Chapter 427: Seeking Maggots, Thousands of Maggots Devouring Together
I used to think that it was totally unnecessary for Dr. Xu to use up most of his salary to subsidize the victims’ families.
Only now do I understand that there is such a deep hidden story behind this.
The victims of Dr. Xu's medical accident have terrifying power, and Dr. Xu is just an ordinary doctor. If he does not show his utmost sincerity, if the other party is extremely angry, Dr. Xu may be in trouble just by talking.
Doctors have to deal with not only the disease in front of them, but also various open and hidden swords and whips behind them.
The hospital's administrative department staff, leaders at all levels, higher-level authorities, local dignitaries, almost anyone with a little power can control the doctor.
Zhou Can can understand the hardships and difficulties faced by teachers.
"Teacher, some companies invite you to give lectures, will you agree?"
Zhou Can has more money than he can spend.
Dr. Xu has to give most of his salary to the victims' families every month. He is so old but doesn't even have a car and his clothes are ordinary. I guess his financial situation is not very good.
Zhou Can’s idea was to help Dr. Xu earn income other than his salary by inviting him to give lectures.
Giving money directly is simply an insult.
Dr. Xu will definitely not accept it.
"I'm fine as long as I am in my current state. I appreciate your kindness. By the way, how are you going to treat the patient with the burn on his thigh, the infection and rot in the wound?"
Dr. Xu was very smart and immediately understood Zhou Can's good intentions.
After he declined, he changed the subject.
Obviously he didn't want to talk about this anymore.
"The patient cannot receive anesthesia and cannot undergo debridement surgery. I plan to put him in a ward for a day and use sterile maggots from the laboratory to help him clean the rotten flesh. If nothing goes wrong, the effect will be seen in three to four days."
Zhou Can was somewhat looking forward to this treatment method, which had never been used before.
In his medical career, he will encounter all kinds of difficult patients, which requires him to be innovative and try as many treatment methods as possible to best suit the patients and gradually accumulate more practical experience.
Only in this way can we become stronger and stronger.
"Our hospital laboratory may not have Lucilia sericata maggots. But we can definitely get them from the medical school. We can ask Director Tan from the Internal Medicine Department for help. We can also ask Director Zhang Bihua from the Obstetrics and Gynecology Department for help. We need them urgently here, so we can apply for them on our own. It would be great if we can get a batch within three days."
Dr. Xu gave him some advice.
Ordinary doctors don’t really have such a wide network of contacts.
But Zhou Can is very familiar with Director Tan of the Internal Medicine Department and Director Zhang of the Obstetrics and Gynecology Department.
If you ask them for help with such a small matter, they will definitely agree.
After some thought, Zhou Can decided to ask Director Tan for help.
After finishing his conversation with Dr. Xu, he took the opportunity to check the messages and missed calls on his mobile phone during the meal.
The female reporter Mu Ming has already replied to his message.
"Connected, remember to treat me to a meal!" (naughty smile)
She is very efficient in her work.
I didn't expect to connect .
Now let’s look forward to a good result!
Journalists are by no means omnipotent.
The girl’s boss must be no good. Asking him to pay the huge medical expenses would probably be harder than climbing to the sky.
As for helping the girl get back the death compensation for her father's death in a mining accident, it is even more difficult.
Her uncle obviously embezzled the money, so how could he easily give it back?
On the contrary, the patients' families are easier to deal with.
If it really doesn't work, let the family file a lawsuit. But there is a prerequisite, there must be a relevant agency to protect the girl's personal safety.
It can be seen that she is full of fear for the patient's family.
Those fierce family members may vent their anger on her in anger, illegally detaining her, causing personal injury, etc.
Zhou Can will definitely continue to pay attention to this matter and try to get a better result.
After lunch, he went straight to the office of Director Tan of the Internal Medicine Department. He had already made up his mind that if Director Tan was not there, he would go to the Obstetrics and Gynecology Department to find Director Zhang.
You will definitely see Yang Chan if you go to the obstetrics and gynecology department.
Because she was Director Zhang's favorite disciple, Director Zhang always took her with him whether he was seeing patients, performing surgery, or checking the ward.
As she grows older, Yang Chan becomes more mature and generous, and her attitude towards Zhou Can seems to be changing quietly as well.
Every time he went to the obstetrics and gynecology department, Zhou Can could feel a hint of heat in her eyes.
As someone who has been through this, he knew very well what the look in Yang Chan's eyes meant.
It's not that he is narcissistic, but based on his intuition, he is almost certain that Yang Chan should have some interest in him, and the current situation is most likely a secret love.
Of course, this is just Zhou Can's unilateral speculation.
He is a family man, and although he and Yang Chan are classmates, he has received a lot of help from her. But he can't betray his love no matter what.
A man's lower body is instinct, and his upper body is cultivation.
Many doctors who have achieved some success are on their second or even third marriage.
However, Zhou Can is unwilling to follow the path of trying new things in marriage.
The medical representative, the young nurse, the female doctor, and the young and beautiful female patient were all very tempting, but once he took that step, he would hurt the two girls.
So he has always been very rational.
Recently, I rarely go to the obstetrics and gynecology department unless there is anything else.
When he arrived at the office of Director Tan of the Department of Internal Medicine, he was lucky enough that Director Tan had just returned from an academic conference.
At this moment, I am in the office checking some difficult case materials of the department.
"Xiao Zhou, what a rare visitor!"
Director Tan was very enthusiastic when he saw Zhou Can coming.
"Director Tan, I have something to trouble you to come here today."
Zhou Can discovered that the student accompanying Director Tan was no longer Gao Jian, but two new faces.
Director Tan has made great achievements in academics. From his promise that he would take care of Zhou Can's postgraduate education as long as he came to the Department of Internal Medicine, it can be seen that his status in the college must be quite high.
This time, Dr. Xu asked Zhou Can to ask Director Tan or Director Zhang of the Obstetrics and Gynecology Department to help get sterile maggots, which also shows that these two people have a very high status in the college.
Director Tan is at least a master's supervisor, possibly even a doctoral supervisor.
New people around us are also trained in batches.
The two new doctors just looked at Zhou Can with curiosity.
"Every time you come here, you need my help. Tell me, what is it?" Director Tan made him feel embarrassed.
"Hey, it's not that too much debt is not a burden!" Zhou Can smiled and went to add water to Director Tan's cup. "I admitted a patient today. He had a leg burn and was severely allergic to the anesthetic. The wound is currently seriously infected and rotten. He used multiple antibiotics in other hospitals, but the infection could not be controlled."
"This kind of patient is difficult to treat. Without anesthesia, it is impossible to perform deep surgical debridement. Unless the patient has a will of steel. But if the patient really has that will, he would not come to our hospital for treatment."
Director Tan has rich experience in diagnosis and treatment. Upon hearing the patient's condition, he shook his head repeatedly.
"We in the Internal Medicine Department can provide nutritional support or use drugs to regulate the patient's body system. You asked me to treat this kind of severely infected and rotten burn, but I don't have any good solutions. There are many types of antibiotics. If you want to switch to other advanced antibiotics, I can give you some suggestions. But I can tell you clearly that if multiple antibiotics have failed to control the infection, the situation will not be ideal if you use other advanced antibiotics. Don't expect too big a medical miracle."
Internal medicine mainly treats various chronic diseases and can also treat emergencies.
Especially in some critical cases, internal medicine can successfully rescue some dying patients by using a variety of methods such as drugs, nutrition, ventilators, and interventions.
But when it comes to creating medical miracles, it has to be surgery.
If I have to describe it, internal medicine is as steady as an old dog.
There won't be any big surprises, nor will there be any big ups and downs like in a surgical procedure.
One cut can lead to life, another cut can lead to death. This kind of thing rarely happens in internal medicine.
The treatment concept of internal medicine is very similar to the traditional Chinese medicine concept of restoring order from chaos , which is to help patients control their condition, stabilize their vital signs, and then rely on their immunity to defeat the disease.
"I don't plan to use new antibiotics, especially advanced antibiotics, which are expensive. The patient was scalded by a waitress who accidentally knocked over the hot pot pot while eating hot pot at a hot pot restaurant. Now several family members are holding the waitress hostage and forcing her to sell herself to pay the money. If I can save some medical expenses, I will try my best to save him some."
Zhou Can explained the reason behind it.
Many advanced antibiotics are not available in general wards.
On the one hand, it is because ordinary patients do not need those advanced antibiotics, and on the other hand, some drugs are very expensive. Basically, they are all imported.
I have to complain about domestic medicines and consumables here, which are really backward.
Antibiotics were first invented in the West, so it is understandable that they were ahead.
Medical equipment and consumables are far behind others, and there are many things to criticize. Many domestic pharmaceutical and equipment companies like to bribe and market.
It's understandable, after all, we all have to survive.
The quality of the products produced is far inferior to that of imported ones, and the effect is not good. No one will use your products unless you use backdoors and make arrangements properly.
But if everything can be decided through the back door, which company would be willing to invest large sums of money in research and development to improve quality?
The cost of starting up ECMO is more than 70,000 yuan. Why is it so expensive?
Because the set of pipes needed for startup can only be imported. They are disposable consumables.
After startup, the daily operating cost is about 10,000 to 20,000 yuan.
For patients who do not have medical insurance and whose family is not well off, they really cannot afford it.
A small vial of advanced antibiotics costs more than a thousand yuan. For patients with more serious conditions, six vials are used at a time, which costs more than six thousand yuan.
Sometimes, having no money really means you can't afford to live.
"Do you know what I admire most about you? I like that you have been working for so many years and still have a kind heart. This is not easy. Most doctors will become cold and heartless after a few disappointments. You can always maintain this kind heart of a doctor, which is really not easy."
After hearing the details, Director Tan was very impressed with Zhou Can's medical ethics.
"Hey, it's really nothing. To borrow a famous quote from the internet, I'm not doing well myself, but I just can't bear to see the suffering in the world. As a human being, if you have a conscience, you can't do anything against your conscience."
Zhou Can didn't care about it at all, he just thought it should be like this.
If a person has lost his conscience, can he still be considered a human being?
Not much different from a wild beast.
"I came to you for help this time, not to ask you to come over for a consultation. Instead, I want you to help me get some sterile maggots of Lucilia sericata from the college laboratory. About a thousand should be enough."
Using live maggots to treat corrosive wounds was commonly used on Western battlefields in the early years before antibiotics were invented.
It works pretty well.
The discovery of this treatment method was also accidental.
When Western countries were at war, soldiers were injured and there was a lack of medical care and medicine, so their wounds became infected, festered, and began to rot.
Because the battle lines were tight and logistics were weak, many soldiers could not get timely medical treatment and care, so the stench of their rotting wounds attracted a large number of flies. Those flies sucked the rotten flesh and pus on the wounds and laid a large number of eggs.
Because of the hot weather, a large number of maggots soon hatched in the wound.
After a period of time, the military doctors on the battlefield discovered a miraculous phenomenon. Soldiers who received good care and whose wounds did not have maggots recovered slowly. On the contrary, the wounds of soldiers whose wounds had maggots healed quickly.
After observation, the military doctor found that the maggots would discharge some fluid after eating the rotten flesh on the wound.
These liquids seem to have a bactericidal and disinfecting effect and can also promote rapid healing of wounds.
As a result, the use of maggots to treat rotten wounds gradually became used in medical treatment.
When Director Tan heard Zhou Can coming to beg for maggots, he was stunned for a moment, then his eyes lit up.
"You are a genius! You have thought of this method. For special cases like this, using sterile maggots from the laboratory to treat them may really produce miracles. Okay, this is not difficult. I will make a phone call and ask them to send a thousand maggots of Lucilia sericata over."
Director Tan readily agreed to this matter.
The two medical students also heard about this miraculous treatment method for the first time, and they were very curious. They were also impressed by Zhou Can.
"Thank you! I won't bother you any more!"
Zhou Can has been doing regular training in internal medicine for more than a year and is actually quite familiar with Director Tan.
The relationship is not particularly close, but at least it's okay.
"This kid just wipes his mouth after eating and runs away! What a pity! It would be great if he could come to our internal medicine department for development."
Director Tan looked at Zhou Can's back, smiled helplessly and shook his head.
"Teacher, this Doctor Zhou seems to be very capable! Which department is he from?" A student next to him couldn't help but inquire about Zhou Can's background.
"He is a doctor in the emergency department. He is also the most talented medical student I have ever met. Most importantly, his character is very reliable. If you have the opportunity in the future, you can learn more from him."
Director Tan has a very high opinion of Zhou Can.
The two medical students nodded and said nothing more.
This was the first time they had seen a young doctor who was praised so highly by Director Tan. If they knew Zhou Can's legendary experience, they would probably also sincerely admire this senior brother.
Not long after Zhou Can returned to the emergency room, someone brought him a thousand maggots.
At this point, he had already done the ideological work for the patient and his family.
In order to achieve satisfactory treatment results and reduce the interference of family members in the treatment process, Zhou Can proposed that only one family member could accompany the patient.
Eventually the patient's wife stayed behind to take care of him.
She looked horrified as Zhou Can poured live maggots onto her husband's wounds. The patient also had to endure psychological and physical discomfort.
After all, these live maggots crawling around on the wound and constantly gnawing at the wound are enough to make people shudder.
It is difficult for ordinary people to accept the feeling of being bitten by maggots, and they have a natural fear of maggots.
Just imagine, what does it feel like when a caterpillar crawls on your skin?
Cold, nauseous, itchy.
There are up to a thousand maggots crawling all over the body, constantly gnawing at it. Only those who have experienced it can understand the fear.
In order to prevent patients or their families from interfering with treatment, Zhou Can also specifically told the doctors and nurses in charge of the ward to keep a closer eye on the patient. He certainly won't be here all the time.
There are still a lot of patients in the operating room waiting for him to have surgery.
