Chapter 409: Hospitals pit each other, terrible gangrene patients
"Young man, I'm afraid I can't give you the remittance account right now. I'll report this matter tomorrow and call a meeting with the leaders of the institute. I'll send you the account number after we've confirmed it. Of course, it would be best if you could come here in person and sign a written agreement."
If you want to donate to a charity, just give the money directly.
If it is a donation for a specific purpose, it can also go through an intermediary department.
The procedures for donating money to an organization are relatively complicated.
Zhou Can thought it was good to sign a written agreement, which would protect both parties. He was mainly worried that the money would be embezzled by the leaders of the institute.
Just because Chen Guoli is trustworthy doesn’t mean that other people in the institute are trustworthy as well.
Especially some leaders in administrative positions, they are first-class in making money.
"That's fine. Let me know when we've discussed it tomorrow. I have to work during the day and don't have time. If I want to sign the donation agreement, I'm afraid I can only do it at night. If the money is used for practical purposes and the effect is good, you can consider continuing to donate in the future. Your traditional Chinese medicine spirit and the remarkable effect of treating my girlfriend have made me see the potential and importance of traditional Chinese medicine. It's heartbreaking to see traditional Chinese medicine continue to decline."
After Zhou Can and Chen Guoli made an agreement, he took Su Qianqian and left.
"Walk slowly!"
Chen Guoli's attitude towards them was much more solemn this time. He personally sent them to the door, and Zhou Can turned around and said, "Please stay!"
…
Time flies, and half a month has passed in the blink of an eye.
The emergency department's performance has been rising rapidly because of Zhou Can's scalpel. The number of formal beds in the inpatient ward has increased from four to ten. Corey took this matter very seriously and vacated another ward from the infusion room.
The reason why the number of beds did not exceed ten is because the health authorities have clearly stipulated that for every ten additional beds, at least one doctor and four nurses are required.
The emergency department is understaffed.
We just expanded our staff last month, and no matter how hard it is now, we have to bide our time for a while. If we move up too quickly, there will be too many people watching us, and we will be more likely to encounter resistance from all sides.
The number of official beds has increased to ten, and with the addition of temporary beds, it is basically enough at this stage.
There were originally three attending physicians, two full-time residents and one intern.
Now there are more than 20 inpatient beds, and Director Lou has transferred an intern to help manage the beds. The nurses are also in short supply, and Head Nurse Niu Lan is trying to find a solution.
In general, the emergency operating room and inpatient wards are operating smoothly.
Patients are received in the front hall, emergency examinations are performed in the back laboratory, and patients who can be treated in the emergency department are screened out and sent to the emergency operating room for surgery. After the surgery, the patients go directly home or are hospitalized for further treatment.
Now this industrial chain has been basically completed in the emergency department.
It has also become one of the most important revenue-generating industry chains in the emergency department.
The revenue generated by the industry chain of emergency rooms and intensive care units is also considerable.
As for other emergency services, they are basically just for show.
The income from doing various examinations and prescribing medicines in the internal medicine department can only be considered barely good.
In short, although the emergency department is very poor, with the huge traffic of Tuya, the number of patients seen every day is very considerable. Over the years, under the leadership of Director Lou, the medical staff of Keyi have already developed a set of ways to generate income.
You can't get rich, but you can't starve to death either.
Compared with those powerful departments, it was miserable. Compared with the deserted county-level hospitals, it was definitely better.
We can also draw a conclusion from this point: it is good to sit under a big tree and enjoy the shade.
There are reasons why master's students, direct doctoral students, and ordinary doctoral students try their best to squeeze into a large institute like Tuya.
That day, after Zhou Can finished his lunch and was about to go back to the operating room to work, a quarrel broke out in the emergency room.
A patient was lying on a flat bed, with his right leg rolled up to the knee. It can be seen that his leg was severely rotten, with a certain degree of exudate and tissue melting. Some sutures had collapsed.
Zhou Can could tell at a glance that this was typical gangrene.
If not handled properly, people will die.
Wearing a limb to save life is a relatively common operation.
Of course, under normal circumstances, neither family members nor the patients themselves would be willing to undergo amputation.
So, they will ask the doctor to find a treatment.
The only way to treat patients with such wound infection, suppuration and severe gangrene is to completely remove the necrotic tissue. Then the patient is admitted to the hospital, with the help of antibiotics and professional medical care, waiting for the wound to heal automatically.
Generally speaking, as long as the infection is controlled, the patient's affected limb can be saved.
In some serious cases, or if the patient has poor immunity or underlying diseases, surgery will be useless.
In the end, amputation was the only option to save his life.
Especially some older diabetic patients are very prone to blackening and necrosis of the legs.
The family members cried and knelt on the ground, begging the nurses and doctors to admit the patient.
But the emergency doctor said that this patient needed to be sent to a specialist inpatient department for treatment. The emergency department can only handle simple emergency patients, and cannot treat patients with infected wounds, suppuration, and gangrene.
It’s so serious, how can the emergency room admit him?
Just look at the doctor who was treating the patient in the emergency room. He had a look of fear on his face and was shaking his head like a rattle, and you will know how terrifying this patient was.
Even though the patient is still alive and well now, his condition can worsen and take a turn for the worse overnight, and it is normal for it to develop directly into sepsis or even the more serious septicemia.
In hospitals, we often see patients whose limb injuries are not particularly serious and who appear to be able to be saved if treated well.
The doctor insisted on amputation.
And the same result occurred when I changed to another hospital.
It is not that doctors take human life lightly, but the consequences of limb necrosis are extremely serious. Sometimes patients and their families can only see the symptoms, while doctors can see the direction of the patient's condition with their professional knowledge and experience.
Knowing that it cannot be saved, it is better to amputate to save life rather than endangering it.
Zhou Can sometimes seems ruthless, but when he sees scenes like this, he always finds it difficult to control his sympathy.
Even though he has experienced the heartbreak brought to him by patients and their families countless times, he still maintains his sentimental side.
Especially seeing that little kid, only three or four years old, kneeling on the ground with his mother, begging the doctor to admit his father was a heartbreaking scene.
"Don't the junior colleges accept them?"
Zhou Can walked over and asked the nurse on duty.
"The general surgery department refused to admit the patient, and the critical care department asked the general surgery department to handle the case, but we don't have the ability to handle it. So we suggested that the patient go to the Provincial People's Hospital for serious treatment."
The female nurses in the emergency room are all experienced.
I have seen all kinds of family members and patients.
As long as they can stay, they are basically good at dealing with people and being able to adapt to changing circumstances.
When faced with such difficult patients, the hospital is not stupid. After the specialist department passes the buck and refuses to admit the patient, the nurses on the emergency side will try to persuade the patient's family to transfer to other hospitals for treatment.
It is only natural for small hospitals to cheat big hospitals.
If a critically ill patient is brought to a township health center or community health service station and asked to rush the patient to a large hospital for emergency treatment, would you do it? The family members would agree to transfer the patient to another hospital without even a second thought.
In fact, large hospitals like Tuya also push patients.
It is stipulated that it is not acceptable to refuse to admit a patient.
Therefore, more often, milder methods or more subtle methods are used, such as not giving medication, which is basically no different from conservative treatment.
The family members must be worried when they see their loved ones in critical condition but the hospital refuses to give them medicine!
After greeting the hospital's ancestors, he was transferred to another hospital immediately.
There is also the trick that the nurse just used. A certain hospital is more professional and has a better chance of treating this disease. You'd better go there for treatment.
The subtext is, please don't come to harm our hospital, go and harm the one across the street!
"We have been to the Provincial People's Hospital. The doctor there told us that the problem is very serious and the only treatment option at the Provincial People's Hospital is amputation. If we want to save our limbs, we must go to Tuya for treatment as soon as possible."
The female family member was a woman in her thirties. Judging from her dress and temperament, she should be a country woman or a member of the lower social class who came to the city to work.
Now that her husband's life is hanging by a thread, her heart must be filled with panic and despair.
After hearing this, Zhou Can's face twitched.
These big hospitals are really interesting, pushing patients to each other.
"Have you checked it out?"
Zhou Can asked.
"Our hospital didn't do any tests, but he did some tests at the Provincial People's Hospital."
"Show me the results!"
Seeing that there was finally a doctor in charge of the matter, the female family member quickly stood up, took out the examination materials from the bag, and handed them all to Zhou Can.
"How was he injured before?"
"I fell off my motorcycle. My husband and I took our child to work in the city. To save money, we had stitches done at a fairly famous local clinic. Unexpectedly, the wound became infected, and it turned out like this."
The female family member must be hiding something.
It takes a long time for a wound to progress from infection to gangrene. It definitely won't happen in just one or two days.
Zhou Can was too lazy to ask further questions.
It is nothing more than to save money. When an infection occurs, they deal with it at home by themselves, hoping for a lucky break.
Coupled with the lack of professional medical knowledge, this is what happened.
The clinic's inadequate wound treatment and poor suturing techniques were also a key factor. Looking at the family's situation, it's unlikely that they will be able to sue the clinic and demand compensation.
It is really not easy for the weak to survive in this society.
"From his blood and urine test reports, he already has signs of sepsis. Amputation to save his life should be the first choice."
After reading it, Zhou Can gave his evaluation.
"Doctor... please be kind and save my husband! He is the mainstay of the family. If he loses his legs, how will our family survive in the future..."
As the woman spoke, she was already sobbing.
When the child saw his mother crying sadly, he also pulled his mother's trouser legs and cried along with her.
There were many patients watching the excitement nearby.
Everyone should take care of their own business and not worry about other people's problems.
When tragedy happens to others, the spectators will not pay too much attention to it. They just watch the fun.
Zhou Can saw that the woman and the child were crying sadly, and felt sorry for them. He went forward and carefully examined the festering wound of the patient. As he got a little closer, the pungent smell of rotting corpses hit him in the face.
This smell is much worse than rotten eggs.
He suppressed his nausea and carefully examined the wound, where he could see some exposed red granulations.
"I'll ask the teacher for you!"
Zhou Can took the examination report to see Dr. Xu.
It is no small matter to admit such a seriously ill patient. What if something goes wrong after admitting him?
He didn't dare to make this decision on his own.
Dr. Xu has extensive experience in diagnosis and treatment, and is particularly good at treating various surgical injuries.
Ask him to check it and see what he says.
At this moment, Dr. Xu is performing surgery on a patient in the operating room.
"Teacher, I'm here to sew up the patient. Can you please see if the leg of a patient with lower limb gangrene can be saved?"
"Do you know how terrible gangrene is?"
Dr. Xu made way, agreeing to let Zhou Can do the suture.
As a master and disciple, they are more like father and son when they get along.
Zhou Can was like Sun Wukong in the emergency department's operating room, enjoying all kinds of privileges and being able to perform almost any surgery. He was actually the lead surgeon. Without Dr. Xu's protection, he would never have been able to receive such treatment.
For every medical student, meeting a good teacher is definitely a blessing earned in several lifetimes.
If you encounter a teacher or a senior doctor who only knows how to push responsibility, make money, pass the buck, and exploit students, it is definitely the greatest misfortune in life. If you encounter such a bad teacher, either resign or wait for the other party to resign.
Generally, it is the medical students who leave on their own.
The other party is doing well and there is no possibility for him to resign.
"This patient is the main breadwinner of his family. If he really had his limb amputated, and his child is still so young, it would be an unbearable disaster for his family. I know that gangrene is very difficult to treat and has high risks. That's why I would like to ask you to take a look."
Zhou Can answered the question while working efficiently.
He sewed very carefully.
If you ask Dr. Xu to do something for you, but the job is not done well, Dr. Xu will definitely scold you. Most of the things you ask for will not work.
Before long, he successfully sutured the patient's abdomen.
"Teacher, please check it."
"Well, it's okay! Push him out to wake up from the anesthesia!"
After Dr. Xu looked at it, he nodded with satisfaction.
He was quite satisfied with Zhou Can's craftsmanship.
"Don't bring in any surgical patients yet ." Dr. Xu instructed the nurse.
Zhou Can has two surgical nurses, but Dr. Xu has only one. Basically, he is partnered with the experienced surgical nurse Liu Xia.
But sometimes someone else will change.
Dr. Xu’s requirements for instrument nurses are much lower than Zhou Can’s.
Zhou Can only likes to work with Qiao Yu.
Not only because of her professionalism, but also because we have a very high level of tacit understanding, sometimes we really have a telepathic connection. In addition, she is very beautiful. Who wouldn't want to have a beautiful female partner during the operation?
"Do you really want to save that patient?"
Dr. Xu stared at Zhou Can and asked.
"If possible, I'm willing to give it my all. I've carefully observed the wound of that patient just now. Although it's festering and the tissue is severely liquefied, bright red granulation tissue can still be seen. Moreover, the patient is less than 40 years old, in the prime of life, and his basic condition is quite good. He doesn't have any underlying diseases. If we try hard, maybe we can save his leg."
Zhou Can's eyes were quite determined.
But he doesn't have the final say on this matter alone.
If Dr. Xu disagrees, he will have to give up even if he wants to save the patient.
"If you really want to try it, then go ahead! I'll talk to the family members. First of all, I'll make sure to inform them of the risks and have them sign a consent form and informed consent form. In addition, they'll be closely observed for 24 hours after the operation. If the toxin level in the body doesn't go down and the wound becomes infected again, there's no room for hesitation. Amputation must be performed immediately to save their lives."
Dr. Xu told Zhou Can his general idea.
The two of them were just discussing this.
"Okay! Then I'll do the surgery in the operating room first. When I'm done there, hand the patient over to me. Is that okay?"
Zhou Can readily agreed to Dr. Xu's plan.
Human life is at stake, he would never dare to be careless.
"Just work hard first, I'll go talk to the family first!"
Doctor Xu took the examination materials, went into the locker room, changed into a white coat, and left.
With the teacher's help, this matter will definitely be handled more safely.
Some potential risks will also be avoided by Dr. Xu in advance.
Zhou Can went into the operating room and performed the operation diligently, waiting for news.
