Chapter 439: The Consequences of Excessive Cleaning, Good News
"I'm not married yet."
Zhou Can is quite willing to end his long-term relationship and get married with Su Qianqian.
But she was worried that her kidney disease could not be cured, and she refused to get the certificate.
"So, do you have a girlfriend?"
The anesthesiologist got along well with him. Perhaps because Zhou Can was the apprentice of Director Feng of the Department of Anesthesiology, he was at least half an anesthesiologist, so he was particularly friendly to him.
"We've been talking about it for almost four years!"
Zhou Can didn't expect that it had been almost four years before he realized it.
Time flies.
"Your financial situation seems to be pretty good! Why haven't you gotten married yet?" Her eyes flashed as she said this.
Because men who are reluctant to get married after starting a relationship with a girlfriend usually just want to have fun.
"Um... there are some small issues that haven't been resolved yet. I just want to ask, is it good or bad to have a child?"
Zhou Can changed the subject.
"It depends on how you think. Having a child means an increased financial burden, and you need to spend time with the child and educate the child. But a child can bring vitality and hope to the family. Take me for example, sometimes I work very late and get off work very tired. But when I walk in and see my daughter, I feel that it is worth it. Also, when couples quarrel, children can become a bond to ease the conflict... In general, having a child is definitely a good thing. A life without a child is not a complete life."
As a person who has experienced this, she shared some of her experiences with Zhou Can.
"Okay, I still have to go to the ward to help Director He check on the patient with alveolar leakage. I'm leaving now. Bye!"
Zhou Can waved and walked out of the operating room.
The words the anesthesiologist had just said rang in his ears.
He seemed to understand Su Qianqian's position a little. If her kidney disease could not be cured, Zhou Can's parents would probably not agree to the marriage. After the novelty of their married life faded, they might quarrel over the inability to have children.
Their marriage will be full of crises.
"Where can I buy purple-backed octagonal lotus?"
The colorful toad is already there, only the last medicine is missing, but there has been no progress.
Maybe you can use the power of your circle of friends.
Zhou Can’s circle of friends includes many classmates and colleagues in the medical industry.
After making up his mind, he posted a message on his WeChat Moments.
"If anyone has any information about this purple octagonal lotus, please tell me, thank you!"
The picture was found on the Internet.
After the update was published, he didn't care about it anymore.
He came to Director He's office and saw that Director He had set up a simple folding bed in the office to sleep.
This type of folding bed is often used by hospitals to provide temporary beds for patients.
Sometimes doctors would borrow supplies from the supply room to make do overnight if they were busy late. The supply room here refers to the department's small storage warehouse, not the hospital's supply department.
The procedures for requesting items from the Materials Department are cumbersome.
I guess the doctors would rather sleep on the floor than go to the materials department to borrow a bed to sleep in. Just moving it here is enough to make people exhausted.
"Director He!"
After being called, Director He woke up.
Middle-aged and elderly people are generally more alert when they sleep and are easy to wake up.
"Have you finished the surgery? I'm sorry to have to trouble you to help me diagnose the patient so late at night."
Director He slept with his clothes on and a thin blanket covering him.
Although he is a selfish person, he is very responsible to his patients. When he encounters patients with serious complications after surgery, he often tries every possible way to ask for support, and working late into the night is commonplace.
As he gets older, his energy is not as good as before, but he still works hard and always puts the patients' lives first. This is absolutely admirable.
"You're welcome, Director He. Which bed is that patient in?"
"Bed 3 in the ICU."
This intensive care unit refers to the small intensive care unit of this department, not the intensive care unit of the hospital.
The two came to the intensive care unit, changed their clothes and entered the ward. There were special doctors and nurses on duty who were busy inside.
Compared with the intensive care unit of the critical care department, the patients in this unit are relatively less critical. However, we still cannot be careless, otherwise it is easy to cause the death of the patient.
Suctioning sputum, changing dressings, and strictly monitoring the patient's blood pressure, blood oxygen, heart rate, and respiration are the most basic routine work.
In addition, you need to record urine volume, color, body temperature, blood pressure, etc. every fifteen minutes or half an hour.
Then there are various pump medicines, nasogastric feeding, etc.
There are basically two situations for the patients staying here: either they need close monitoring after surgery and need to live in a sterile environment for a period of time, or the patient is in a critical condition and does not meet the conditions for surgery temporarily.
For example, car accidents, falls from heights, accidental stabbings, etc.
After evaluation, the doctor feels that the patient will die on the operating table, or the bleeding situation is not clear yet. These patients can only stay in the intensive care unit for observation and treatment for a period of time to see if an opportunity for surgery can be created.
"It's this patient! He had a problem after the operation the day before yesterday."
Deputy Director He took Zhou Can to bed 3.
The patient's blood oxygen level was still very low, and he was having a hard time breathing. Bubbles continued to escape from the drainage bottle.
This is especially serious when the patient has a cough.
"Today is the second day after surgery, right?"
"right!"
“Is the drainage done right after the surgery?”
“That’s right!”
“Does the patient have emphysema or pulmonary fibrosis?”
"There is emphysema, but it is relatively mild."
Director He replied.
"Come on, let's go talk outside first!"
After reading it, Zhou Can went to the discussion room of the intensive care unit with Deputy Director He.
"Let me take a look at the patient's information first, and it would be best if I could look at the surgical records as well. His situation seems a bit tricky. Under normal circumstances, this type of patient will have two or three days of drainage, and the air leakage will stop on its own. But when I observed the patient coughing just now, the air leakage was quite severe. Based on my clinical experience, it would be difficult for the air leakage to stop on its own even if he stayed in here for a week, let alone three days."
Zhou Can is particularly grateful for the time he spent in the critical care unit.
There are also days when I study with Director Hu Kan.
Gave him rich experience in clinical critical care management.
"I have the same bad feeling. Seeing that the air leakage shows no sign of decreasing, I feel very nervous, afraid that something might happen." Deputy Director He now wants to work peacefully until retirement.
He had already prepared the patient's information, including printing out the surgical records.
Zhou Can carefully examined and studied them one by one.
Occasionally, doctors from the intensive care unit would come in to eat something or discuss the patient's condition.
However, Deputy Director He's status was there, and no one dared to disturb the two of them easily.
Zhou Can is now basically recognized as a "Buddha" in cardiothoracic surgery.
Whenever there is something wrong, the chief physicians of the cardiothoracic surgery department will invite him to help. If they really can't solve the problem, they will consider inviting doctors from other departments to come for consultation.
Time passes by little by little.
Zhou Can's brows were furrowed tightly because the patient's condition was quite complicated.
Director He was standing next to him, ready to answer his questions at any time, and the two discussed the patient's condition together.
"If the underdeveloped pulmonary fissures, mild adhesion between the lung surface and the chest wall, and no damage to the pleura during surgical separation can all be ruled out, then I can only think of one possibility." After repeated discussions and research, Zhou Can finally identified the cause of the alveolar air leakage.
Seeing him seeming to want to say something but hesitated, Deputy Director He became extremely anxious.
"Doctor Zhou, just say whatever you want to say. Don't worry about my feelings."
He also saw from Zhou Can's expression that the patient's postoperative complications were most likely caused by improper operation during the operation.
Zhou Can was worried that he might have an opinion, so he hesitated and refused to speak directly.
"Then I'll tell you, you can't have any objections."
"No problem, absolutely no problem. I can't thank you enough for helping me analyze the condition and find the cause!"
Director He quickly expressed his opinion.
"The patient had lung cancer. He underwent a left lower lobectomy and cleared the intrapulmonary lymph nodes. There shouldn't be any problem with removing the lung lobe. I've seen you perform a lobectomy. There's only one possibility: something went wrong during the clearing of the intrapulmonary lymph nodes."
Zhou Can's ideas are clear and concise.
"Do you suspect that there are lymph nodes that were not removed completely? That shouldn't be the case. My assistant and I checked twice to make sure that there were no missed nodes, and we intentionally expanded the cleaning area during the cleaning."
Deputy Director He rejected this possibility.
"I don't suspect that you didn't clean it thoroughly, but that you cleaned it too thoroughly and injured the lung parenchyma during the operation, which led to the air leakage."
The reason why Zhou Can hesitated and refused to say was because this was a bit of doubt about the other party's surgical ability.
Don't hit people in the face.
Deputy Director He is a senior in the department. He is also a chief physician and deputy director of the department. He is highly respected. He has been working in the field of thoracic surgery for decades. Lung cancer removal surgery is his specialty. He may find it difficult to accept the question of whether he did a good job in this field.
"That... shouldn't be the case! But I did deepen the wound during the lymph node removal process. I was worried that the removal was not thorough and would cause a recurrence."
After Deputy Director He's expression changed for a while, he had to face reality.
The lymph node scan was too severe. This is the first time this has happened.
At least that's what he thought.
Even if it happened in the past, the problem was not serious and it might heal itself after a little longer drainage.
"So what's the best treatment now?"
Deputy Director He felt his face burning.
Fortunately, this was not the first time he asked Zhou Can for help, and his face gradually became thicker.
At this age, it is impossible to have such a fragile heart.
"I think the patient has emphysema and the remaining lung is not expanding well. We can try closed chest drainage with low negative pressure suction, which can promote adhesion of the visceral and parietal pleura. Then we can use subcutaneous puncture or skin incision to vent air. It is estimated that it will be effective in about a week. If it is puncture, I can help with the operation."
Zhou Can was worried that Deputy Director He would cause trouble again.
Subcutaneous puncture is not difficult, but Deputy Director He is rather careless in his work. In addition, he is now flustered and anxious about the patient's condition, so it is easier for him to make mistakes during the operation.
"Okay, okay, let's try what Doctor Zhou said. Thank you for the puncture, Doctor Zhou."
Deputy Director He readily agreed.
He had already lost face, so he only wanted to help the patient get through the critical period after surgery. If he didn't intervene in time, respiratory failure would be a big problem.
…
It was almost one o'clock in the morning when Zhou Can dragged his tired body back home.
Since the hospital is quite far from Bajing Lake, Zhou Can feels that it is not a solution to continue like this.
He discussed with Su Qianqian and decided to buy a house near the hospital.
The location of Tuya Hospital has always been a very expensive place, belonging to the city center. The stock of villas here is extremely scarce.
Even if there are, there are almost no people willing to sell them.
However, if you can buy a villa, it will definitely be much more comfortable to live in than living in a high-rise building.
In addition, even though Su Qianqian has withdrawn from some of her careers, she is still very well-known and popular. Her safety has always been a concern for Zhou Can.
It is precisely because of our carefulness over the years that we have been safe and sound.
After discussion, Su Qianqian finally agreed to Zhou Can's proposal, and the two decided to look for a suitable single-family villa near the hospital.
Leave professional matters to professionals.
If you want to find a property, finding a real estate agent is a good way.
Don’t even think about buying a first-hand villa in the old town.
It is impossible for any developer to do such a stupid thing. The demolition fee and land acquisition fee alone cannot be recovered.
If he could really buy a villa near the hospital, not only would he have a wedding house, but it would also save Zhou Can a lot of commuting time.
The next day at work, Zhou Can first went to the emergency department to check the wards, and then rushed to the pediatric department for consultation.
I heard that his current pediatric outpatient appointment is more popular than the old professor's.
Those patients who seek medical treatment have a comparison in mind. A special expert appointment starts at 300 yuan, while Zhou Can's appointment costs 12 yuan.
The key is that Zhou Can's cure rate and significant improvement rate have remained high, which has also brought him an excellent reputation. After nearly two years of accumulation, he has gained some fame in pediatrics, which is normal.
There were even many children in the Provincial Children's Hospital and the Provincial People's Hospital who could not be cured and were eventually cured after his diagnosis and treatment.
Or the condition is effectively controlled and significantly improved.
There are many chronic diseases that require lifelong medication, so it is quite good to be able to control some diseases.
For example, patients who have undergone cardiovascular surgery may need to take anticoagulants for life. No matter which doctor treats them, the result is the same.
There is no need to take anticoagulants if there is no specialist treatment.
On the way to the pediatric department, Director Xueyan called.
"Sister Yan, you won't call me over to rescue the patient so early, right?"
"Haha, are you scared of receiving my calls? Every time I either ask you to come over to help with surgery, or to consult or rescue patients." Director Xueyan laughed happily.
"It's okay! You're smiling happily, which means it must be a good thing, not rescuing a patient."
Zhou Can went to help in cardiothoracic surgery and never complained.
He was Director Hu Kan's apprentice, and Director Hu entrusted him with the task of taking care of the cardiothoracic surgery department and helping Director Xueyan.
Also, every time he went to help, he could basically earn a considerable amount of surgical experience points.
So he was happy to go.
"You are really smart! You figured it out. I have good news for you. The child with tetralogy of Fallot who was operated on last night has passed the critical period after the operation. His vital signs are stable and everything is going well. This means that the operation was very successful. As long as there are no accidents, he will basically be fine after waiting for about seven days. This also means that our cardiothoracic surgery department finally has the ability to perform this type of operation again after more than a year."
She said happily.
