Creator Zhong Lingxiu, Zhou Can has seen all kinds of strange things.

There's even a baby in the maternity department whose heart grows outside the chest. Later, through surgery, the baby survived tenaciously and is now five years old.

The patient's internal bleeding was extremely strange, and the blood was obviously stagnant in the abdominal cavity, but the patient vomited a lot of blood from the mouth.

From a doctor's professional point of view, this situation is extremely abnormal.

"Is it necessary for an autopsy to determine the cause of death?"

Qin Yuanzhu is not a clinician, but he is also a medical professional.

Naturally, it was understood that the cause of death of this patient was like a mystery.

"Let's take a look at the imaging data of the CT room and ultrasound room! Maybe we can find clues and decipher the cause of this patient's death. ”

Zhou Can replied.

Now there are two things that can be determined, the first is that the patient is by no means a ruptured bladder and dies of urine poured into the abdominal cavity. The patient should be anuria at the time of death. Anuria can occur for a number of reasons, most commonly in the intensive care unit (ICU) and in critical organ failure. Especially kidney failure.

In this case, there may be anuria due to excessive blood loss.

At present, it can only be speculated.

Second, the cause of death is likely to be massive bleeding due to aortic rupture. Many of the symptoms before death are highly consistent with it.

The film taken by the patient before his death was quickly called up.

The images of the ultrasound department are generally recorded in real time, with high flexibility, and the doctors need to operate the film reading, reporting, and diagnosis. So when the report is issued, there are a few, and the archive is a few.

Fortunately, there are a total of six films preserved in the CT room, some of which have not been reported, but have been archived.

Zhou Can carefully looked at them one by one.

"I've found it!"

Zhou Can soon made a major discovery, and couldn't help but point to a place in the film excitedly.

"Look here, there's clearly a hemangioma."

After careful identification, everyone found that it was really a hemangioma.

"This hemangioma should be growing in the liver area and it feels like an arterial hemangioma on the liver."

"It's not a feeling, it's a hepatic artery hemangioma."

After reading it, Director Shi and Director Shang both expressed their opinions.

Zhou Can frowned and stared at the film carefully for a while, and then continued, "I feel that the location of this hemangioma is very strange, it is located in the lower right part of the liver. This location is next to the duodenum and colon. ”

Speaking of this, Zhou Can didn't say any more.

Because medicine is a rigorous discipline, it is definitely not okay to talk about it.

Either diagnosis, medical data is needed.

It is best to have a variety of clear examination reports, whether laboratory tests, imaging laboratory tests, or other unconventional special tests, to provide a basis for diagnosis.

With the current inspection report, there is no way to fully support Zhou Can's bold inference.

"What does Dr. Chow mean? It doesn't matter if you say it, anyway, the people present are all from their own hospitals. ”

Deputy Section Chief Xiong is worthy of being a friend of Director Shang, and he constantly favors the Department of Gastroenterology at critical moments.

"I suspect that this liver aneurysm is mutually reciprocal with the duodenum. In other words, this artery grows into the duodenum, and the wall of the blood vessel coexists with the intestinal wall of the duodenum. ”

It's a bit like two houses next to each other, sharing a wall in order to save costs and increase the use of space.

"If that's the case, it's incredible!"

Director Shi did not refute this time, but marveled at the miraculous phenomenon in this patient's body.

"The aortic hemangioma of the liver grows together with the duodenum, and when this blood tumor ruptures, a large amount of blood rushes into the digestive tract. Heavy bleeding travels down the intestine into the large and small intestines in the abdominal cavity. Some of it goes to the stomach, and it is normal for the patient to vomit a lot of blood before dying. Yes, that's probably what it is. ”

Director Shang's eyes were bright, and he was happy to find the true cause of the patient's death.

"It's a bit bizarre, but facts speak louder than words, and it's possible. There are almost no pain nerves in the liver area, and even if the aneurysm ruptures, the patient will not feel much. I support Dr. Chow's inference. ”

Director Shi has a very high status in the first team of the quality control department.

Especially in the coroner's investigation, his words are extremely weighty.

Now that he openly supports Zhou Can's inference, the cause of the patient's death can basically be determined.

The hospital handles the death process, while ensuring rigor, it can be simple and simple as soon as possible.

It is absolutely impossible for the family members of the deceased to pull the dead body to lay wreaths, burn paper money, and make all kinds of noise in the hospital.

Because this kind of thing happens, the impact is very bad.

"Well, not bad! Thank you for your hard work, the discussion of the cause of death of the patient has been decided, and the rest of the matter will be handled by your medical department. We must appease the emotions of the family members and do a good job of explaining and publicizing them. The hospital maintains the utmost goodwill and provides some help to the family within its capacity. ”

Qin Yuanzhu made a concluding speech.

Most of them are addressed to the Medical Affairs Section.

"Zhou Can, good performance! It seems that it is a very wise decision for the two vice presidents to strongly recommend you to join the quality control department, do a good job, the hospital needs such capable and bold staff. ”

Qin Yuanzhu praised Zhou Can twice and stood up.

"Adjournment!"

Zhou Can's first mission in the quality control department made Qin Yuanzhu very satisfied.

The other two members of the quality control department were also impressed by Zhou Can.

"We can go!"

Director Ju greeted Zhou Can.

"Okay!"

Zhou Can nodded.

It is not clear the specific identity of Director Ju Shiyan, but I think that her status in the nursing department will not be low.

She can now take the initiative to release her enthusiasm to Zhou Can, which is also a recognition of Zhou Can.

"The young man has a quick mind and solid professional knowledge, not bad!"

Director Shi also smiled and praised Zhou Can.

"You've won a prize! In the future, I should learn more from you seniors. ”

Zhou Can didn't dare to his tail.

Director Shi's performance today is quite strong, and his status in the hospital's infection office should not be low.

The members of the Quality Control Office are basically all part-time, while the Hospital Infection Office is basically full-time. That is to say, the leaders and ordinary commissioners of the hospital infection office are mainly engaged in the work of the hospital infection office.

Just like Zhou Can's main job in the emergency department.

"Xiao Zhou, thank you! Thank you so much! ”

Director Shang held Zhou Can's hand tightly.

If it weren't for Zhou Can to help find out the cause of the patient's death and return the innocence of the gastroenterology department today, this matter would definitely be a little troublesome.

The little nurse looked at Zhou Can with a very grateful and reverent gaze.

Perhaps because of her low status, she didn't dare to come forward to speak.

He only dared to stand in place and watch Zhou Can leave from a distance.

……

Time flies, and more than eight months have passed in the blink of an eye.

Zhou Can's position in Tuya Hospital is becoming more and more stable and growing steadily. From a small doctor who can only hide behind the scenes and has a little fame, he has now become a middle-level doctor with a certain status in the hospital.

Whether it is in the clinical field or in the field of hospital leading cadres, he has made certain achievements.

Clinically, he now spends half a day in the emergency department and half a day in the pediatrics department every week. Although he is only a resident doctor, his number is more difficult to grab than many expert numbers.

Director Tang of the Department of Pediatrics and Director Lou of the Emergency Department have talked to him. Tell him that he can find a way to upgrade his outpatient number to a special number, and the consultation fee can also be raised to 32 yuan per number.

This is equivalent to being at the same level as the deputy director.

This can increase Zhou Can's income a lot. Not all of the consultation fee goes to the doctor personally, but a large part of it goes back to the doctor.

Even if Zhou Can only sits in the pediatric department for half a day, he can see fifty patients.

There are also people who often ask him for a plus sign and all kinds of pleading.

He usually soft-hearted and gives someone a number. I was in a pediatric clinic at one time, and it was flu season, and there were a lot of sick children.

Children, with weak immunity, are very susceptible to various viruses.

However, children's metabolism is fast, the body is full of vitality, as long as it is treated in time, it will recover quickly.

On that occasion, he added thirty-one trumpets.

It was busy until more than nine o'clock in the evening.

Including the regular laboratory of pediatrics, the ultrasound room, and the CT room, they have been working overtime with him.

Because of the scheduling done by Director Tang himself, these departments worked hard and worked overtime.

Otherwise, these departments are off work, and it is useless for patients to open examinations from Zhou Can.

That overtime made a deep impression on many of the pediatric doctors.

Even Director Zhuang and many famous experts in pediatrics did not have Zhou Can's treatment.

It was also the overtime work that night that Zhou Can saved two young lives. One child had a high fever that did not go away, and was treated in the local people's hospital, traditional Chinese medicine hospital, and maternal and child health hospital.

The family members are more picky and suspicious.

After two days of treatment in the People's Hospital, the fever did not subside, so he immediately ran to the Maternal and Child Health Hospital. Because some people told the family that the maternal and child health hospital specializes in treating pregnant women, female patients, and children, and that it is more specialized there.

The family immediately transferred to the hospital and took the child there to queue up for most of the day, and finally gave the drug treatment.

Then, after a night, it still didn't work, and the family listened to the nonsense of other 'friends' and ran to the Chinese medicine hospital for treatment. It is said that the traditional Chinese medicine hospital is mainly based on traditional Chinese medicine, and there are no side effects.

After a day of treatment in a traditional Chinese medicine hospital, I still didn't see obvious results.

Moreover, after tossing back and forth, the child's condition worsened, his breathing became short, and his face was cyanotic, which was very scary.

The family members were scared, as were the doctors and nurses at the hospital.

What if the child dies in the hospital?

It happened that the family's suspicions were very serious, and the doctors and nurses took the opportunity to persuade her to take the child to the provincial hospital immediately. It was also the child's life that should not be extinguished, and the family sent a circle of friends asking for help in fear at that time.

Someone told her that Dr. Zhou Can of Tuya Hospital is very famous and specializes in treating all kinds of acute and critical diseases.

When the family got the news, they hurriedly drove to the provincial capital with their children.

By the time she arrived at Tuya Hospital with her child, she had already left work.

However, from the nurse, I learned that Dr. Zhou Can was still sitting in the clinic, but the number was full. Moreover, Dr. Zhou Can only spends half a day in the pediatrics department a week.

The family felt both hope and despair on the spot.

Carrying the child to Zhou Can's outpatient room, he forcibly squeezed in, and knelt on the ground as soon as he entered the door.

Or maybe it's slumped on the ground.

Because the child was really in danger at that time.

"Doctor Zhou, help, please save my son......"

For this kind of family members who hold children or take patients and kneel down for help, Zhou Can has more contact.

To be honest, he generally doesn't like this kind of family very much.

Because he has been kind to the patient several times. As a result, the family complained to him backhandedly. Moreover, this kind of family members who like to kneel at every turn have a lot of things, and their thoughts are easy to be extreme.

They never put themselves in the doctor's shoes.

Anyway, what they think is what they are.

Zhou Can worked overtime until more than eight o'clock in the evening at that time, and he didn't eat. The whole person is actually quite tired.

But there are still seven or eight plus numbers that have not been read.

He could only grit his teeth and hold on.

At that time, when he saw the woman kneeling on the ground with the child in her arms, he was going to call the nurse to persuade people to go out. As a result, when I saw that the child's face turned purple, I immediately realized the seriousness of the problem.

I quickly explained two sentences to the other patients, giving priority to rescuing the child.

Fortunately, after efforts to save the child, the child's vital signs stabilized.

Zhou Can also breathed a sigh of relief.

After inquiry, I learned that the child was seriously ill and became such a reason.

The child himself may just have a severe cold and high fever, and the condition may be a little tricky, but with the strength of the county-level people's hospital, it can be completely handled. The main reason is that the child's mother is too suspicious, the doctor prescribes a medicine to the child, she asks friends in various ways, and popularizes Baidu science on the Internet.

With such a fuss, which doctor would dare to let go of his hands and feet to treat his child?

In fact, on the second day of treatment in the People's Hospital, it has already begun to take effect, but the family members are not in this specialty, and they only rely on subjective assumptions, so they have to die and toss around with their children.

That's what has serious consequences.

Zhou Can returned to the outpatient room and read all the remaining patients before getting ready to leave work. As a result, the five-year-old daughter of the number one boss of the Health and Family Planning Bureau was also sick and was treated in the Provincial Children's Hospital for four days without improvement.

Vomiting blood occurred that night.

The experts of the Provincial Children's Hospital are very panicked, if such an important patient dies in the hospital, the boss of the Health and Family Planning Bureau will not hate them for the rest of their lives?

It's just that the experts are really out of line.

Later, the boss of the Health and Family Planning Bureau may feel that the level of Tuya Hospital is a little higher.

In desperation, I called Dean Zhu for help.

Dean Zhu himself has not been engaged in clinical work for a long time, so he can only ask the BOSS of the Health and Family Planning Bureau to ask Director Tang Fei of the Department of Pediatrics.

In fact, with the wisdom of Dean Zhu, I naturally understand that this kind of hot potato is easy to get into trouble if you are not careful.

The original intention was to push it if it could.

After all, the child has been treated in the Provincial Children's Hospital, and the level there is not bad.

So many pediatric experts can't cure it, and when they come to Tuya Hospital, most of them still can't be cured.

At that time, the credit was not earned, and it still attracted people's hatred.

Who knew that Director Tang Fei couldn't withstand the pressure of the big boss of the Health and Family Planning Bureau, and promised to try it.

At that time, she may have also considered that the pediatric department has successfully diagnosed and treated many incurable diseases with the help of Zhou Can in the past two years. Especially in the past year or so, Zhou Can's level is significantly higher than before, and there are almost few difficult cases that cannot be solved.

Unless it is the kind of terminal illness that cannot be treated with the current level of medical care and drugs. Or a case that is already terminally ill, then there is no way.

As long as there is still a chance to treat difficult cases, Zhou Can can generally work together with pediatric experts to overcome them.

(End of chapter)