice.

Therefore, in the matter of addressing superiors, there is a lot of knowledge.

The chief physician likes to be called Professor so-and-so, not Director so-and-so. If the chief physician concurrently serves as the vice president, the title has changed at this time, and he has to be called the president.

When saluting, pick the highest position and shout.

Director Xiang was a little surprised, and after taking the note, he found that the note was folded into a triangle. If you don't take the initiative to open it, others won't be able to check the content on the note.

He immediately realized that Zhou Can was probably taking care of his face and maintaining his majesty, so that others would not see the contents of the note.

"Let's start by discussing the treatment options for the 13-bed patients."

Director Xiang stood up directly and walked outside to open the note.

There was only a short line written on it, and the golden rescue time was four hours.

Just a few words, like a heavy hammer slammed into Director Xiang's heart.

With his experience and wisdom, he naturally understood that Zhou Can was referring to a patient with 13 beds.

For example, cardiac and respiratory arrest, the recognized golden rescue time is three minutes. During this time, if the patient can be quickly resuscitated, the irreversible damage to the patient's body will be minimal.

On the contrary, if it takes more than three minutes to save a person, the difficulty of saving a person is greatly increased.

The other, even if rescued, can be brain dead and become a vegetative state. Or they may develop cognitive impairment and become mentally retarded. In this case, there is much less point in bringing the person back.

It will be a heavy burden on the family of origin.

Nearly three hours have passed since the 13-bed patient was admitted.

The Provincial People's Hospital only provides life support to the patient, and strives to find a way to stabilize the patient's vital signs, and the treatment method is very conservative.

Zhou Can's meaning is obvious, that is, he wants to tell Director Xiang that the golden rescue time of this patient should be completed within four hours.

Beyond this time, it doesn't mean that bad things will happen.

There is a high probability that there will be some irreversible progression of the course of the disease, and even the opportunity for treatment will be lost.

After reading the note, Director Xiang stood there stunned and was silent for a long time.

Trying all means to overcome all difficulties to save lives is the duty of doctors and the professional ethics that doctors must abide by.

Although Zhou Can didn't say it explicitly, there was a faint hint of coercion.

If the golden rescue time is missed, the Provincial People's Hospital will not have to bear any responsibility, but Director Xiang will be condemned by conscience.

Conscience is an invisible ruler.

It is present in everyone's heart.

When we do something wrong, or because we are too selfish, to cause harm to others, we are condemned by our conscience if we are kind enough. Feeling uneasy and even guilty.

Cold-blooded and ruthless people may be indifferent to the feelings of others.

That is, the conscience that is often scolded is eaten by dogs.

In fact, there are very few such people. Good people in this world are overwhelmingly good.

Director Xiang can have such a high status, and the level of medical skills is also extremely high, so there is naturally no problem with professional ethics.

After reading the contents of the note, he was suffering from his inner torment.

Invisible pressure is coming towards him wave after wave.

The note forced him to find a way to actively treat the 13-bed patient.

Moments later, he returned to the duty room.

"Show me the 13-bed patient data again."

Everyone saw that his face seemed to be a little solemn, and they didn't know what was going on.

Pang Houzhong had already taken the patient's examination report and other materials to Director Xiang as soon as possible.

"The intracranial effusion is quite serious, after you just discussed, is there any good way to solve it?"

"This situation is usually solved by surgery. It requires a combination of doctors from both the orthopedic surgery and neurosurgery departments. It's just that the patient's situation, you can see, can't get on the operating table at all. ”

Director Zhao's face was full of helplessness.

Some patients do not meet the criteria for going to the operating table, and doctors can only choose a more conservative treatment.

Otherwise, what if the patient dies on the operating table, and the family members make a fuss to ask the hospital to give an explanation?

Even if the family does not make trouble, the death of the patient on the operating table will have an impact on many of the hospital's scores.

Doctors, including the surgeon, can also suffer negative effects and even punishments.

Naturally, no one wants to do this kind of 'loss-making' thing.

"Have you seen it from a specialist in brain surgery?" Director Xiang took the information and studied it for a while, and his face was always a little gloomy.

The patient's injuries were very serious, and the internal injuries were not identified, which made it very difficult to treat.

"After receiving the emergency treatment, we have invited experts from the three departments of brain surgery, thoracic surgery and bone surgery for consultation. After the diagnosis of the chest specialist, it is believed that the patient's spleen is likely to rupture, and there is some damage and displacement of other organs, and the patient is in critical condition. Extracerebral experts diagnosed that the patient had intracranial hemorrhage and was very close to the brain shaft, making the operation extremely risky and difficult. Extraosseous specialists diagnosed multiple fractures throughout the body and recommended that the patient undergo elective surgery at a later date. ”

After Director Zhao finished introducing the situation, Director Xiang just nodded and did not speak again.

The patient's injuries are extremely severe, and it is likely that there will be no future.

If you want to actively rescue, you must have the strength of the doctor.

In the current situation of this patient, who would dare to go under the knife?

Director Xiang is only an expert in the Department of Critical Care Medicine, and he is neither professional nor capable of surgery in surgical matters.

"Let's see if that Zhou Can is gone! If it's still there, invite him to my office and I'd like to talk to him. ”

Director Xiang thought twice and finally made this difficult decision.

After thrombectomy in 13 beds, his signs were temporarily stabilized.

But everyone understands that the patient's condition is still deteriorating. Probably won't even make it through tonight.

After a high fall, there are too many patients who have died after being resuscitated.

When everyone heard Director Xiang say this, they all looked at him with some surprise.

The 'chores' nurse ran out to find someone.

"What are you looking at me like that? Didn't you suggest that I ask Zhou Can to have a consultation just now? Now I'm getting ready to do it. At least you can't go wrong with listening to him. ”

Director Xiang was somewhat unbearable in the face of everyone's strange eyes.

I could only take the initiative to explain two sentences.

These people are more curious about what Zhou Can wrote on that note? Only then did Director Xiang's attitude change significantly.

But no one dared to ask about it in person.

After Zhou Can finished writing the note, he did not leave the Provincial People's Hospital immediately. He told Lu Fen some basic information about Deputy Director Lu.

According to the current treatment method of the Provincial People's Hospital, Deputy Director Lu may not be able to survive tonight.

Zhou Can was considering the possibility of persuading Lu Fen to transfer Deputy Director Lu to Tuya Hospital.

For such critically ill patients, transfer to the hospital itself carries a great risk.

Many can't get out of the ICU.

Deputy Director Lu suffered multiple fractures all over his body, and it was very easy to cause secondary injuries when he moved and moved.

So, it's a very tricky thing.

Besides, if the person is not cured, won't Tuya Hospital be in big trouble?

Although Zhou Can has some status in Tuya, he must be cautious and cautious about this kind of thing.

One thing is certain, if Deputy Director Lu can be transferred to Tuya Hospital, as long as the family is willing to cooperate, Zhou Can will definitely find ways to persuade all relevant departments to give Deputy Director Lu active treatment.

Of course, this is just wishful thinking on his part.

There are many obstacles in the actual operation process, and it is almost impossible to achieve.

The best way is to let Deputy Director Lu stay in the Provincial People's Hospital to continue treatment. It would be perfect if the Provincial People's Hospital could be persuaded to carry out a more active rescue of Deputy Director Lu.

He had already communicated with Lu Fen preliminarily, explaining some of the stakes and the real situation that Deputy Director Lu was encountering.

However, considering that her relationship with Lu Fen is not deep, she is very young and has very little social experience and experience.

In order not to cause some doctor-patient disputes, he spoke quite conservatively.

It's just a side-tapping style to give some explanations and reminders.

She is currently the only immediate family member of Deputy Director Lu. The right to make any decision on Deputy Director Lu's treatment.

If she can do some ideological work for her first, and then communicate with the Provincial People's Hospital, Zhou Can will be more confident.

Otherwise, even if he could try to get the doctors of the Provincial People's Hospital to take the risk of making some positive rescue measures against Deputy Director Lu, and the family did not agree, it would be in vain.

"Doctor Zhou, I didn't expect you to leave yet, that's great!"

The little nurse who came out to look for Zhou Can was very happy when she saw Zhou Can.

Her attitude towards Zhou Can is also very polite.

Even with respect.

"Is there something wrong?"

Zhou Can looked up at the nurse.

"That's the case, our Director Xiang would like to invite you to his office to talk, do you have time now?"

"Okay!"

Zhou Can only replied with one word.

He seems to have expected this outcome.

followed the nurse to Director Xiang's office, but there was no one inside.

"Doctor Zhou, please sit down for a while, Director Xiang will come over soon."

"Okay."

Zhou Can nodded.

"My colleagues are complimenting you on your high level of medical skills! It was also the first time I had seen the real young and excellent doctors of Tuya Hospital, and you were different from the people I had met before. ”

As the little nurse spoke, her eyes were full of adoration and respect for Zhou Can.

Zhou Can is not a few years older than her, but he has such a great ability, which is really admirable.

She had already called Director Xiang directly and told her that she had invited Zhou Can to his office. And she is here to talk to Zhou Can for the time being.

so as not to snub them.

At the same time, she is also curious about the real situation of Tuya Hospital, and wants to learn about the real situation of Tuya Hospital by talking with Zhou Can.

Just like Zhou Can also wants to know about the situation of the Provincial People's Hospital.

Strictly speaking, everyone is a competitor.

"Hehe, you've won the prize!"

Zhou Can didn't have much interest in chatting with this little nurse.

just replied lightly.

But the enthusiasm of the other party is very high.

"Are there many excellent young doctors and nurses like you in Tuya Hospital?"

"There are too many people who are better than me."

Zhou Can said seriously.

He never thought he was good because his goal was to be the best doctor in the world. To build a super team.

(End of chapter)