Chapter 411: The pain of clinical staff, the most worrying thing happened
"Teacher, please check, is it okay to clean the wound to this extent today?"
Zhou Can had just completed the debridement and had received 100 debridement experience points. He had indeed learned a lot of experience and skills from the debridement of this patient.
Surgery is a practical matter.
Many surgical skills are easier said than done.
Many surgeons may be able to explain how to perform an operation, but when it comes to actually performing the operation, very few can complete it successfully.
Those who can accomplish it outstandingly are even rarer.
Because the growth of surgeons is difficult and slow, doctors who are good at surgery have a very high status in each hospital.
At least among clinical medical staff, they have a superior status.
"Well, your skill in cleaning wounds is really good! Just like the figure of that young woman, one more point would be too fat, one less point would be too thin, it's just right."
Doctor Xu is usually a very serious and rigid person, but at this moment he actually used the figure of a young woman to make an analogy.
It made Zhou Can and others feel quite unfamiliar.
Two words popped up in his mind that he would never dare to say out loud - repressed and shy.
Many men, especially those who are usually very decent, are more or less a bit repressed.
It is only because of the constraints of etiquette, morality and reputation that they hide the side that may make people laugh.
"Send him back to the inpatient ward for nursing! Observe him closely for a day or two to see how he is doing, and then decide whether he can undergo a second debridement surgery."
After Dr. Xu finished the examination, he personally prescribed medicine for the patient.
There are two main aspects to start with: anti-infection and anti-inflammatory, and nutritional supplement. Another point is to keep the wound surface drained smoothly.
After completing the initial debridement, you only need to observe for another two or three days to find out which tissues will become necrotic.
Continue with debridement then.
The biggest challenge this patient needs to face now is not the pain and continued decay of the wound, but whether the trend of sepsis after this operation can develop in a positive direction.
If the situation develops in a bad direction, even if Zhou Can and Dr. Xu want to save his limb, it will be impossible.
Amputation must be performed decisively to save lives.
After the patient was sent out, it was already past nine o'clock in the evening. Sometimes surgery is like this, the operation is not completed, and the doctor must grit his teeth and persevere.
During this period, there is no way to go to the toilet, drink water, or eat. If it is a strong team with many people, everyone can take turns to rest, which will be easier.
The operation took Zhou Can more than four hours in total.
It is the most cost-effective surgery.
Sometimes he doesn’t even need that much time to perform a level 3 surgery.
"Everyone has worked hard, let's go home!"
Doctor Xu said to several people.
"I asked Xiaolan to order food for everyone. It's so late, there's no place to eat. Teacher, eat your portion before you leave, otherwise it will be a waste!"
Zhou Can greeted Dr. Xu.
"You kid, do you want us to eat your rich family?"
Dr. Xu did not refuse.
"I don't deserve the title of a wealthy man. But treating everyone to a few meals is no problem at all, and I'm happy to do it. My father taught me since I was a child that in this life, if you have enough food and clothes, you will become a pauper if you get involved in bad habits such as whoring, gambling, and drugs."
Zhou Can said with a smile.
"Oh, your tutoring is pretty good! If I have the chance, I really want to meet your parents. I want to see what kind of parents can educate such an excellent child."
As Dr. Xu spoke, he took off his gloves and threw them into the trash can, then walked out to the locker room.
I have to complain that the emergency department is too low-ranking, the operating room is shabby, and there is not even a place to eat.
Like other important departments, their operating rooms are much more luxurious.
Sterile rooms and film reading rooms can both become temporary places for medical staff performing surgery to eat.
For the emergency department, once we get a new operating room, we will definitely have a decent operating room when the situation improves.
Several people gathered together to eat fast food.
"Doctor Zhou, can you tell me about surgical debridement of gangrene patients? Why can't the debridement be thorough?"
This question must have been bothering Luo Shishen for a long time.
He had wanted to ask this for a long time.
He was afraid of being criticized by Zhou Can, so he waited until the operation was over before asking questions.
"Complete debridement means cutting off both necrotic tissue and tissue that still has a certain degree of repair ability to achieve the purpose of deep debridement. It seems to be done cleanly and thoroughly, but have you ever thought about it? Doing so will definitely increase the wound surface and increase the difficulty of self-repair of the wound surface. It will definitely have a significant impact on the healing of the wound surface."
Zhou Can explained.
As the saying goes, more haste, less speed.
The debridement plan is different for different gangrene lesions.
The gangrenous wound of the patient just now was not only very wide, but also very deep. If we were to complete the debridement in one go, how big would the wound be?
You know, after such a long period of rest, even if the patient's wound is infected and festered and cannot heal, a certain healing layer has actually formed on the wound surface.
Removing it is equivalent to peeling off a newly formed scar, which will cause great harm to the patient's body.
So don’t just look at the surface.
"Understood!"
Mr. Luo nodded.
He was affected by the cutting of the sutures earlier, and was apparently still a little nauseous and unable to eat.
No one can help him with this, he can only adapt to it slowly by himself.
Ma Xiaolan was not much better. She only ate a few bites and then stopped.
Zhou Can was busy until so late, and thought of sending Su Qianqian a message on his mobile phone to avoid her worrying.
Tuya Hospital is very humane in its management of mobile phone use.
Medical staff are allowed to bring their cell phones to work, including in the operating room. However, they must be muted during work hours. If caught using their cell phones during work hours, they will be fined 50 yuan and their department will be deducted 2 points.
If caught three times in total, the entire institute will be notified of the criticism.
In fact, if the department director is caught twice by administrative staff, he will be furious.
Because the total score of a department is only 12 points.
That’s only enough for five deductions in total.
If all the money is deducted, the department director may even be fired. The lightest punishment is that the department bonus will be confiscated, and the whole hospital will criticize the department by name, and they will have to reflect deeply.
Generally, doctors and nurses play with their mobile phones while working.
Because nowadays many family members will secretly film the work of medical staff. Especially when rescuing patients, it is easiest to be secretly filmed.
Some family members are particularly scheming.
On the surface, they are chatting politely with you, but in fact, they are recording. When the defendant is brought to court, those recordings are used as evidence.
In this era of tense doctor-patient relations, it is not uncommon for medical staff to be sued in court .
Some doctors or nurses perform their duties normally, but the patient dies during treatment. Then the family members make a big fuss, and the hospital may agree to compensate the family members in order to keep the peace.
Even if the compensation was only 50,000 or 60,000 yuan for funeral expenses, it would be a heavy burden for the doctor to bear.
Don't think that the hospital will pay this money. After the medical department or the hospital's administrative department has reached an agreement with the family, it will be directly conveyed to the doctor involved.
The doctor must feel wronged!
There was clearly nothing wrong with it, yet I still had to pay such a large sum of money.
But hospitals don’t care about these things. Many times, hospitals only deal with problems from the perspective of their own interests.
And they don't care about the doctor's life or death.
The leader of the medical department may even retort to the aggrieved doctor, why don’t the patient’s family sue others instead of suing you?
When faced with such disheartening things, many doctors will choose to resign.
I really can't do it.
There are also hospitals that will deduct the doctors’ or nurses’ money if patients complain.
Regardless of whether the patient or the family is right or wrong, they will always side with the patient's family. And this phenomenon is not an isolated one, many hospitals do this.
It is understandable that after experiencing a few disappointments, the medical staff eventually became businesslike and indifferent.
While eating, Zhou Can took out his cell phone to send a message.
Then I saw several unread private messages.
At about 5:30 sent a message, "Honey, are you coming home for dinner tonight? I'll make you my favorite sweet and sour pork ribs!" followed by a row of finger-hook symbols.
"You haven't replied to my message for so long, I guess you must be working overtime! I'll be waiting for you at home! Drive safely on the road!"
The warmth of home filled Zhou Can's heart.
Many migrant workers who are thousands or even tens of thousands of miles away want to go home for the New Year because there are people at home who they care about and miss.
Having a beloved girlfriend waiting for Zhou Can to come home is a happiness he cannot resist.
So, no matter how late he gets off work every day, he has to go home under the stars.
"I just got off work and had dinner with my colleagues and was about to go home."
Zhou Can also took a picture and sent it over.
"You got off work so late today! Be careful on the road! Drive slowly!"
Su Qianqian replied immediately.
I guess she was holding her phone and waiting for his reply.
She must be very worried since he didn't come home so late and didn't reply to my messages.
Zhou Can blew a kiss in return.
A virtuous wife brings less trouble to the husband.
He continued to check other private messages.
His mother sent him two voice messages, but he didn't dare click on them because his colleagues were present.
Recently, my mother has started urging me to get married.
She already knew that her son had made great progress in Tuya Hospital in the provincial capital, and she was very proud of him.
But seeing young men of Zhou Can's age getting married and having children, his mother couldn't help herself and urged him to get married soon.
Zhou Can's parents are very satisfied with their daughter-in-law Su Qianqian.
They are very supportive of their son marrying a female celebrity.
Turn off the sound and convert speech to text.
"Son, have you eaten yet?"
"You and Qianqian have been in a relationship for such a long time. Should we meet with her parents to discuss marriage?"
As expected, my mother is urging me to get married again.
"I've been busy with work lately! Extremely busy. It's the rising period of my career, so let's put the marriage on hold!"
Zhou Can could only use being busy at work as an excuse to put off the matter.
He did not dare to tell his parents that his girlfriend suffered from kidney failure, fearing that they would oppose the marriage and not wanting to worry them.
I just hope that I can find those two main medicines as soon as possible, cure Su Qianqian, and then I can get married and have children normally.
Eight out of ten things in the world are not satisfactory. People who are truly self-reliant never bow to fate.
Even if they are dealt a bad hand, they can still achieve a winning outcome.
Those who give up at the first sign of setbacks have already lost before they even start. Even if they get the best cards, they will play them badly.
The true portrayal of many successful people is that behind the life you envy is suffering that you cannot endure.
Everyone's success and happiness are never accidental.
After Zhou Can replied to his mother’s message, he clicked on the private message from Director Le of the Department of Cardiothoracic Surgery.
"Doctor Zhou, please persuade Director Xue! She is going to challenge a level 4 cardiac surgery operation, which is extremely risky. I'm afraid something might go wrong."
Director Le rarely chats with Zhou Can privately.
At most, both sides would greet each other during festivals.
"I just had surgery. Is it too late to persuade her now?"
The message was sent to him at around 2pm, but Zhou Can was working hard in the operating room at that time and it was impossible for him to check his phone. It was already past 9pm, and I was afraid that the matter had already been settled, and the operation was probably already completed.
"The operation failed. It has been reported to the medical department and is being processed!"
The following is a tearful expression.
Director Le is usually a very cheerful person. However, his cardiothoracic surgery department has been on a downward trend recently, so he must be very depressed.
This time Director Xueyan forced herself to challenge a level 4 high-difficulty major surgery, but failed. We don’t know how this will end.
Some family members will just accept it with a pinch of their nose.
Because before the operation, the family members signed.
For major surgeries like this, first-level family members are usually required to sign, and the doctor will inform the family members of the risks.
Even if something goes wrong and the patient dies on the operating table, from a legal perspective, as long as the doctor operates according to regulations, it is not a violation.
I’m afraid of encountering family members who cause trouble.
Once a dead body is carried to the outpatient clinic, or wreaths are placed, paper money is burned, banners are hung, and any kind of commotion is created, the hospital will appear to be in a particularly passive position.
It is definitely not what many people think, that as long as you cause trouble in the hospital, it is considered disrupting medical order and you will be arrested by the police.
When a patient dies during treatment, the police can do nothing about it.
The most we can do is let the two parties negotiate, or let the family members take legal action to prosecute.
The family members are not stupid. Not only is litigation time-consuming and expensive, but they may not win. Larger hospitals often have cooperative legal teams and are not afraid of litigation at all.
Therefore, smarter family members will just make a scene in the hospital and demand an explanation.
As long as they do not hinder other patients from getting medical treatment, such as blocking the door and preventing them from entering, they will generally not be arrested.
This is also the method with the lowest cost to protect your rights.
And this move hit the hospital's weak spot.
Hospitals are afraid of medical disputes.
Good news doesn’t travel far, but bad news travels far and wide.
How will other patients view the hospital after this incident? It will have a huge negative impact on the hospital.
Hospital leaders will try every possible means to calm things down and calm the situation.
"Did anyone die?"
Zhou Can sent a message back.
"Well! I couldn't get off the operating table!"
Followed by expressions of tears and silence.
After receiving Director Le’s reply, Zhou Can’s heart sank.
The patient has died, there is no room for reversal. It all depends on the attitude of the family members.
Tuya's medical department, medical disputes office, and publicity department are not just for show.
This matter will definitely be dealt with actively.
But no matter what the result is, it will be disadvantageous to Director Xueyan.
She had just taken office and had insisted on performing a major operation that was beyond her capabilities. This behavior would give the hospital leaders a bad impression of her.
If the department director is unqualified, there is a high probability .
Hospital leaders will not tolerate an unqualified doctor leading a clinical department, especially a veteran department like cardiothoracic surgery.
The cardiothoracic surgery team was silent, and no one discussed the matter.
This is just a precursor to the coming storm.
It is estimated that it will not be long before a storm of public opinion will be set off. By then, Director Xueyan will be in danger.
"Sister Yan, you're really unreliable. You asked me to help with such a big operation!" Zhou Can despised her recklessness in his heart.
If Zhou Can was asked to help, he would first try to stop her from doing the operation, knowing that the operation was risky and difficult. If he couldn't persuade her, he would also ask Dr. Xu to take charge.
Dr. Xu is in "shackles" and cannot participate in level 4 surgery, but it is completely fine for him to give instructions from the side.
After dinner, Zhou Can did not go home immediately, but decided to go to the inpatient ward to see the patient who was undergoing gangrene surgery.
Director Xueyan's accident during the operation gave him a strong sense of crisis.
Nothing can happen to him again.
Otherwise, if something happened to Director Hu Kan's two apprentices, even if he died, his reputation would be ruined.
