Chapter 333: Don’t play by the rules! Neonatologist
The hospital certainly doesn't want the family members to continue making trouble, so it tries to find a way to calm the situation as quickly as possible. This is the most commonly used method.
Zhou Can was not at fault in this matter, so he was very calm.
The era of medical disputes where family members could just hold up two banners and cause a scene in the hospital outpatient hall and force the hospital to pay money is long gone.
Not to mention a provincial-level tertiary hospital like Tuya, even a county-level hospital, as long as there is no fault, is not afraid of family members making trouble. Especially after the relevant departments cracked down on professional medical troublemakers, the hospital stood up even straighter.
Soon, he arrived at the pediatric outpatient clinic corridor.
As soon as I turned the corner out of the elevator, I saw that one end of the corridor was crowded with people.
That location is exactly where the No. 17 outpatient clinic is located. Needless to say, the troublemakers must be making trouble there. The spectators are not afraid of big troubles, and the bigger the trouble, the more they like it.
A lot of security guards from Tuya Hospital have been dispatched and are working hard to maintain order at the scene.
"Make way, everyone please make way!"
Zhou Can squeezed in.
"Doctor Zhou is here!"
Someone shouted, and the patients and their families who were watching at the scene all turned their attention to Zhou Can.
"He is the doctor who treated us that day. He looks so young!"
"It's because you're young that things can go wrong. I tell you, don't go to a young doctor. Go to an older doctor."
"That child is so pitiful, his whole body is purple, it's really scary to look at! Could it be that Dr. Zhou treated him like that?"
"It must be that Dr. Zhou treated the child badly! Otherwise, why would he come here to cause trouble?"
Many voices can make gold.
The power of spit is no less than that of a knife. It can completely drown a person.
You say one thing, I say another, and the more it spreads, the more outrageous it becomes.
Zhou Can was only giving the boy a diagnosis, but now it seems that he made him suffer. If it were a doctor with poor psychological quality, he would be so angry that he would die on the spot.
"It's him. He was the doctor who saw me yesterday!"
When the boy's mother saw Zhou Can coming over, she was extremely excited.
The other three family members stood up at the same time, which was quite scary.
Zhou Can, however, remained calm as he walked in front of the family members and the child whose body was purple and who was receiving oxygen.
"Why are you here today?"
Zhou Can's tone was a little cold.
Even if the whole family came out to cause trouble, he would never give in.
"Doctor Zhou, it's all my fault that I didn't listen to your diagnosis yesterday. My child suddenly fell into a coma today. I went to the Provincial Children's Hospital for a checkup, and the results were consistent with your diagnosis. It was indeed a congenital heart disease. The Provincial Children's Hospital directly issued a critical illness notice. Please, save my son!"
The mysteriously confident mother burst into tears and knelt down at Zhou Can's feet.
"What the hell are you doing? I'm completely confused!"
Zhou Can looked at the child's mother kneeling in front of him and was indeed a little at a loss.
Didn't she bring other family members to cause trouble? Now the plot is messed up and not going according to the original plan!
He admitted his mistake in public and knelt down to beg Zhou Can to save his son's life. This change was too quick.
Even if the Provincial Children's Hospital issued a critical illness notice, there was no need to run back to ask a young doctor for help!
However, this woman definitely has some mental problems and cannot be judged by common sense.
The crowd watching the scene was in an uproar.
Everyone thought that Zhou Can had caused trouble with the child's treatment, but now they understand that it was because the child's mother did not follow Zhou Can's diagnosis.
"I told you, the doctors at Tuya Hospital are really great!"
"This Doctor Zhou is quite capable!"
"Is there such a doctor in the pediatric department of Tuya Hospital? Why didn't I see him when I registered?"
"Yes! Look, isn't this Dr. Zhou's clinic number? But it seems he only sees patients on Wednesdays."
"I only see patients one day a week, that's too little!"
The impression of Zhou Can by the onlookers also changed 180 degrees. This is public opinion. One second everyone was criticizing Zhou Can, and the next second they were praising and praising him.
Public opinion has always been so fickle.
Some people say that if you do good things all your life and then do one bad thing, you are labeled a bad person. However, some people do bad things all their life and then do one good thing, and they are called prodigal sons who have turned over a new leaf.
"Get up first, get up first!"
Zhou Can didn't know how to help her, so he could only stretch out his hand to support her.
"Help her up quickly!"
Zhou Can shouted to several family members.
The family members won't help. What they need now is Zhou Can's promise to save the child's life.
"If Doctor Zhou doesn't agree to save my baby, we will kneel down for you together." The woman's father-in-law looked to be in his sixties, with pale hair.
He could not bear to see an old man like this kneeling down to Zhou Can in public.
Although he knew that the other party might have said this on purpose to put a little pressure on him and force him to agree, Zhou Can still couldn't afford to take the risk.
"Our Doctor Zhou will definitely try his best to treat your child, but you forced Doctor Zhou to publicly declare that he can definitely cure your child, which is a bit unrealistic. Doctors are also human, not gods. Get up first and let Doctor Zhou help check the child's condition, so that we can hurry up to treat him! If you kneel like this, it will have a bad influence and time will be delayed!"
At this time, the guiding nurse Zhou Yanqing came forward to help.
After she stepped forward to persuade the family members, the child's mother was finally helped up.
Zhou Can breathed a sigh of relief.
I came here thinking I would have to argue with the family, but I didn't expect them to not play by the rules. Now I can only find a way to get the child treated.
However, when faced with such a situation, family members must be extremely careful.
Don’t think that the family member knelt down to him easily just now. The more such people are, the less valuable their knees are. He had seen this before when he was doing regular training in other departments.
If the patient's treatment goes well, everything will be fine. But if the patient's treatment does not go well, or even dies in the end, the family members can turn hostile at any time.
"Director Dai, have you checked the child's condition?"
Zhou Can turned his gaze to Director Dai, who had the highest status at the scene.
The family members had been making a fuss here for such a long time, but only Chief Physician Dai came out to deal with it. The other chief physicians were afraid of getting into trouble, so they all hid away.
This person always seeks good fortune and avoids misfortune.
Director Dai was probably unlucky and had no way of avoiding it. Or maybe she was on duty at the outpatient clinic.
"I checked it out and found the situation to be very bad. The child's lung function is very poor now. I don't know if he can survive the operation. Moreover, the operation on this child is very complicated and difficult."
Director Dai looked embarrassed and was obviously unwilling to take on this hot potato.
"Why don't you treat them at the Provincial Children's Hospital? The medical skills there are not bad! Wouldn't it be better to do the surgery there directly?"
Zhou Can asked the family members.
"The experts at the Provincial Children's Hospital said that even if we have surgery, there is a high risk of death. Let's be prepared for the worst. When I brought my son to see you yesterday, you didn't tell me this and seemed quite calm. I thought that you must have a much better chance of success, so after discussing it with my family, I decided to bring my child back to you for treatment."
This is what the child's mother thought, and it seems that she doesn't have any mental problems.
At least his thinking is clear.
She must have considered everything and thought that Tuya had a greater chance of saving the child, so she ran back to ask for treatment.
Zhou Can glanced at Director Dai with a hint of understanding.
It seems that Director Dai could have handled this matter directly, but she insisted on calling Zhou Can over. She might have done so to evade responsibility. She was playing a trick.
However, Zhou Can definitely saw through it but didn't say it out loud, and he also had a certain understanding of Director Dai's character.
It’s not that Director Dai has a bad character, but she is more selfish when it comes to interests.
"Doctor Zhou, we didn't know you before. My dad saw a report about you on TV news, and after asking around, he found out that although you are very young, you are very skilled in medicine. Please save my baby. My family has only one son for three generations, and it was not easy to give birth to this son."
The child's father also followed and said good things.
Being on TV news was much more impressive than Zhou Can had imagined.
The influence is even greater.
Now he finally understood why the censorship of TV programs and news figures was so strict.
If the review and approval are not strict enough, it is easy to cause adverse effects and even corrupt social morals. Or it may endorse criminals and become an accomplice.
"After the child fell into a coma, did he receive any treatment at the Provincial Children's Hospital?"
Zhou Can lowered his head and began to look at the sick child lying on the flat bed.
Even though he was breathing oxygen through one nostril, his skin was still severely cyanotic, looking very scary.
The sick child's face was especially horrible, like someone who had been strangled by the neck for a minute or two and was about to suffocate to death. His entire face was purple.
"I only did a pulmonary angiography and then oxygen therapy."
The family took the child to the Provincial Children's Hospital for treatment, and the examinations done in Tuya will definitely be useful.
After examining the patient, the doctor had a certain understanding of the condition.
Pulmonary angiography is done to clarify the condition of the blood vessels in preparation for further treatment.
Zhou Can took the angiography report and looked at it carefully.
It was discovered that the Provincial Children's Hospital actually performed an aortic angiography on the patient, and then performed a pulmonary angiography through the patent ductus arteriosus.
The results showed that the diameters of the left and right pulmonary arteries at the hilum were 7mm and 9mm respectively, the diameter of the descending aorta at the diaphragm level was 9mm, and the mean pulmonary artery pressure measured by cardiac catheterization was 1.9kpa.
After looking at the patient's aortic and pulmonary artery angiography, Zhou Can began to think about the surgical plan.
He is just a resident doctor. Even though he is now qualified to see patients, he is not in a position to make the decision on such an extremely high-risk congenital heart disease surgery.
This matter must be presided over by the chief physician.
Apart from anything else, the level of the operation is already a level 4 major operation.
Moreover, the child's condition looked critical, and we had to immediately find a way to establish extracorporeal circulation for the child and then perform total cavopulmonary connection.
Zhou Can has been in cardiothoracic surgery for several months and has participated in many major operations, so he has a clearer idea of diagnosis and treatment.
"Director Dai, I'm afraid you'll have to come forward to treat this patient!"
Zhou Can said this very bluntly.
Because he knew that Director Dai was a bit cunning, he tried his best to leave no room for the other party to dodge.
"I'm not good at treating congenital heart disease. I think it would be more appropriate for you to report this matter directly to Director Tang. Human life is at stake, so we definitely need a doctor who is good at treating congenital heart disease to provide the most professional treatment."
Ginger is spicier when it’s older.
Director Dai immediately declined.
And there is nothing to fault with it.
"Don't worry, I'll call Director Tang right away to report this. This child looks a little scary, but in fact, he shouldn't be in any danger of life in the short term. But he must stay in the hospital to prevent any accidents."
Zhou Can added one more sentence at the end.
The main concern is that this mysteriously confident mother will take the child home again.
Seeing the anxious faces of this family, Zhou Can quickly called Director Tang.
He took out his cell phone, walked to the window of the elevator shaft, and dialed Director Tang's number.
"Director Tang, I have a patient's condition that I need to report to you!"
"Are you still seeing patients in the pediatric department today?"
Director Tang Fei was surprised after hearing this.
"I'm back to work in the Department of Gastroenterology. But yesterday I received a four-year-old boy with cyanosis all over his body..." Zhou Can briefly recounted what happened.
"Who are the chief physicians on site?"
After listening to this, Tang Fei was ready to assign the task.
"Director Dai is handling the case on the spot, but she said she is not good at treating congenital heart disease and wants to find a professional chief physician to treat the disease." Zhou Can really didn't mean to tell on Director Dai.
Just telling the truth.
"Okay, I got it. Please calm the family members down first. I will try to send a chief physician to deal with it." Tang Fei hung up the phone after saying that.
Zhou Can waited obediently.
During this period, he was not idle, but studied the examination reports of the sick children carefully.
Since the child's congenital heart disease was very complicated, the operation was indeed very difficult. After research, Zhou Can believed that it would be safer to perform the operation in two parts.
Gradually, the surgical plan took shape in his mind, becoming clearer and clearer, and constantly improving.
"Who is Dr. Zhou Can?"
"I am I am!"
Zhou Can looked up and saw a male doctor in his fifties walking towards him. He had a long head, a typical horse face, and a thin body.
Although this person does not look good, he has a pair of extremely clear eyes and a strong aura.
"My name is Zhuang Sheng, the chief physician of the neonatology department. Director Tang Fei asked me to come here to treat this patient. I have heard of Dr. Zhou for a long time. I met him today and found that you are more handsome than I thought!"
The atmosphere at the scene was a bit depressing and the occasion was very serious.
Director Zhuang suddenly praised Zhou Can for his handsome looks, which immediately made the atmosphere on the scene much more relaxed.
"Haha, hello, hello! Nice to meet you!"
Zhou Can smiled and shook hands with the other party.
After meeting him, a chief physician said that he had heard of his name for a long time, which really made Zhou Can feel flattered.
I must be happy to hear that.
"Now that the experts are here, I can finally breathe a sigh of relief. This is the child's medical examination report. Could you please tell me what to do with him?" Zhou Can handed over the report.
The child's condition does not need any introduction at all, because it is obvious at a glance.
Director Zhuang is the chief physician of the neonatology department and should be very good at treating all kinds of diseases of newborn babies. Congenital heart disease is a rare disease for the general public.
However, such cases are often seen in the neonatal department of Tuya Hospital.
Director Zhuang carefully read the child's examination report and then checked the child's actual condition.
"All the necessary examinations have basically been done, so there is no need to do more. This will save time to the greatest extent possible so that the child can receive treatment as soon as possible."
He looked up at the people gathered around him and asked, "Who are the child's family members?"
"I am, we all are!"
The four family members all gathered around and responded.
"Oh, the whole family is here, it's quite lively! They say that children are the kings of the family, and everything we do as adults is for our children. You are definitely role models in this regard."
Director Zhuang praised several family members and obviously won their favor.
