"The root of the problem is not the heart, and replacing the heart should not do much. You'll be treated here for about a week, and if things continue to improve, you'll be discharged from the hospital, and then you'll go home and keep exercising, just use the power tools of this massage. ”

The patient's leg gastrocnemius atrophy is quite severe, and it is not realistic to expect to return to normal by exercising in a short period of time.

With the help of power tools or manual massage to assist the blood return in the legs, it is an ideal way to get through this difficult period.

Seeing that the patient's condition has improved significantly and there is hope for a cure, Zhou Can is also in a good mood.

Back in the emergency department, he quickly threw himself into the intense surgical work.

As soon as he had two surgeries, a nurse from outside came running to him for help.

"Boss, just now the pediatric department called, saying that there is a newborn who is only three days old with severe heart failure, and the condition is very critical, and I want to ask you to come for a consultation."

Ma Xiaolan ran in to pass the word.

"Okay, I'll get over right now."

Zhou Can has a close relationship with pediatrics and is half a pediatrician. Now there is a critically ill patient on the pediatric side, and he has the obligation to go over and help.

If the problem is not serious, he will not be asked for help.

The strength of pediatrics is still quite strong.

There are not only a group of pediatric experts who have been hired back, but also a large number of directors and deputy chief doctors between the ages of 40 and 60. The newly recruited young doctors are basically starting with graduate and master's degrees, and the proportion of undergraduates is already very low.

Unless there are some particularly good undergraduate medical students, it is possible to be absorbed.

Compared with the situation when Zhou Can entered Tuya Hospital a few years ago, it is now at least several times more difficult for undergraduates to enter Tuya Hospital.

In the past, as long as you obtained Tuya's general training qualification and were not more than 35 years old, you could basically get the opportunity to stay in the hospital and work after completing the regular training. Now I'm basically stuck in the academic line of a master's degree.

If you have a graduate degree or a letter of recommendation from a major hospital or a prestigious school, you will be screened out by the Personnel Department when you apply for the training qualification.

After several years of hard work, Tuya's comprehensive strength and ranking have indeed improved a lot compared with previous years.

In particular, outstanding young doctors like Zhou Can have grown rapidly and gradually become the backbone of various departments in Tuya.

It has further improved the comprehensive strength and ranking of the hospital.

In the past, Tuya's biggest pain point should be the small number of academic papers, and even fewer influential high-quality papers. There is also the low educational background of doctors. There are even some older doctors who have graduated from technical schools.

The medical technical school is a unique product of that era.

In the past, a college student was a top academic qualification. Vocational high school graduates from medical technical schools basically belong to the mainstream academic qualifications among doctors. Later, it was slowly promoted to the college level, which is considered a high degree of education.

and then the undergraduate degree ten years ago was popular.

Nowadays, graduate master's degrees are not very fragrant, and doctoral degrees are required, or even postdoctoral degrees.

Times are progressing too fast.

Under the leadership of President Zhu, Tuya Hospital has carried out drastic reforms in many aspects, attaching importance to talents and scientific research, and has made great progress in recent years. After the comprehensive strength and ranking went up, the business volume of each department continued to skyrocket.

This also gives it the capital to attract high-level talents.

Now, even if the academic card is passed to a graduate master's degree or above, there are still a large number of medical students who want to come in.

Zhou Can said hello to Dr. Xu and quickly rushed to the pediatrics.

Saving people is definitely more important.

Newborns develop severe heart failure and have a very high mortality rate. Congenital heart disease is the majority.

It must be tricky to be able to make so many pediatric specialists helpless in newborn heart failure.

Zhou Can subconsciously quickened his pace.

Tuya Hospital is very large, and from the emergency department to the pediatrics, you need to walk through the internal medicine building and then bypass the surgical building 1 to get there. It takes at least seven or eight minutes to walk, and you have to walk quickly.

Along the way, the soles of Zhou Can's feet are really like the wind.

When passing through the corridor of the internal medicine department, the person in front of him looked quite familiar. Zhou Can raised his eyes to take a closer look, and couldn't help revealing a playful expression that seemed to be smiling but not smiling. The middle-aged man holding a long bill in his hand was none other than that Brother Wei.

At this moment, Brother Wei had obviously discovered Zhou Can as well.

He lowered his head a little embarrassed, trying to pretend that he didn't see Zhou Can.

The more he was like this, the more Zhou Can wanted to tease him.

"Hey, aren't you Mr. Lan's bodyguard? Why did you come here in internal medicine? ”

Zhou Can pretended not to know and took the initiative to greet this person.

"Ahem...... I'll come over and help Young Master Lan get some medicine. Brother Wei looked embarrassed.

His strength is very strong, but unfortunately his IQ is really average.

"Mr. Lan is hospitalized in cardiothoracic surgery, and if you want to get medicine, you have to go to the pharmacy or cardiothoracic surgery. Look at you stunned, don't get it wrong. Why don't you let me show you the list! ”

Zhou Can said and reached out to take the list in his hand.

"No, no, no!"

Brother Wei dared to let him see the payment receipt, and hurriedly dodged.

Even Zhou Can taunted him and was stunned, and he didn't care about it.

"Really?"

Zhou Can looked playful.

"Not really! Go get busy! ”

While Brother Wei refused, he used an honorific title for Zhou Can for the first time.

This psychological change is very interesting.

From the beginning, he despised Zhou Can and looked unpleasant, and now he admires Zhou Can's medical skills from the bottom of his heart. In the profession of a doctor, if you want to win the respect of others, you must speak with strength.

Everything else is nothing.

Only those who can cure the patient's illness are the most popular.

"Okay, I'm leaving!"

In the end, Zhou Can did not debunk the fact that Brother Wei went here to see liver disease in person. teasing a couple of sentences, and laughing it off.

Adults are most taboo to expose their shortcomings and ugliness in person, and tearing their faces is an absolute taboo.

A few minutes later, he arrived at the neonatal unit of the pediatric department.

Director Tang Fei and Director Zhuang were already anxiously waiting for him, and Director Le of the Department of Cardiothoracic Surgery was also invited. Many directors in the consultation room are helpless in the face of the condition of the newborn.

After a brief greeting, Zhou Can went straight to the point.

"How's the child doing?"

"The situation is very bad. At present, the main symptoms are not eating milk, and I don't even drink much water, and I have been doing it for three days. He was short of breath, his cry was as small as a gnat, and his face was gray all over. If you can't think of a solution today, it is estimated that this child will be hanging. ”

Director Tang Fei introduced the situation, with a hint of anxiety in his expression.

For her, the death of the child does not have much to stake.

But she behaved as anxiously as the parents of the sick children, and this sense of responsibility as a doctor is very precious.

According to her description, the cause of the child's rapid death is not heart failure, but refusal to eat.

Zhou Can has been in the pediatric department for more than two years, and has accumulated rich experience in clinical diagnosis and treatment.

There are many reasons why children refuse to eat, the most common of which is difficulty breathing.

After birth, babies will naturally suck breast milk, which is a natural survival ability that humans have evolved.

However, babies need to use a lot of force when sucking breast milk, which can cause them to breathe heavily. If it is direct artificial breastfeeding, the baby will have one nostril that is easily blocked by the mother's body when sucking.

At this point, they can only breathe through one nostril, which will become more difficult.

Out of an instinct for self-preservation, babies choose to keep themselves in a state where they can breathe as easily as possible. At this point, they will resist breastfeeding.

In the inpatient ward of the obstetric department, it is common for some babies to resist breastfeeding after birth.

I don't even drink milk if I feed them.

At this time, we should be especially vigilant, basically babies who do not eat for more than a day are sick nine times out of ten. Newborn mothers and their families must not be afraid to spend money, think that it is not a big deal, and hide it from doctors and nurses.

Because the obstetrics department of the current big hospital basically gives birth, and it can be discharged in about two days.

Doctors and nurses are so busy that they may not notice whether the baby is eating, but simply ask the family and the mother herself to get information. In this case, the family deliberately conceals the doctor, and it is particularly easy to have an accident.

Zhou Can was in the pediatric clinic and had encountered such family members.

I came to him with my baby who had just been born for a few days, and I saw that the child's mental state was extremely poor, he was in a lethargic state, and his lips were dry. When asking family members, the other party will squeak and be vague.

After examining the baby, it turned out that he was already in critical condition.

When encountering this situation, I can only secretly scold my family members in my heart for being too ignorant. A small living life may die like this.

In the hospital, even if the baby refuses to eat, as long as the doctor and nurse respond in time, there is a way to save the baby's life. For example, nutrient solutions are delivered directly into a vein.

In the intensive care unit of the neonatal department, some premature babies may be only a few hundred grams when they are born, as small as a frog.

After the careful care and care of medical staff, if the general condition is better, you can gain weight to three or four kilograms in about a month. At this time, it basically develops into a normal newborn.

"Director Tang, after you discussed with other directors, what do you think is the child's disease?"

Zhou Can checked the child's information and asked the experts about the results of the discussion.

Because he was not present when these experts discussed before.

Diagnosing such difficult cases often requires collective wisdom and wisdom.

"The current diagnosis is basically inclined to heart failure, but there is no unified opinion on what causes heart failure."

It is not the most difficult to diagnose the disease based on the patient's symptoms, various examination results, and medical experience.

The real difficulty is to find the cause of the disease.

There are many causes of heart failure, such as heart hypertrophy, congenital heart disease, and even the difficult case that Zhou Can just solved not long ago, it was actually because of the atrophy and relaxation of the gastrocnemius muscles in the legs, which caused heart failure.

Newborns are much more fragile than adults.

Many tests can be used directly on adults, but there is no way to test newborns.

In addition, adults can accurately express what is uncomfortable and what symptoms are.

The baby can't tell the doctor anything, and it's good to be able to cry a few times.

"Where is the child now?"

"I'll take you there in Ward 7!"

As the director of pediatrics, Director Tang Fei is very busy, and his identity is also very noble.

She personally brought Zhou Can over, which was not only a respect for Zhou Can, but also showed that she attached great importance to this child.

followed Director Tang Fei to the neonatal ward.

I saw a woman lying on the third bed after entering the room, who had just given birth for two days, and a special belt for confinement was tied to her forehead.

China attaches great importance to confinement, believing that after giving birth, the bones of the whole body are loose.

Tie your head tightly with a band to facilitate postpartum recovery.

If it is not bundled, it is easy to leave the sequelae of headaches.

Although there is no scientific basis for this statement, the vast majority of people have the idea that they would rather believe what they have than what they don't have according to the rules handed down by the older generation. Will choose confinement, as well as a variety of maintenance.

For example, you can't use cold water, you can't take a shower, you can't wash your hair......

A whole bunch of taboos.

The mother looks very young in her twenties. At the moment, he was holding the baby with a distressed face, trying to feed the baby some water.

Unfortunately, the baby is very resistant, either not opening his mouth, or desperately pushing the pacifier out and spitting it out.

Seeing a large number of doctors entering the ward, the mother and her family looked a little restrained.

The family members even stood up and gave up their best positions.

"Does the baby still refuse to drink water?"

Director Tang Fei stepped forward and asked with concern.

"That's right! I don't know why he just refuses to drink water, and spits out the nipple of the bottle every time. The mother looked worried and anxious.

The joy of becoming a mother has not yet dissipated, and the abnormality of the baby makes her deeply worried.

In other words, an adult who has not eaten or drunk for three days has already collapsed.

Not to mention being a newborn baby.

"This is our famous pediatric doctor, Dr. Zhou Can. He is also good at pediatrics and cardiothoracic surgery, and specially invited him to come over for a consultation to try to find out the cause of the child. ”

Director Tang Fei focused on Zhou Can to the family.

Being good at multiple fields at the same time is indeed a great advantage.

For example, when diagnosing this newborn now, other doctors are helpless, but the young Zhou Can brings hope to everyone.

"Thank you, thank you! Please take care of Dr. Zhou! ”

The mother expressed her gratitude to the doctors.

"Can I hold the baby?"

Zhou Can asked.

"Yes, yes!"

The mother handed the baby to Zhou Can.

The family members watched from the sidelines, and they only thought that the doctor was very young. However, this young doctor can be highlighted in front of so many old doctors, and he must have a lot of real skills.

"Boom ......"

The baby is held by a stranger, with weak eyes open, and then cries out in fear.

But his cry was very quiet.

It's like a kitten barking there.

Zhou Can was already carefully observing the baby, including his nasal cavity, mouth, face, and so on.

"Has he not had milk or water for a long time?"

"From birth to now, I have refused to drink. My lips are dry, and at most I can spit out the pacifier after drinking a sip or two of water. The mother said distressedly.

(End of chapter)