Chapter 425: What is scarier than the disease is the human heart. It can be cured, but we are not responsible for death.
"Doctor Zhou, you cured the patient with severe gangrene last time. Do you think this patient can be saved?"
Dr. Luo, who was on duty, saw Zhou Can coming to work and quickly called him over to help.
Nowadays, Zhou Can's status in the emergency department is getting higher and higher, and his strength has been recognized by the doctors and nurses in the department.
In terms of seniority, Dr. Luo is much more senior than him.
When he first entered the emergency department, Dr. Luo was already able to work alone in the emergency department. Although the requirements for doctors working in the emergency department are much lower, the department will definitely select outstanding doctors to work in the emergency department.
In some stronger specialist departments, doctors who work in outpatient clinics basically start as deputy directors.
At the attending physician level, only some extremely outstanding people may be qualified to see patients in outpatient clinics.
Now, more than three years have passed, and Dr. Luo has been successfully promoted from a senior resident to an attending physician. It is said that he is working hard on writing a paper to prepare for the evaluation of associate senior professional title in the near future.
For a large hospital like Tuya, it seems that there are only two things that matter most nowadays: either strong surgical skills or well-written papers.
The more SCI papers you publish, the more solid your position will be within your department, within your hospital, and even within the entire medical community.
Then those who publish more SCI papers envy those whose papers have high ratings.
The higher the score, the greater the influence, and the more authoritative it will be in a certain field.
Zhou Can has collaborated with Dr. Shi from the Department of Critical Care Medicine to write many papers, and has successfully published three SCI papers in total. Although the impact factors are a bit low and the scores are unsatisfactory, it is still a good thing.
He is already quite familiar with the entire SCI paper topic selection, experiments, writing, and publication process.
At present, he has prepared a fairly good topic, and has collected almost all the materials. Then the experimental data is being prepared. It is estimated that by next year at the latest, he should be able to write a paper on his own.
Whether it can be selected into SCI is still unknown.
Anyway, he still has plenty of time, so there is no need to rush.
What we need to do now is to accumulate as much experience as possible, master more paper writing skills, and find ways to improve the quality of the paper.
It is meaningless to publish a large number of SCI papers if the score of each paper is very low.
Relatively speaking, quality is more important than quantity.
After receiving Dr. Luo's greeting, Zhou Can went forward and carefully examined the patient's condition.
The main burns occurred on the anterior and lateral aspect of the left thigh.
The right thigh was also burned, but the condition was ideal and no serious decay had occurred.
"You were burned by the hot liquid, right?"
After examining it, Zhou Can asked the patient.
"When I was eating hot pot, the waiter knocked it over and it all fell on my legs."
Hot pot contains salad oil and various seasonings, which poses a higher risk of injury than ordinary boiled water.
"Didn't you take it to the hospital in time? How could it be left to rot like this?"
While Zhou Can was talking to the patient, he was also quietly observing the patient's condition. At present, the patient is conscious, a little weak when speaking, and in relatively good condition.
"I was treated in the hospital, but the situation was not ideal. Also, I was severely allergic to anesthetics. I was going to have a thorough debridement surgery under general anesthesia, but when I did a skin test, I was found to be severely allergic to anesthetics. Even a small amount of anesthetics would cause convulsions all over the body, rapid heartbeat, and difficulty breathing."
The patient was at least honest in explaining these defects.
Next to him stood a tearful young girl, who looked to be in her early twenties, with a face full of sadness and eyes swollen from crying. She was wearing simple clothes, which looked like street stall goods, and the skin on her hands was not only rough, but also had some small cracks.
This is a miserable girl.
He must have done a lot of rough work on weekdays.
She looked particularly haggard, and judging by the state of her eye sockets, she must have cried often.
Opposite her stood four or five family members, all of whom glared at the girl with a look of deep bitterness and hatred.
"Doctor, please save him. Even if I have to sell myself, I will raise enough medical expenses for you." The young girl seemed to see that Zhou Can had a relatively high status.
Then I heard from Dr. Luo that Zhou Can was more adept at treating this difficult disease.
She immediately asked Zhou Can for help.
"Are you the waiter who knocked over the hot pot?"
Zhou Can has already guessed her identity.
"Um!"
She bit her lip and nodded vigorously, but tears flowed again.
A very insignificant little thing can ruin a person's life, and this is not an exaggeration. For example, when she was a waitress, she might have accidentally knocked over the hot pot, but she had to pay a very heavy price afterwards.
"If my husband's leg can't be cured, even if I sell you it won't be enough."
"If she can't be saved, she will pay with her life!"
Several family members were quite aggressive.
If it were another doctor, faced with four or five aggressive family members, he would definitely lower his head and focus on saving his life.
In addition, the attitude of the family members also determines whether the doctor is willing to admit the patient.
These family members are not easy to deal with. They complain, pester, and even sue. What if the patient dies after being cured, or the patient's leg cannot be saved, and the doctor is held responsible?
Therefore, when encountering this type of family members, they can only blame the patient for being unlucky. Doctors will usually say tactfully that their expertise is limited and that you should go to a better hospital for treatment and not delay the disease.
Especially large public hospitals like Tuya, there is no shortage of patients.
To be realistic, in many cases, doctors have the power to select their patients.
After all, this is related to one's income and future.
We will resolutely not admit patients who may cause losses to the department or hospital or pose serious risks to their own future.
Even if it will not affect the patient's future, there is a risk of being beaten by family members and doctors will still find ways to refuse admission.
Sometimes, many family members who are not careful with their words, or family members and patients who like to ask questions, will find that their illness is obviously just a minor illness, but after asking several large and small hospitals, they all say that it cannot be cured.
There is no doubt that such patients will be rejected by any public hospital.
There is only one type of hospital that will welcome them, and that is Kamata-based hospitals.
We guarantee that patients will feel at home and receive the most enthusiastic and considerate service.
"She is just a waitress at a hot pot restaurant. Now that she has gotten into trouble, you are not causing trouble for the hot pot restaurant, but are threatening this little girl. Aren't you going in the wrong direction? Do you think she looks like someone who can afford the huge medical expenses?"
Zhou Can usually doesn't meddle in other people's business.
But this little girl is obviously naive. Although she was wrong to cause trouble, it is obviously unfair to let her pay for it alone.
If an employee makes a mistake, the company must bear most of the responsibility.
"These uncles and aunts have discussed the matter with my boss several times, but to no avail. The owner of the hot pot restaurant where I work is very powerful, so he asked them to go to court," the girl explained weakly.
"No wonder, you pick on the weak! But the girl is just a waitress, new to the society, where does she get the money to compensate you?"
Zhou Can stood up for the girl.
Kindness is engraved in everyone's bones.
When encountering such a weak person being bullied, I believe that most people are willing to lend a helping hand within their ability.
"Why do you, a doctor, mind your own business?"
"She has already said that she is willing to sell herself as compensation."
"She caused the trouble anyway, so we'll go after her. Her boss doesn't want to pay compensation, that's her problem, let her go and discuss it with the hot pot restaurant owner."
Several family members were talking at the same time, and each one was cursing more fiercely than the other.
It was because Zhou Can was tall and a man that no one dared to take action.
Of course, they still need Zhou Can's help and want the patients to be treated here. This is also an important reason why they didn't throw a tantrum at Zhou Can.
"I went to our boss, he asked me to...stay with him for five years! I would rather learn from the Internet and sell myself than be someone's mistress."
The little girl lowered her head and said stubbornly.
"You are right. We should not compromise when facing evil. The lotus grows out of mud but remains unstained, so it is admired by poets. That is why people in later generations regard it as an elegant and holy thing, and put it on par with the four noble flowers of plum, orchid, bamboo and chrysanthemum."
Zhou Can admired the girl's refusal to bow to fate and to go along with the crowd.
Although she has limited abilities, her moral character is very good and she is admirable.
Her experience also shows how sinister this society is. When you are weak, you face plunder and oppression from all sides.
The family members went to the hot pot restaurant owner to ask for an explanation, but found that the hot pot restaurant owner had great power and could easily deal with them, so they were afraid. They dared not go to the hot pot restaurant owner again, and eventually squeezed the girl to death.
The hotpot restaurant owner was even more evil. It was clearly his responsibility, but he shamelessly took the opportunity to ask this young girl, who was not well-versed in the world, to accompany him for five years.
Everyone wants to eat a piece of her meat.
"Doctor, are you treating a patient or something else? Don't talk about those nonsense, just tell me if my brother can be cured?" A burly female family member became impatient and asked Zhou Can directly.
Just now she was the one scolding Zhou Can for meddling in other people's business.
If he took off his white coat, Zhou Can wouldn't mind swearing at this guy.
It’s not possible now, I have to admit defeat.
Otherwise, he would be complained about, which would be bad for him and the department. If he took a video and posted it online, those keyboard warriors would criticize him like a sieve.
Today, anti-doctor and anti-rich sentiments are extremely serious.
Whenever something happens to a doctor or nurse and the family posts it online, no matter whether the doctor or nurse is right or wrong, the first thing they will do is scold him or her.
The medical environment in China is really hard to describe.
Doctors are a profession that relies on skills to make a living, but in order to earn some hard work fees, they have to add money to the materials and medicines. Look at the United States, doctors are definitely a high-income group.
If the domestic medical ecological environment can allow doctors and nurses, who originally make money by using their skills, to hold their heads high and charge for their skills, then it will be possible to truly change the current situation.
Otherwise, the conflict between doctors and patients may always be in a very acute state.
A patient went to see a doctor and found that the doctor prescribed him an expensive medicine that cost 200 yuan per box, even though there was a generic drug that cost 2 yuan per box. Imagine how he would not curse the doctor after he knew this.
Nowadays, doctors are really in the dark all their lives.
Once you get into this business, you can’t wash away the guilt.
In addition, major domestic hospitals only focus on SCI papers, which is also a bad trend.
If doctors want to be promoted, they will basically start to prepare for writing papers from the late stage of their regular training. They will definitely rack their brains, try every possible way, and use all the resources they can to write a good paper.
When treating patients, all operations are standardized and follow the procedures .
Write the paper first, as it concerns your future and status.
“Who are the patient’s first-degree relatives?”
Zhou Can did not answer the shrew's words, but asked the family group.
"Doctor, what is a first-degree relative?"
"A person's parents, children, and siblings, as well as the patient's legal spouse, are all first-degree relatives."
With so many family members, Zhou Can directly prepared to find a representative to talk to.
"I am his sister."
"I'm his brother-in-law."
"I'm his mother."
"I am his wife."
"I'm his big brother."
Wow, four out of the five people are first-degree relatives.
Zhou Can suddenly felt a headache.
"I have to rush to the operating room to work soon. Please select a representative and I will talk to him. I have already examined the patient's condition. I will tell the representative whether it can be cured."
Zhou Can was not very willing to accept this patient.
First of all, the patient's thigh was severely rotten, which was really difficult to treat. Because the rotten part was very wide, reaching the base of the thigh, it was difficult to amputate.
Another point is that the patient is severely allergic to anesthetics, which is also a big problem.
In the end, these family members were obviously not good people, and each of them was extremely fierce. Zhou Can was afraid that he would end up in trouble, with complaints and lawsuits.
He is not really afraid of being beaten.
As long as the family members dared to take action first, he would kick them away.
"I'm his wife, let me be the representative!"
After discussion, the five people finally chose the patient's wife as the representative.
If a couple has a good relationship, the relationship between them should be the closest.
The time a couple spends together in their lifetime is longer than the time they spend with their parents.
And they are usually husband and wife living together.
Brothers and sisters can only be considered as relatives. In fact, they cannot be considered as real relatives.
Parents are relatives, but the intimacy between a husband or wife actually exceeds that between parents.
It's just that there are too many bad men and women these days, which seriously undermines everyone's beautiful yearning for love. Various extramarital affairs, various calculations, and abandonment have caused the world's trust in love to decline again and again.
The wife with whom he had lived for eleven years was diagnosed with leukemia, and the husband was only willing to accept conservative treatment.
Less than half a year after his wife's death, he married a new wife.
A disabled soldier returned from . His wife took the compensation money given by the state and ran away, leaving her husband to live alone without enough food.
As for those cases where there was no emotional connection but the couple was cheated out of hundreds of thousands of yuan in betrothal gifts, or girls were defrauded of money and sex and owed hundreds of thousands of yuan in online loans, those are not a big deal.
"You should come to the office too!"
Zhou Can said to the girl.
In the office, the patient's wife took the chair next to him. This action made Zhou Can frown slightly.
"I'll make it clear. Your husband's illness is very serious, even life-threatening. Moreover, the burn wound is so rotten, and he can't tolerate anesthetics, which makes surgical debridement extremely difficult. If you want to be treated in our hospital, you must sign a waiver agreement first. Our hospital can do its best to treat him, and if the results are not satisfactory, the family members cannot cause trouble to the hospital."
Zhou Can went straight to the point without beating around the bush.
"So what are the chances that your hospital can cure my husband?" asked the patient's wife.
"It's hard to say. We can only do our best. You can think about it again. If you want treatment, hurry up before it develops into systemic sepsis. His disease will progress very quickly, so you must not delay. If you think other hospitals will provide better treatment, you can go there."
Zhou Can hates it most when family members ask him how confident he is.
No doctor dares to say that he can definitely cure a disease.
Just do your best.
"Well, I'll discuss it with my relatives."
The patient's wife was out.
The girl who got into trouble was about to leave, but Zhou Can stopped her.
"Wait a moment."
The girl looked at Zhou Can in confusion and stayed.
The patient's wife turned around and looked at the two of them in confusion.
