Chapter 330: I regret it so much that my intestines turn green. I should change my old-fashioned thinking.
After she finished her call with Zhou Can, she immediately started to identify the medical staff , made a list, and checked it.
As the head of the department, his work ability is unquestionable.
From Director Tang's series of careful investigations and then arranging personnel to contact the medical staff who had contact with the patient one by one, it is enough to see that she is very capable.
Director Yan, who is over 65 years old, has already returned home from get off work and is playing with his grandson.
Enjoying the company of grandchildren is a life that many elderly people yearn for.
When people get old, they will feel lonely and it will be difficult to communicate with their children because there is a generation gap in thinking. The ideas and lifestyles of the elderly and the younger generation are very different.
In addition, as the elders, the elderly tend to impose their own lifestyle and ideas on their children.
If the children are young, it may not be a big deal.
However, if the children continue to do this after they become adults, it can easily cause conflicts between the two sides.
Almost all old people have one characteristic: they particularly like cute grandchildren. When teasing their grandchildren, it can arouse their inner childishness and some beautiful childhood memories.
A family with many children and grandchildren is a very happy thing for the elderly.
Director Yan’s grandson is only two years old. He is cute and adorable, and very smart.
When teased by his grandmother, he would occasionally let out a laugh that was so adorable that it would melt people's hearts. His babyish voice also brought Director Yan great joy.
"Grandma, hold me!"
"Okay! My dear grandson, grandma will hold you!"
Director Yan picked up his grandson, held him in his arms, and couldn't help kissing his grandson's tender little face.
At this time, her cell phone rang.
"Grandma, take a call first! Be good and don't move!"
"I won't move!"
The little grandson answered in a baby voice, and really just lay obediently in his grandmother's arms without moving, just tilting his head, looking curiously at the phone in his grandmother's hand.
When Director Yan saw that the caller was Director Tang Fei, his expression became much more serious.
After the call was connected, she smiled and said hello, "Director Tang, what can I do for you?"
"There is something wrong. Did you come into contact with an old lady who fainted in Clinic Room 17 during the day today?"
"Yes! At that time, the new outpatient doctor Xiao Zhou was examining a patient. When the old lady heard that her granddaughter's condition was a bit serious, she was shocked and fainted. Xiao Zhou may not have much experience and was a little panicked. When I heard about it, I rushed over to help. The old lady should be fine, right?"
Director Yan’s first reaction was that something had happened to the old lady.
Then the family members may cause trouble for the hospital.
This kind of thing happens from time to time.
It is not difficult to hear from Director Yan's words that he meant to belittle and despise Zhou Cancun.
Inexperienced and a little panicked, this was her impression of Zhou Can.
If Zhou Can heard this, he would probably laugh out loud.
At that time, he was worried that the family members would suddenly faint in the outpatient clinic and would not be able to explain themselves. As for when something happened to the patient or the family members, it was a routine operation to call other doctors to help.
"The old lady's granddaughter has been diagnosed with the new Bunyavirus infection! Doctor Zhou suspects that the old lady may have been infected with the virus as well. He asked me to inform all medical staff who have had contact with the old lady to take preventive and quarantine measures to prevent the virus from spreading to her family."
As soon as Director Tang Fei finished speaking , Director Yan was frightened as if possessed by an evil spirit, and quickly pushed his grandson away roughly.
“Wow…”
The little grandson was so frightened that he sat on the ground and cried.
The daughter-in-law was reading a book in the room, and the son was working overtime, and they didn't know what had happened.
They all ran out to check.
"Mom, what happened? Did Xiaobao fall to the ground?"
"I came into contact with a patient who might have been infected with the new Bunyavirus during the day. I just held Xiaobao in my arms, but I was worried that he would be infected, so I quickly pushed him away..."
When Director Yan thought about how he had just kissed his little grandson, he really wanted to slap himself twice.
Although the new Bunyavirus is mainly transmitted through blood, there are many news reports of contact transmission through unknown routes. In one news report, all those who came into contact with the clothes, bedding, and body of the deceased fell ill.
Even if the probability of infection is only one in ten thousand, Director Yan would never dare to gamble with his grandson's life.
"Director Yan, Director Yan, are you okay?"
Tang Fei heard a lot of noise and a child crying on the other end of the phone. She didn't know what was going on.
"I'm fine! I'm fine now, but I'm afraid I've been infected with the disease and passed it on to my family. Oh... it's all my fault for being careless. At the time, Dr. Zhou repeatedly reiterated that the old lady might have a contagious disease, but I didn't take it seriously. If I get infected and pass it on to my little grandson, I won't be able to explain to my son and daughter-in-law!"
Director Yan regretted it so much that his intestines turned green.
At this moment, she realized Zhou Can's wisdom and foresight.
The unpleasantness caused by Zhou Can's two rebuttals had long since disappeared, replaced by regret.
"Don't worry. The main danger of this disease is that it can be easily treated as a cold. Its condition progresses very quickly, and it is easy to be dangerous if the best time for treatment is delayed. Although Dr. Zhou is only a novice doctor, he has a great reputation in many surgical departments of Tuya, and his diagnostic ability is well-known. If you encounter a case that he insists is problematic in the future, you should pay a little more attention to it."
Although Tang Fei is the director of the pediatric department, she is in charge of several sub-departments of the pediatric department.
Moreover, she herself has a senior professional title and is a chief physician.
But when facing Director Yan, the old chief physician, she was still full of respect.
Even if Director Yan did something wrong, she would just give him a gentle reminder.
"After suffering a loss this time, I will definitely learn a lesson in the future. That young man looked handsome, but I didn't expect he was so capable!" Director Yan suffered a great loss this time.
Her opinion of Zhou Can also changed greatly.
If you don't have the ability to refute her opinion, it means you are arrogant and look down on others. If you have the ability to refute her diagnosis, it is a normal discussion and exchange.
Zhou Can did not argue with her at the time. Looking back now, he realized that the young man was just respecting her as a senior and giving in to her.
People's thoughts are so strange.
When you hate someone, you find that person unpleasant in every way. After you recognize someone, you suddenly find that person has so many advantages that you had not noticed before.
"Director Tang, thank you for your reminder. I need to quickly give my grandson a bath and disinfect him. I won't chat with you for now."
"Okay, bye!"
After the two ended the call, Director Yan began to instruct his son and daughter-in-law to bathe and change clothes for his grandson without mentioning anything else.
She was worried about infecting her family, so she locked herself in the room.
Needless to say, this whole family must have been worried and unable to sleep or eat well for the next few days.
Director Yan was horrified when he was notified. The other medical staff present at the time were also horrified when they learned the news. In addition to being terrified, they also had a new understanding of Zhou Can's abilities.
At that time, many people felt that Zhou Can was too arrogant and self-righteous as he refuted Director Yan's diagnosis twice in a row.
Only now do I realize how skilled Dr. Zhou is.
The most frightening thing about the new Bunyavirus is that its symptoms are highly similar to those of a cold, making the disease extremely difficult to diagnose.
Precisely because the diagnosis is difficult, it further demonstrates Zhou Can’s high level.
At this moment, Zhou Can had hurriedly finished his dinner and had not yet returned to the dormitory of his apartment when a call came from Xinxiang Maternity and Child Health Hospital.
He is really busy!
"Hello, Chief Tang!"
"Doctor Zhou, are you off work now? I scheduled an endoscopic surgery for lung cancer with you yesterday. Is it convenient for you now?"
Section Chief Tang asked carefully.
"Convenient, convenient. I just got off work and arrived at the dormitory. I will come right away. It will probably take about 50 minutes." Zhou Can was very happy about this lung cancer endoscope.
Surgery is of great interest.
Earning the consultation fees is secondary; the main thing is that the surgical experience points are too tempting.
There are not many doctors who are good at endoscopic surgery, which is the main reason why Xinxiang Women's and Children's Hospital shamelessly asked Zhou Can for help.
…
More than fifty minutes later, Zhou Can appeared at Xinxiang Maternity and Child Health Hospital.
As soon as I got off the car in front of the outpatient building, Section Chief Tang came to greet me impatiently.
"Finally we got you here. The operating room is ready. Would you mind going directly to the operating room now?"
"OK!"
"plz follow me!"
Along the way, Section Chief Tang led the way and also introduced the situation in the operating room so that Zhou Can could have a clear idea of it.
Enter the operating room and change into surgical gown.
Zhou Can found that the patient was already lying on the operating table and had been successfully anesthetized.
Director Hu Wanjun, several assistant doctors, and surgical nurses were already waiting for Zhou Can to perform the operation. The anesthesiologist would occasionally glance at the data from the monitoring equipment.
So many people were waiting for Zhou Can's arrival, and this scene made Zhou Can somewhat flattered.
"Doctor Zhou is here!"
Director Hu Wanjun was very humble and took the initiative to greet Zhou Can with a smile.
Asking for help is like swallowing a three-foot sword.
The situation is not in our favor, so we must keep our head down.
This is also the law of social survival.
"Hello, Director Hu! Hello, everyone!" Zhou Can responded with a smile and greeted everyone else.
There were nearly ten doctors and nurses, and this was the only way to greet them.
Endoscopic surgery has extremely high requirements for anesthesiologists and nurses, but the requirements for first and second assistants are not that high.
Because endoscopic surgery is basically performed by one surgeon.
"We're just waiting for you to take charge! This is the patient's medical report. Doctor Zhou, please see if there are any additional examination items that need to be added!"
Director Hu Wanjun handed the inspection report to Zhou Can.
After receiving it, Zhou Can carefully examined each of them. Surgery mainly involves looking at the films taken by the patient, especially the films of the lesion site. The size of the tumor, which areas are affected, whether there is metastasis, and whether the tissue to be removed is adjacent to important organs, blood vessels, and nerves.
These are all the information that the surgeon needs to master.
After Zhou Can read it, he already had an idea in his mind.
In fact, he had seen the patient's films a few days ago.
"The inspection items are very complete, and Director Hu has considered them very carefully. I have checked them and there are no problems." After Zhou Can finished speaking, he turned to check the necessary instruments and equipment.
The endoscope used by Xinxiang Women's and Children's Hospital is surprisingly the best imported one, and its other instruments are also very advanced.
The operating room is a class 10,000 laminar flow operating room.
I have to say that the hardware facilities of Xinxiang Maternity and Child Health Hospital are really awesome.
All of these were bought with real money.
Unfortunately, the strength of a hospital is not just about good hardware. It also requires the doctors to have strong skills.
"These instruments in your hospital are really great!"
Zhou Can couldn't help but praise.
"Haha, if Dr. Zhou likes these instruments, he can join us. He can use them every day." Section Chief Tang was still not dead in his heart.
"It's better for me to stay in Tuya. After all, I'm used to it. Now that everything is ready, let's start the operation! We'll try to finish the operation before 9:30 pm. I feel really bad for making everyone work overtime with me."
Zhou Can didn't want to discuss this topic any further.
Section Chief Tang was also very tactful. He only mentioned it tentatively and didn't say anything else.
“This knife position has already been drawn!”
He found that Director Hu's preparations for the operation were so thorough that even the incision position had been drawn for him.
Fortunately, no window had been opened in the patient yet.
"If Dr. Zhou has a better knife position, you can change it yourself. My endoscopic surgery skills are very poor, so the drawing may be wrong."
Director Hu Wanjun speaks modestly, but is actually quite confident in her own abilities.
Unexpectedly, Zhou Can actually took the pen from the nurse.
"The incision chosen by Director Hu is good, but every doctor has his or her own style. I am still used to making a window from the patient's armpit."
Zhou Can said this just to save some face for Director Hu Wanjun.
The incision is made on the posterolateral side, which is the traditional surgical method.
The posterolateral incision provides the best exposure of the surgical field and is most suitable for patients undergoing lower lobe or whole lung resection and those with estimated extensive intrathoracic adhesions.
The disadvantages of this incision are also very many, cutting off more chest wall muscle layers, large trauma, more bleeding, time-consuming. In addition, due to the lateral position, the healthy lung is squeezed below, which is unfavorable for elderly patients with poor respiratory function.
Even choosing an anterior lateral incision is much better than this position.
Although the surgical field exposure of the anterolateral incision is worse than that of the posterolateral incision, it can successfully complete the resection of the upper or middle lobe of the lung, and has the advantages of less damage to the chest muscles, less blood loss, and faster chest entry.
Since the supine position interferes less with healthy lungs, it is more beneficial for elderly patients with respiratory insufficiency.
This patient is old, so even if a traditional incision site is to be chosen, an anterior-lateral incision is more suitable.
From this point, it can also be seen that Hu Wanjun has some shortcomings in cardiothoracic surgery.
Whether it is judgment ability or surgical thinking, he is of the relatively conservative and rigid type.
"Opening a window under the armpit? The surgical field will be very poor, right? It will also be extremely inconvenient for surgical resection, and it will easily damage the two important organs, the pericardium and liver."
Hu Wanjun looked doubtful.
What an old-fashioned idea.
If Zhou Can doesn't explain, she might think that Zhou Can looks down on her. If she explains, it would be a waste of time.
There was no other way, so I patiently explained, "The advantage of opening a window from the armpit is that it is beautiful, less invasive, and basically does not cut any muscles. It is very suitable for local excision of small surrounding lesions and foreign body removal. This operation is quite suitable. Endoscopic surgery is performed inside the patient's body, and there are actually no requirements for the so-called traditional surgical field and operating space."
Zhou Can almost said that you should change your thinking.
When Section Chief Tang, who was standing nearby, saw the situation, he was afraid that a quarrel would break out before the operation even started.
Hurry up and step forward to smooth things over.
