Chapter 334: Hands-off shopkeeper, seek help from cardiothoracic surgery
"I'm telling you, this kid's congenital heart disease definitely requires surgery, and the surgery is very complicated and the risks are extremely high. If you're willing, we can first try to get the kid admitted to the hospital. The specific surgical plan will definitely require risk assessment and discussion from multiple parties before it can be decided."
After viewing the film, Director Zhuang must have understood that this case of congenital heart disease is difficult to treat surgically.
He mentioned that it would require multiple evaluations and discussions, and if he was right, it would probably require a cardiothoracic surgeon to come over for a joint consultation.
"Yes, we do!"
The family members were worried that something might happen to their child and no longer dared to confront the doctor.
Even the child's mother became obedient.
"Doctor Zhou, you are the one who treated this patient. I'm afraid you will have to stick with him until the end and continue to follow up. You will be responsible for the formulation of the surgical plan, the coordination of various departments, and the consultation."
After Director Zhuang had reached an agreement , he said something that stunned Zhou Can.
"This, this is not appropriate! I'm just a resident physician. Such a major operation must be performed by you, the chief physician!" If Zhou Can hadn't been intimidated by the other party's identity, he would have cursed.
Director Shang of the Department of Gastroenterology is already exploitative enough.
All kinds of things are directly put on him.
Now, Director Zhuang came up and directly handed him a child with congenital heart disease. This was a level 4 major surgery, so scary.
Although there was a tiger roaring in Zhou Can's heart, he felt that if he could invite Director Hu Kan from the cardiothoracic surgery department to come and guide him, perhaps it would not be impossible for him to challenge this operation.
"I will fully support you! You young people are full of energy and it is time to take risks and fight. This is settled."
Director Zhuang shamelessly pushed the task directly onto Zhou Can in front of the patient's family.
A higher-ranking official can crush people to death.
He is the chief physician and has been authorized by the chief of pediatrics, Tang Fei. Zhou Can is so sad that he has no tears to cry.
At this time, Zhou Can could only look to his family members for help.
He winked at the child's parents and grandparents.
I hope these family members can come forward and speak up for them.
Finally someone understood what Zhou Can meant.
The child's grandmother said in a shrill voice, "Director Zhuang, I am an old woman with a lot of mouth, please don't be offended!"
"Big sister, if you have anything to say, just say it!" Director Zhuang is about ten years younger than the child's grandmother, so there is no problem with her calling her big sister.
"You see, although Dr. Zhou is very good, he is too young and lacks experience. My grandson has a very serious congenital heart disease. The experts at the Provincial Children's Hospital said that the operation is a life-or-death struggle. In order to increase the success rate of the operation, it would be safer for you to personally preside over it."
Old people don't speak as aggressively as young people.
Quite euphemistic.
After hearing this, Director Zhuang explained seriously, "I didn't say I don't care about this matter, it's just that Dr. Zhou is taking the lead. This approach is also in line with our hospital's first-visit system. Besides, Dr. Zhou looks young, but his surgical experience is not necessarily less than mine. There is a saying that goes, an old person is not about age, but about state of mind. Age does not represent everything. Especially in our medical profession, technology is changing with each passing day, and excellent young doctors have more advantages than us older doctors in many aspects."
"Not to mention anything else, the physical strength required for an operation is beyond your imagination. Let me tell you another secret, this kind of large-scale operation is never completed by one person, but by an entire surgical team, so you don't have to worry."
After Director Zhuang’s explanation, the family no longer had any objections.
This time, Zhou Can had no way to ask others for help.
He will be responsible for this child until the end.
First of all, we need to find a way to arrange a bed for the child. If we transfer the child to the cardiothoracic surgery department for treatment, the pediatric department will definitely not agree.
The benefits of a congenital heart disease surgery are considerable.
Even the simplest congenital heart disease treatment costs more than 10,000 yuan. For a child like this whose condition is so serious and whose surgery is extremely complicated, the cost of surgery and treatment is likely to be more than 120,000 yuan.
The specific cost cannot be estimated for the time being. We need to wait until the surgical plan comes out before we can get a more accurate cost result.
Although the operation is expensive, for a family, they would probably sell their car or house to get the child treated as long as it could save the child.
"Director Zhuang, how about you arrange for this patient to be admitted to your neonatal department? If we put him in another department, they won't agree!"
There is a profound meaning behind Zhou Can's arrangement.
Didn't Director Zhuang ask him to take charge of the treatment of this child? No problem. But if the patient was arranged to stay in the neonatal ward where Director Zhuang worked, Director Zhuang would not be able to be a hands-off manager.
"Can!"
Director Zhuang and Zhou Can looked at each other and agreed readily.
"Make sure you do ward rounds at least once a day!"
He added one more condition.
"no problem!"
Zhou Can also agreed readily.
Both of them were smart people and easily understood each other's intentions.
After the discussion, the patient was admitted to the hospital. Director Zhuang would naturally coordinate the lack of beds. Zhou Can arranged for the child to be admitted to the neonatal department, but it was not for nothing.
Director Zhuang also has to oversee the daily bed checks.
…
When I returned to the Department of Gastroenterology, it was only two minutes before noon.
Director Shang also told Zhou Can to help with the gastroenterology department, but he ended up staying in the pediatric department for more than an hour. If Director Shang knew about it, he would probably complain about it.
Zhou Can simply went to the cafeteria to have lunch, and then returned to the Department of Gastroenterology to work.
Director Shang arrived at around one o'clock in the afternoon.
He was very happy to see Zhou Can treating the patients in the group.
"Xiao Zhou, that's great! Once you finish this case, come to the outpatient clinic and see patients with me. It's almost one o'clock, so I 'll take them to the outpatient clinic first."
Zhou Can was secretly happy, thinking that this hurdle was passed.
However, we still need to find a way to work out a surgical plan for the child with congenital heart disease.
He made up his mind and went to the cardiothoracic surgery department to ask Director Hu Kan for help after work.
…
The afternoon's consultation passed quickly. I was able to learn a lot of useful knowledge by following Director Shang.
Although Director Shang is strict with his doctors, he is also very patient when teaching them. He is also very skilled in explaining things in simple terms, and he shares all kinds of valuable diagnosis and treatment experiences with them, which has benefited Zhou Can a lot.
After work, Zhou Can went straight to the cardiothoracic surgery department.
The same building, the same busy scene, but he clearly felt some changes.
I can’t explain it, but I feel like the atmosphere of this department is no longer the familiar one I used to be.
After all, it has been more than a year since I left cardiothoracic surgery.
"Dr. Zhou is here! Long time no see!"
A doctor passing by greeted him with a warm smile.
"Haha, I haven't been here for a while. There's nothing I can do about it. I'm so busy every day. Is Director Hu Kan off work? I came here to ask him some medical questions."
Zhou Can asked.
"Director Hu's health has been declining recently, and he rarely performs surgeries himself. But as long as his health allows, he still comes to the department to work every day. He either sits in the outpatient clinic or instructs other doctors in performing surgeries in the operating room. You don't know that if we don't do a good job during an operation and get scolded, Director Hu will mention your name."
Zhou Can couldn't help but feel worried when he heard that Director Hu Kan was in poor health.
Director Hu Kan is not actually very old, at least in this good era with an average life expectancy of 78 years, 60 years old is not really considered old. Many men who take good care of themselves are still as strong as young men at the age of 60.
Doctors are the people who know the most about health preservation in the world, but they are also the worst group of people at preserving health.
Surgeons in particular often perform operations for seven to eight hours, or even more than ten hours. By the time they finish their work, it is already past mealtime.
There is also the issue of drinking water. No matter how thirsty you are, you cannot drink water in the operating room.
Then the rest is also irregular. At 3 o'clock in the middle of the night, no matter how soundly I sleep, as soon as I hear the phone ringing, I immediately become nervous, fearing that something has happened to the patients in the department.
It is not uncommon to run back to the hospital in the middle of the night to rescue patients.
Someone has done statistics and found that the average life expectancy of doctors is only 54 years old. This is a very scary statistical result.
If this were to be made public, many young people would probably give up the idea of studying medicine.
"Why do you mention me?"
Zhou Can didn't understand what the other doctors' criticism had to do with him.
"He praised you for your talent in surgery and your rapid progress in learning! Director Hu also said that it is a great pleasure to have an apprentice like you. Oh, by the way, you are lucky today. Director Hu is still in the office, but after listening to the doctors' summary, it is estimated that he will be off work soon. You should hurry over!"
"Okay, thank you! Bye!"
Zhou Can walked quickly towards the doctor's office.
The door was ajar, and the sound of doctors discussing cases could be heard from inside.
Many pragmatic departments never give formal reports or speeches when making summaries, but rather the most down-to-earth case discussions.
Sometimes they even argue until their faces turn red, just like they are having a quarrel.
Boom boom boom!
Zhou Can knocked on the door politely.
Although he was familiar with many doctors in the cardiothoracic surgery department, he still had to be polite.
"Come in!"
A slightly old but steady voice came.
It was the voice of Director Hu Kan.
When I pushed the door and walked into the office, I immediately saw Director Xueyan and others with surprised expressions.
"Wow, Dr. Zhou is here!"
"Hello, Director Hu! Director Xue, Director Le..."
Zhou Can greeted these old acquaintances one by one with a smile.
In private, he calls Director Xueyan "Sister Yan". The relationship between the two is very close. The basic medical knowledge that Zhou Can studies every day is personally formulated by Director Xueyan.
When he encounters difficult problems, he often asks Director Xueyan for advice.
"But I haven't seen Xiao Zhou for some time. I know without a doubt that he must have come to ask us for help." Director Hu Kan looked very bad, but his mental state was still good.
Especially Zhou Can's arrival added to the festive atmosphere and made him very happy.
"Hey, Director Hu is still so predictable. Nothing can be hidden from you. I tried to sit in the pediatric department for a day yesterday and received a boy with congenital heart disease, less than four years old. The child's condition is very serious. Now the skin of the whole body is severely cyanotic, and he even had hypoxia and coma. The family has agreed to hospitalization and surgery. I have no idea at all. The pediatric department is pushing me to take charge. I have no choice but to come here to seek advice from you teachers."
Zhou Can could feel that many of his old acquaintances in the Department of Cardiothoracic Surgery still treated him the same.
The look in his eyes was also extremely friendly.
It's really great to have this kind of everlasting friendship.
"You are so good at showing off after getting an advantage! What do you mean by forcing someone to do something? All the young doctors here would love to have a chance like you. Tsk tsk, Director Tang Fei of the Pediatrics Department is really willing to give you a chance to practice. Even if it is just the simplest congenital heart disease surgery, it is a major surgery. The risks are huge. If something goes wrong, it will not be your turn as a trainee to bear the responsibility. Be content, kid."
After hearing this, Director Hu Kan couldn't help but laugh and scold him.
"I am definitely content! But I am also quite scared. If I really mess up, Director Tang Fei and the others will be so sad! Fortunately, I have the teachers of cardiothoracic surgery to help me, so I am not so panicked."
Zhou Can replied with a smile.
How could he really be so ungrateful?
Although Director Zhuang wanted to be a hands-off boss, he seemed to be lazy and a little irresponsible. In fact, as Director Hu Kan said, Zhou Can was just a regular trainee. If something really happened, the tall guy would definitely take the blame.
Director Zhuang and Director Tang Fei are the main responsible persons for this operation .
The pressure they are under is probably much greater than Zhou Can's.
"Have you brought the information? It's a good opportunity for us to discuss it together since everyone is here!" Director Hu Kan looked at the bag in Zhou Can's hand.
"Yes, I have! Everything has a first come first served basis. I will wait for you to finish discussing the work before asking you to help me solve the problem."
Zhou Can didn't dare to take the spotlight.
"We have just finished our discussion. Doctor Zhou, please bring out the information!" Director Le spoke for him.
"What are you hesitating for? Hurry up!"
Director Hu has already started urging us.
"Then I won't be polite!"
Zhou Can took out the patient's information and first gave it to Director Hu Kan for review.
Then it was passed on to several chief physicians.
As for the other attending and resident doctors, they were all very tactful and gathered behind their superiors to watch together.
It is definitely necessary to save time to the greatest extent possible.
Learning requires proactiveness.
"Everyone has basically finished reading the inspection report. Please don't comment yet. Let me see if Xiao Zhou has made any progress!"
Director Hu Kan's eyes were fixed on Zhou Can.
"Tell me about your surgical ideas and plans first."
Zhou Can did not hide anything and directly stated his surgical plan.
"I plan to establish extracorporeal circulation for the patient first, and then perform a total cavopulmonary artery connection... After completing the first stage of the operation, about 24 hours later, I will perform another operation to remove the tunnel baffle in the atrium, retain the superior vena cava-right pulmonary artery anastomosis, and close the right atrium roof..."
After listening to Zhou Can's surgical plan, the entire office was so quiet that you could hear a pin drop.
Director Le looked at him with an extremely exaggerated expression of admiration.
Director Xueyan smiled knowingly. Zhou Can's surgical plan today was so brilliant, involving a lot of basic medical knowledge, which showed that he was not lazy in his daily life. She helped Zhou Can develop a study plan, and he must have been studying pragmatically.
After digesting and thinking deeply, the two highly skilled attending physicians looked at Zhou Can with exaggerated expressions of shock.
"This guy is amazing. Although this surgical plan is not perfect, it tests all aspects of surgical skills, basic medical knowledge, and even some advanced medical knowledge. What's more frightening is that it's not enough to just understand this knowledge and skills, you have to apply them in practice."
So awesome.
