"If you have a chance, I really want to go to your Tuya Hospital. I chose the direction of acute and critical care, and it took a lot of effort to be selected for the intensive care department, but after entering, I found that there was too much knowledge that I didn't understand. ”

The little nurse told Zhou Can about her troubles at work.

Don't look at her as just a nurse who does chores in the intensive care unit, but she is already better than many nurses.

Because if you want to work in the intensive care unit, you need at least three years of clinical nursing experience, and you also need to go through many assessments and examinations.

As long as you are not a particularly rebellious newcomer, when you enter the intensive care department, you basically start from miscellaneous work.

Standing by and watching the teachers operate, they continue to learn the rescue and nursing experience of various critically ill patients.

It takes at least a year or two to be on duty.

If you want to be on duty independently, it will take longer.

After listening to this, Zhou Can said with a smile, "There is an opportunity for the senior management of the two hospitals to discuss and send medical staff to each other's hospitals for further study and exercise, which is beneficial to the improvement of the diagnosis and treatment level of the two hospitals." ”

This idea came to Zhou Can after observing the work scene of the intensive care ward of the Provincial People's Hospital.

The two hospitals are interconnected and can learn from each other's strengths.

"Well, this is a very good proposal, but it's a pity that I'm just a low-level nurse and I'm not qualified to make such a suggestion to the hospital. There was also no way to reach the hospital's top leadership. Otherwise, you can find a chance to mention it to Director Xiang, and he will come over in a while. ”

The little nurse is not a newcomer who has just entered the workplace and doesn't know anything.

She doesn't have any scheming, it doesn't mean that she doesn't know the depths.

You can only do what you can.

Zhou Can can easily access Tuya's high-level and even hospital-level leaders, but it doesn't mean that other medical staff also have this ability.

"Haha, I'm sorry, I'm sorry, I've kept Dr. Zhou waiting!"

Director Xiang walked in with a haha.

"Go get busy!"

After Director Xiang came in, he said directly to the little nurse.

He couldn't even name the nurse, which was the truest portrayal of the bottom.

It may take three or five years to stay in that department before the name is remembered by the department's big leaders.

"Goodbye, Director Xiang! Goodbye Dr. Chow! ”

The little nurse waved at the two of them, and when she walked out of the office, she closed the door.

She was not stupid, and naturally understood that Director Xiang sent her away, indicating that the content of the conversation with Zhou Can did not want to be heard by outsiders.

In fact, you can guess a few points.

It is likely to 'discuss' with Zhou Can how to treat a patient with 13 beds?

As the chief doctor of the Provincial People's Hospital, this kind of thing naturally cannot be heard by outsiders. Otherwise, once it spreads, it will have a great impact on Director Xiang himself and the hospital.

After all, Zhou Can is just a young doctor in Tuya Hospital, and his rank is not high.

"Doctor Zhou, please drink tea!"

Director Xiang was very polite to him, in the final analysis, it was Zhou Can's strength that won respect.

Don't look at Director Xiang's current rank is higher than him, he is also the chief physician and a professor. But in terms of growth potential, Zhou Can is likely to kill Director Xiang in seconds.

Don't underestimate potential.

Don't bully the poor youth, 30 years in Hedong, 30 years in Hexi.

As long as ten or twenty years have passed, Zhou Can's status in the medical field, as well as his rank, may surpass Director Xiang.

"Thank you for giving me this opportunity to drink tea."

Zhou Can got up and took the tea with both hands, looking very modest and polite.

Director Xiang was also given enough respect.

"Dr. Zhou is worthy of being a young talent in Tuya Hospital! The cause of today's 13-bed patient is indeed as Ling said, deep vein thrombosis. It is my privilege to have the opportunity to see the real level of young doctors at Tuya Hospital. ”

When Director Xiang said this, he already had the meaning of lowering his profile.

People are mutual.

Zhou Can has great respect for Director Xiang and is humble everywhere, so Director Xiang has the opportunity to lower his posture appropriately.

He was able to admit in front of Zhou Can that the 13-bed patient was indeed critically ill because of blood clots, which was a recognition of Zhou Can's strength.

"You're welcome! Actually, I know that even if I don't say it, you will definitely be able to find out why. It's just that I was in a hurry to save people at the time, so I probably didn't think about it in that direction. I wonder how my colleague is doing now? ”

Zhou Can directly changed the topic.

So as not to get into an awkward conversation.

"All signs are stable for the time being, but the injury is very serious, and the situation is very unoptimistic." Director Xiang's tone was heavy.

"Yes, when I visited, I saw my colleague's injury, and I felt very uncomfortable. I really hope he can make it through this. Zhou Can's face was full of worry. Director Xiang, it can be seen that you are a person with noble medical ethics and extraordinary bearing. I opened the skylight and said something bright and asked directly. ”

A tall hat is given to the other person to wear on their heads.

The advantage of this is to set the stage for the rest of the conversation.

In such a closed environment, it is a great art of communication to be able to quietly grasp the initiative of conversation and create a favorable situation.

"Doctor Zhou asked."

Director Xiang's expression became much more serious.

"I'm just asking this question purely from a personal point of view, and if there's anything offensive, please Haihan. Is my colleague's treatment only in a more conservative way to keep his signs stable temporarily? ”

"Well, almost! You are also a doctor, you should be able to understand the patient's current situation, and there is no way to go to the operating table at all. ”

Director Xiang admitted it.

"Can you show me his inspection report? Alas! Once a colleague, seeing him at such an age, but because of a wrong step, he ended up in such a desolate situation, I felt so uncomfortable. I'm not afraid that you will laugh at me for not being able to do my part, but I just want to do my part. ”

Zhou Can knew very well that if he wanted to convince Director Xiang, he had to stimulate the empathy of the other party.

It's not hard to say that.

Playing the sad card is the easiest to achieve.

And he did feel very sad and sad about what happened to Deputy Director Lu.

"I have brought the patient's examination report and various biochemical test results, you can read it as you like."

Director Xiang directly took the information bag to Zhou Can.

After taking it, Zhou Can secretly said in his heart, it seems that Director Xiang came over to discuss how to rescue the patient. The preparation was quite thorough.

It's better that way.

He began to carefully review the results of Deputy Director Lu's examination.

After reading it, I fell into deep thought.

The injury is extremely serious, and judging from the results of the examination so far, the brain should be damaged. and intracranial hemorrhage near the brainstem.

Well, when you are old, it is inevitable that there will be arteriosclerosis, arterial plaque and the like.

Being a doctor is a high-risk profession that often stays up late and works overtime, with irregular schedules.

It's more likely to go wrong.

Deputy Director Lu is over 50 years old, and there is a greater possibility that there is a problem with the intracranial blood vessels themselves.

At least judging from the existing examination results, Zhou Can believes that there is a problem with some of the blood vessels in the skull of Deputy Director Lu. This jump, the head suffered a violent blow, which eventually led to the rupture of the intracranial artery.

This is the preliminary diagnosis he came to after watching the film.

Thanks to his hemostasis and pathological diagnosis, which have reached the level of sixth, he can have such a direct diagnosis.

A high level of diagnosis is often the result of a combination of experience and medical knowledge, observation, and judgment, and each of them is very strong.

To find the specific source of bleeding, an angiogram is needed to pinpoint it.

At present, only one head ultrasound and CT have been checked.

To do angiography, you need to take into account the patient's tolerance, and the hospital will naturally not do too risky testing items.

For Zhou Can, these two examinations are enough.

The bleeding location has been basically locked.

The source of the hemorrhage should be in an artery close to the brainstem. There may also be three or four small sources of bleeding.

The most dangerous thing is the rupture of larger arterial vessels, especially some hidden aneurysms and atherotic blood vessels, which are extremely difficult to stop bleeding automatically.

Basically, without surgery, it is difficult for patients to heal on their own.

The condition will continue to worsen, and the accumulation of fluid in the skull will increase, which will then cause the pressure in the skull to rise, and all kinds of terrible syndromes will appear.

Zhou Can's rescue plan for Deputy Director Lu's intracranial injury was to extract the fluid by drilling holes. Then, endoscopic surgery was performed to repair the broken artery.

It's very difficult, but it's the only way to rescue it directly and effectively.

After looking at the condition of the head, he then checked the condition of the chest and abdomen.

The head, chest and abdomen are all important organs and vital parts of the human body. Injuries in every place have the potential to be fatal.

Of course, injuries to the limbs can also be fatal, but they are much less dangerous.

At least it can give the doctor some time to save him.

There is also fluid accumulation in the chest and abdomen, and there must have been significant bleeding as well. Judging by the location of the bleeding, it looks like a ruptured spleen.

The spleen is a very special organ, and it is very easy to rupture when it is hit with a large force.

After careful study, Zhou Can's brows furrowed slightly.

"It's not like a simple ruptured spleen!"

He muttered to himself.

"Did Dr. Zhou find anything wrong?"

Director Xiang, who was sitting behind the desk, did not speak. The main concern was to interfere with Zhou Can's diagnosis.

As doctors, we all know that when reviewing a patient's examination results, we need to think quietly, analyze them carefully, and distinguish them.

"Judging from the films and examination results, it is not only the spleen that has ruptured, but I suspect that the patient's pancreas has also been affected. It is even possible that the left kidney has been severely damaged. ”

Zhou Can made a diagnosis.

Everyone is just discussing it anyway, but there is no need to scruple. Say whatever you find.

"I also found out that my left kidney was damaged. But the pancreas is just a glandular organ, and it is almost never injured by blunt force. Even if he is injured, it is estimated that it is only a minor injury, and he has sufficient self-healing ability. ”

Director Xiang said.

"It's weird, but I'd suggest checking the pancreas. If not treated in time, it can easily cause acute pancreatitis and even pancreatic necrosis. If ......"

Zhou Can swallowed the words back in his mouth.

"What if?"

Director Xiang asked.

"Forget it, it's almost unlikely."

Zhou Can waved his hand, reluctant to say.

"It's not Dr. Chow's style. I'm here now, behind closed doors, to discuss the patient's condition with you, and you don't have to have any scruples about saying anything. ”

Director Xiang looked a little unhappy.

He doesn't like his mother-in-law's people.

"Alright! If I am now operating on a patient with 13 beds, I can take the initiative to ask for help. He had a ruptured spleen and definitely needed to be dealt with. Normal laparotomy and thoracotomy are not possible at all, but endoscopic surgical treatment should be feasible. I'm sure the families are more than willing to take that risk. ”

Zhou Can is only a doctor in the outer hospital, and the possibility of participating in the operation of the Provincial People's Hospital is very small.

People don't know about his situation, and no chief doctor dares to agree easily.

After Director Xiang listened, his expression did not change much.

"What would you do if you were asked to treat this patient? You can talk about your plan directly. ”

From Director Xiang's gaze, Zhou Can saw sincerity.

It's a great sincerity to save lives.

People with a conscience will have empathy when faced with many things.

Doctors seem to be cold, but in fact, most of them are very kind in their hearts and full of compassion for patients. often cold-faced and quietly helped patients solve some difficulties.

They don't expect to be grateful to their patients and their families, as long as they don't complain.

"I would drill holes directly in the head to remove the fluid in the skull and repair the ruptured blood vessels. Then, by endoscopic surgery, the left abdominal cavity is entered to repair the patient's spleen, and the damage to the pancreas is checked by the way. ”

When you make a film, you can't find all the problems.

Entering the abdominal cavity by endoscopic surgery is a commonly used exploration method in clinical practice.

For example, some tumor lesions are too small to be detected by ordinary instruments.

Surgical exploration often yields satisfactory results.

After listening, Director Xiang nodded slightly.

Holding the drawings drawn by Zhou Can when he explained, he asked meaningfully, "Dr. Zhou seems to be very good at endoscopic surgery!" ”

"It's barely okay!"

Zhou Can was not too modest this time, because he really wanted to save Deputy Director Lu by himself.

If the Provincial People's Hospital does not have a doctor with strong surgical strength in this area, Zhou Can can go into battle at any time.

"Is it convenient to leave a contact number? I can try to communicate with other departments and report to the hospital leaders, and if your rescue plan is adopted, I can invite you to participate in the operation. ”

Director Xiang said.

"Saving people is like fighting fires, I can go directly to the Provincial People's Hospital and so on. If the time drags on for too long, the point of having another surgery is much less. ”

Zhou Can also dealt with the Provincial People's Hospital for the first time.

It's hard to say whether the hospital's style of doing things is bureaucratic.

If the leadership is very bureaucratic, let alone less than an hour left, even if it is a few more hours, it is difficult to have a clear result.

(End of chapter)