Chapter 440: The Ugliness of the Third Hospital, a Heart of Stone
The eight hours after cardiac surgery are probably the most dangerous. Generally, if there are no obvious abnormalities for more than 12 hours, it means the surgery was successful.
They finished the operation at around 11 o'clock last night, and it has been more than eight hours since then.
At present, the child is in good condition. With Director Xueyan's experience, she can naturally judge whether the operation is successful.
"I believe that cardiothoracic surgery will get better and better. If my teacher is still alive, he will be pleased to see that cardiothoracic surgery is gradually getting back on track and starting to recover under your leadership."
Zhou Can is also happy about the progress in cardiothoracic surgery.
"I don't have the ability to do this alone. Thank you for helping me all the time. I have come this far with so many bumps and bruises, but I was able to withstand the combined efforts of the Provincial People's Hospital, Xinxiang Hospital, and the Third Hospital, and was able to maintain the basic business of Tuya Cardiothoracic Surgery Department. To be honest, every time I think about it now, I still find it incredible."
She was full of gratitude towards Zhou Can and was filled with emotion.
In this year or so, she has grown so much.
The medical skills, surgical abilities, management abilities, and the ability to deal with various crises are all incomparable.
Compared with her, Zhou Can's progress is even more amazing.
Thanks to Zhou Can's efforts, the emergency department has completed the first step of its counterattack.
A Class 100 laminar flow operating room that can perform at least two operations at the same time, with supporting facilities and rooms such as a lounge and a large storage room. On the surface, it is a Class 100 laminar flow operating room, but in fact it is equivalent to two.
The application for the laparoscopic operating room has also been approved, and the construction project has been implemented and is currently under construction.
If nothing goes wrong, it should be able to be officially put into use after passing acceptance in three months.
The emergency department's inpatient wards also received two rounds of expansion.
At present, the inpatient ward is divided into two areas: surgical patients and internal medicine patients. There are a total of 30 formal beds for surgical patients and 10 beds for internal medicine patients. As for the temporary increase in the number of expanded beds, there is no need to talk about this.
Extremely flexible.
The doctors and nurses in the emergency department also underwent two rounds of expansion.
They are all small-scale additions or recruitments.
Director Lou and Deputy Director Han were probably worried that they might take too big a step and pull their crotch.
There is also the issue of labor costs, which is directly related to the operating costs of a department. The hospital pays wages uniformly, and it is impossible for a department that generates millions of dollars in revenue a month to keep a group of idle people.
Zhou Can walked all the way to the pediatric outpatient department and continued to sit in outpatient room No. 17.
Now, this outpatient clinic becomes his special clinic every Wednesday.
"Doctor Zhou, Doctor Zhou, you're here just in time. Come and help me see a patient."
Director Zhuang of the Pediatrics Department seemed to be waiting for Zhou Can to arrive.
As soon as I saw him coming, I immediately invited him over.
"Where is the patient?"
Zhou Can discovered that there were no patients in Director Zhuang's clinic.
"Hey, there are still more than ten minutes before work starts! I have some information here, can you help me take a look? This child had a cardiac surgery at the Third Hospital, and now the situation seems a little bad. The grandfather of the child asked me through his connections and asked if Tuya can take him in?"
Doctors often encounter favors that cannot be refused.
It's really embarrassing to turn down greetings from some family members, acquaintances or relatives who have strong connections.
However, the diseases of the patients they want to ask for help may not be the areas they are specialized in. In this case, the doctors who are asked to help can only bite the bullet and seek help from colleagues in related fields.
Interpersonal relationships are sometimes so complicated.
Many people think that officials and public servants are the most likely to encounter various requests for favors. In fact, doctors are not much better and are also among the hardest hit.
People eat grains and cereals, and everyone will get sick sometimes.
As long as the condition is a little serious and the patient wants to go to a big hospital for treatment, he or she will try every possible means to use various connections to find acquaintances.
If you really can't find any acquaintances, just force them to give you a red envelope.
In short, family members and patients always feel uneasy if they don’t find someone they know.
"You had a cardiac surgery at the Third Hospital, and now something went wrong after the surgery. Do you want to be transferred to our hospital for treatment?"
When Zhou Can heard this, he knew it was not a good thing.
Most hospitals are unwilling to accept such "bad patients".
Because if the patient succeeds, it will certainly bring fame and benefits to the hospital, but if it fails, it may turn into an enemy and bring disaster to the hospital.
Losing court and paying money are the least of the worries.
Moreover, hospitals that are capable of performing cardiac surgery are not bad in themselves. If even they can't handle the condition, why do you think you can do it?
Director Zhuang is over 50 years old, so it is impossible for him not to understand the logic behind this.
"I also know that the risks are huge, so I didn't agree easily. But the person the patient's grandfather asked for help is my mentor, and I really had no choice but to bite the bullet and help him find out."
Director Zhuang has already prepared the patient's information.
Zhou Can didn't ask any more questions and took the information to look at it carefully.
The patient was a newborn, only six months old. He had a congenital atrial septal defect, which was of the primary foramen type. He underwent a repair surgery for the atrial septal defect at the Third Hospital.
During the physical examination, the child was found to have a heart murmur and then sought medical treatment.
After examination, it was found that the child had typical symptoms such as shortness of breath, sweating, and limited movement. However, congestive heart failure was not found.
There were no concurrent atrial arrhythmias.
Logically speaking, there should be no risk in the surgery for this child.
At least in Zhou Can's opinion, when Director Hu Kan was alive, the mortality rate of this type of operation was extremely low and almost no accidents would occur.
The child's grandfather had a lot of connections, and the child chose to have the surgery performed at the Third Hospital. There was no need to ask, because the surgery on this child must have been performed by the Japanese cardiac surgeon.
Zhou Can had long felt that the Japanese cardiac surgeon might not be as good as he had imagined.
It may be just hype, coupled with the Chinese people's mentality of worshipping foreign things, which made the Japanese expert a legend.
"What is the patient's condition now?"
"The main symptom should be heart failure."
Director Zhuang seemed to have carefully asked about the child's current condition. When answering, his expression was particularly serious.
"Heart failure is really fatal! The child is so young, no wonder the Third Hospital has no solution." Zhou Can could guess with his toes that the Japanese expert from the Third Hospital is probably at his wit's end and can do nothing.
"Doctor Zhou, I know you are Director Hu Kan's favorite student. Director Hu passed on all his cardiothoracic surgery skills to you. You have made great contributions to the stabilization of the cardiothoracic surgery department. Tell me the truth, can we treat this child? The Third Hospital has informed the family that due to serious postoperative complications, the survival rate will not exceed 20%. They proposed to transfer the child to the imperial capital for treatment."
When Director Zhuang said these words, there was a hint of anger on his face.
"The child is so young, and he has serious complications after the operation. They sent him to a big hospital in the capital for treatment. Isn't this killing him? He was in a long and bumpy journey. He was still alive, but he died immediately. They are completely shirking their responsibilities."
It is not so easy to send him to the imperial capital for treatment.
Not to mention the long journey, first of all you have to make sure you get the person there and whether the big hospital is willing to admit him.
I guess even a certain hospital in Zhengzhou University would not easily agree to accept such patients.
You know, the critical illness survival rate of a certain hospital in Zhengzhou University is well-known. Many patients who have been treated in other hospitals and are in critical condition are already on the verge of death, and their families are preparing for their funeral.
It is not uncommon for people to be rescued after being sent to Zhengda for emergency treatment.
"Director Zhuang, we are all family, so I will just speak frankly about some things." Zhou Can's expression turned serious.
"You can just say it straight!"
Director Zhuang nodded repeatedly.
"Whoever picks up this patient will be unlucky. Judging from the time, it is already the fourth day after the operation. According to experience, it is difficult for him to survive more than ten days even if he is sent to the intensive care unit. In most cases, the mortality rate is high within seven or eight days. You also said that this patient was treated by your mentor. If we don't cause trouble, the success rate of our treatment should be around 40%. I mean that he should be transferred this morning, and we need to ensure that the rescue drugs they use are not seriously overdosed."
Zhou Can paused and continued.
"If the patient is sent here promptly after symptoms appear on the first day after surgery, the survival rate will be at least 70%."
The possibility of transfer to another hospital on the first postoperative day is too low.
The Third Hospital would not agree, and the family members would never have imagined the current outcome.
Now that the mess has been exposed, the hospital is eager to pass on the blame and transfer the patient to another hospital. The family members are also full of despair, realizing that the strength of the Third Hospital is far less than they imagined, and are anxious to find a ray of new hope for the child.
"Turn around, can you help keep an eye on the rescue?"
Director Zhuang didn't know why, but at this moment he was full of trust in the young man in front of him.
Perhaps it was because Zhou Can had been performing well all along, coupled with his eyes, tone, and expression when he talked about the control of treatment just now, which revealed Zhou Can's confidence.
"Sure, when the time comes, just call me over to complete the admission procedures."
Zhou Can agreed without hesitation.
"Remember, when the child is transferred to another hospital, you must find a way to get all the information about the operation records, postoperative medical instructions, specific postoperative medications, and rescue measures. This will be very helpful for us to take over the rescue . It will also make it easier to divide responsibilities. Otherwise, I don't think the cardiothoracic surgery department will accept this child."
If he says he won't accept it, then he really won't accept it.
In this kind of situation, let alone Director Zhuang, even Director Tang Fei of the Pediatrics Department would be useless.
Unless the pediatric department admits the child themselves.
But that's impossible.
Unless Director Tang Fei and Director Zhuang are prepared to use their own jobs for charity.
"You go ahead and do your work, thank you!"
Director Zhuang was full of gratitude to him.
He will automatically repay the favor he owes when Zhou Can needs it in the future.
It was as if Shangguan Yan from Tuya Second Affiliated Hospital owed Zhou Can a favor, and now the two of them were in contact from time to time. During the holidays, Shangguan Yan would take the initiative to send blessing text messages to Zhou Can.
The hardest debt to repay in the world is the debt of favor.
Zhou Can went to outpatient clinic No. 17 for consultation, so he didn't mention it.
The family members seeking medical treatment had already lined up in a long queue. When they saw Zhou Can enter the clinic, some family members who knew Zhou Can immediately greeted him .
The family members who did not know Zhou Can were secretly thinking, this Dr. Zhou is so young.
"Doctor Zhou, my child broke his arm. Can you help him first? I heard that you can set bones in just a few seconds. I won't pay less for the treatment. I just hope you can help treat my child first."
A woman in her forties stopped Zhou Can.
She was carrying a boy of about eight or nine years old, whose left arm was hanging limply. The child's face was filled with pain.
Zhou Can took a look at the patient and could easily tell that the boy had a dislocated joint. Just as the woman said, with his current bone-setting skills, he could easily reattach it without taking an X-ray.
It only takes a few seconds.
"Doctor Zhou, please!"
The woman knelt down in front of him and cried.
"Don't do this, don't do this, get up quickly."
Zhou Can quickly pulled the woman up.
"If you don't agree, I will kneel here and not get up, please..." The woman cried very sadly, which moved the people around her even more. In order to relieve the child's pain as soon as possible, she knelt down in front of the doctor in public.
She even cried so sadly because she felt sorry for her child.
This is the great motherly love.
"It only takes a few seconds anyway, doctor, why don't you just treat him?"
"Yes, this child is so pitiful! Give him treatment!"
Some family members, driven by sympathy, spoke up to plead for the woman and the little boy.
"I'm sorry. It only takes me a few seconds to correct my bones, but there is a prerequisite. I need to see the film before I can do it so easily. I sympathize with your child and feel his pain. But I really can't treat him now. If the family members ahead of you agree, I will give priority to your child's examination application, which is no problem."
Zhou Can's heart was as hard as stone and he was not moved at all.
That's because he has been cheated many times by these family members and patients who always kneel down, cry, and act pitiful.
As pitiful as these family members are when they kneel down now, they will be as difficult to deal with when they complain about you.
A doctor can be kind, but he must never be overly compassionate.
"A dislocated arm isn't a particularly serious problem, right? My daughter had a high fever all night, and was vomiting and having diarrhea. We lined up very early, and I didn't agree to let her cut in line."
A father who was taking his daughter to see a doctor directly rejected the kneeling woman's request to cut in line.
"Yes, I don't agree either. Whose child is not a life? Who would come to the hospital for treatment if they are not sick? It is fair to follow the rules."
Another family member objected loudly.
This is the true portrayal of real family members.
Everyone has their own little piece of land, and they will get angry with anyone who touches their interests.
"How can you two have no compassion at all? What's wrong with your daughter having a fever? How can it be compared with my son? If it was your daughter's arm that was broken, I promise to give you priority in medical treatment."
The kneeling woman saw that her request for priority treatment was rejected.
She immediately turned into a shrew and started scolding the first family member who spoke out against it.
"And you, you look so well dressed, why are you so stubborn? It won't hurt you to let my son get treated first, right? The doctor said it will only take a few seconds."
When women start quarreling, even three Wang Langs can be scolded to death.
She fought against the two family members, and they were scolded by her and were at a disadvantage.
Moreover, the shrewish attitude she showed made Zhou Can feel frightened.
He secretly thanked his luck that he did not let his sympathy get the better of him and did not agree to the woman's request.
The growth of a doctor is definitely not just about the accumulation of medical skills, but also about dealing with family members and learning how to protect themselves.
