Chapter 443: Fighting a protracted war against the disease, shameless
This person has great power, and his social status should not be too low. At this moment, he was waiting in the corridor with Director Zhuang for Zhou Can to get off work at noon.
The first thing I want to express to Zhou Can is respect.
Since Director Zhuang is familiar with Zhou Can, he can just go in and find him when Zhou Can is seeing patients.
But they didn't.
This is like going up a mountain to pray to Buddha, it is all about sincerity. You can drive directly up the mountain, but in order to show respect and piety to Buddha, you choose to walk up the mountain.
In order to save his grandson, this man named Chen Shaoqiang chose to ask Zhou Can for help with the utmost sincerity.
He knew that he was not familiar with Zhou Can, so he asked Director Zhuang to invite Zhou Can.
It can be said that every aspect reveals superb interpersonal skills and worldly tact.
At least the whole process made Zhou Can unable to refuse and was very comfortable.
On the way to the cardiothoracic surgery department, Chen Shaoqiang had been secretly observing Zhou Can.
Perhaps because Zhou Can was too young, he didn't think Zhou Can could be better than the Japanese cardiac surgeons.
"Hello, Dr. Zhou!"
"Doctor Zhou is here!"
When Zhou Can came to the cardiothoracic surgery department, he felt very familiar with it.
Doctors and nurses kept greeting him enthusiastically along the way. Many people showed great respect for him.
Chen Shaoqiang saw all of this, and his eyes gradually changed when he looked at Zhou Can. Although he had learned some of Zhou Can's situation and knew that this young man was very capable, he was still a little shocked to see that many doctors and nurses in the cardiothoracic surgery department respected Zhou Can so much.
"Where is the child? In the ICU?"
Zhou Can asked Director Zhuang.
"Yes, the child's condition is not ideal. For safety reasons, he has been admitted to the intensive care unit."
Director Zhuang nodded in confirmation.
“Who is the attending physician?”
"Director Xue!"
The two chatted until they were outside the ICU. Outsiders were not allowed to enter the ICU.
Even if family members want to visit the patient, only one person can enter, and the visit must be completed within the specified time. This is for the safety of all patients in the ICU.
Because with one more person entering, the risk of bringing in bacteria is much higher.
All intensive care units are managed in a sterile manner , and medical staff entering and exiting must strictly follow relevant disinfection procedures.
"Hey, Dr. Zhou, why are you here? Director Xue was just thinking of inviting you to come for a consultation! She was worried that you were still in the pediatric department and had just finished get off work and hadn't had time to eat, so she asked me to call you later."
The female nurse on duty at the window seemed very surprised when she saw Zhou Can.
"Haha, this is called coming uninvited! Where is Director Xue?"
Zhou Can asked.
"Helping to rescue the patient in there! A child who had undergone heart surgery in another hospital was transferred here. His condition looks very bad..." The female nurse noticed Director Zhuang and his family members behind Zhou Can at this time and immediately stopped talking.
"Director Zhuang, Mr. Chen, I'll go in and check on the child first. You two can chat first."
Zhou Can greeted the two of them, and the nurse opened the door and let him in.
He washed his hands first, then went into the locker room and put on protective clothing. After a strict disinfection procedure, Zhou Can entered the ward.
At a glance, I saw Director Xueyan and her staff treating a patient at a bedside.
"Sister Yan!"
Zhou Can walked over and greeted him.
"You're here so soon! I asked Xiao Tang to call you later, but she didn't listen! You must not have eaten yet, right?"
Director Xueyan's concern for him was written all over her face.
"It has nothing to do with Nurse Tang. Director Zhuang and the family members called me over. Is this the child?"
Zhou Can looked at the child on the hospital bed.
The baby was only half a year old, his face looked pale, and his breathing was very scary. It was as if someone had put a plastic bag on his head, causing the child to be deprived of oxygen and need to use all his strength to breathe.
The three-depression sign is quite obvious.
In addition , the patient had severe edema in his lower limbs.
The medical staff arranged for the patient's upper body to be propped up with a pillow. This type of patient with severe heart failure often needs to have their upper body propped up to help alleviate symptoms.
Patients with heart failure need to lie with a high pillow, because if they lie flat for a long time, it will increase the amount of blood returning to the heart and the diaphragm will lift and compress the heart, all of which will aggravate the onset of heart failure.
"The child's current condition is extremely bad, and his heart failure is particularly severe. I am very worried that the rescue will not work."
Director Xueyan's brows were furrowed and her tone was heavy.
"Have you got his information?"
"Um."
"Looking at the wound, it must have been a minimally invasive or endoscopic surgery. The Japanese experts are really amazing. If it were us, we would definitely not be able to complete the atrial septal defect surgery through endoscopic surgery."
Zhou Can was shocked after seeing the wounds on the child's body.
After such a long time, I have been hearing in the news, newspapers, and various online channels that the Third Hospital has performed another heart surgery, and the patient recovered and was discharged in a very short time. I presented flowers and banners to the cardiac surgery team of the Third Hospital.
Anyway, it's all kinds of praise.
At first, Zhou Can felt it was incredible to hear that a patient could work only six hours after undergoing heart surgery.
I was deeply shocked by foreign advanced technology and medical skills.
Later, I gradually heard some negative news about the Third Hospital. Some patients developed serious postoperative complications shortly after the operation, or new problems arose shortly after "recovery".
Some patients even died.
It’s just amazing that negative news often appears for a short time and then disappears very quickly.
It is not known whether the public relations team of the Third Hospital persuaded the family to delete the post, or whether there were other reasons.
All in all, it looked very strange.
Currently, there is no negative news about the Third Hospital on the Internet, not even a single one.
If you search for negative news about Tuya Hospital, you will find quite a lot.
Especially some patient forums and BBS, which can be seen everywhere.
This is like a country. When all you hear in the country is singing and dancing, praises, and no bad news, it means that the country is already terminally ill, to the point where no one dares to tell the truth.
The Third Hospital has no negative news and is as clean as a mirror, which inevitably makes people feel that there is something weird and evil about it.
At least people in the industry don't believe it at all.
"Come on, let's go outside and discuss this!"
Director Xueyan has already carried out preliminary treatment on the child. Now that Zhou Can has come, she plans to discuss the matter with him.
Before this, she must have had a discussion with the chief physicians in the department.
But no satisfactory results were obtained.
Arriving at the duty room outside, Zhou Can first read through all the information of the sick children.
"These materials seem more like they have been artificially processed. Especially the surgical records, post-operative medications, and rescue measures, which clearly show some signs of modification." Zhou Can is a professional and immediately discovered the problem after reading it.
"This matter has been reported to the family, and they are working hard to collect more authentic data. But you also know that when the entire hospital intends to conceal some real data, it is actually very easy to do so. In this case, without the intervention of higher authorities, it is difficult to obtain complete and authentic data. Even if higher authorities intervene in the investigation, it will still be difficult to find out unless a case is filed."
Director Xueyan deeply understands how deep the water is in the hospital.
Especially when dealing with some medical accidents, the interests of the doctors, nurses, and administrative staff of that hospital are basically the same, which will also lead to their consistent stance.
No matter how you ask, you'll basically get unanimous or vague answers.
"Since we have already told the family, we can just draw blood and stool samples for testing. We can keep the evidence and not be afraid of them blaming us."
Zhou Can never lacks means and tricks to deal with all kinds of bad people and bad things.
You must take precautions when necessary.
No one wants to be a scapegoat and take the blame for others.
"We have already taken samples for testing and sealed them. They may also be worried that the child will die in the hospital, so they are very conservative in all aspects of medication. At least from the three major routine results so far, there is no over-medication phenomenon."
Director Xueyan asked Zhou Can to check the results of the three major routine examinations conducted by the hospital.
In addition to the three major routine examinations, several other examinations were also performed, including chest CT, which was quite comprehensive.
It seems that Director Xueyan is not stupid either. She is also treating the Third Hospital as a thief and is on guard against it.
I guess any hospital would have the same attitude.
Tuya's willingness to take in this sick child was already a great kindness.
Especially in today's harsh medical environment, doctors, nurses, and hospitals are all particularly cautious.
"From the film, the child's heart is obviously enlarged, and coupled with heart failure, this symptom can be easily treated if the atrial septum is repaired by surgery. When my teacher was still alive, he specifically told me how to deal with similar cases."
What Zhou Can needs to rule out now is whether the child's atrioventricular septum has been completely repaired.
He studied the film carefully.
Director Xueyan waited until he had finished reading it before saying, "I and other directors in the department have reviewed it. Judging from the data from all aspects, including blood flow signals, CT images, and electrocardiograms, the repair of the atrial septum should be in place. At least no obvious problems were found."
"How about...we give it a try, observe the child's reaction after taking it, and then make adjustments?"
Zhou Can discussed it with her.
"That's exactly what I want. I've already used some medications, including symptomatic treatment, but the effect is not obvious."
She gave the medical instructions to Zhou Can for review.
"Use cardiotonic and diuretic drugs instead, two-pronged approach, and try to persist in the treatment."
Zhou Can made some suggestions for modifying the doctor's medication orders.
"I have already used the cardiotonic. You reduced the dosage. Is there any deep meaning behind this?"
Although she is also a disciple of Director Hu Kan, she is obviously not as good as Zhou Can in many aspects such as medication, handling of emergencies during surgery, and flexible use of surgical techniques.
It is like a teacher teaching the same arithmetic formula to students. Some students can get full marks and even draw inferences from the formula and deduce many problem-solving ideas related to the formula. Some students learn addition and then learn subtraction without a teacher.
Although some people have learned it, they can only score 90 points. They can apply it flexibly, but they are unable to draw inferences about other situations or even think in reverse.
Zhou Can’s reverse thinking has always been a huge clinical advantage.
All I can say is that everyone thinks about problems differently.
For the same street lamp, some people see the light, some see the road, and some may see the electrical energy converted into light energy.
"The dose is reduced because the patient's body has a weak tolerance. Your treatment strategy is more like a last-ditch effort, where you want to attack fiercely and quickly turn the situation around. My strategy is a marathon-style long-distance run, where we fight a protracted battle against the heart failure. Reducing the dose has another benefit, which is that it can force the patient's heart to adapt to a heavier burden. This is also a form of exercise for the heart, which is more conducive to the patient's true recovery."
Zhou Can shared his ideas on treatment.
After listening, Director Xueyan fell into deep thought at first, and then her eyes gradually brightened.
Finally she looked up at him with admiration.
"No wonder the teacher wanted you to inherit his legacy so much! You are indeed a genius, with a longer-term vision than me. You can truly see the overall situation and are both wise and brave. When this patient was sent here, we saw that his condition was so bad, and the first thing we thought of was to save his life. We thought about how to correct the condition in the shortest time, but we never thought of wasting time with the disease like you did."
Director Xueyan and other chief physicians’ treatment ideas are more popular.
Zhou Can's thinking is at a higher level, his wisdom is deeper, and his concentration is stronger.
In fact, this is also due to the current generally tense doctor-patient relationship, which forces most doctors to choose treatment methods that are immediate and quick in results.
Because the family members cannot see the effect of the treatment, all kinds of doubts, even complaints, transfers to other hospitals, loss of confidence, etc., are a real headache for the doctors.
People all have the idea of seeking benefits and avoiding harm.
When choosing a treatment plan, doctors will naturally cater to the family members and strive to gain their support and approval.
"I will modify the medical instructions and change the treatment method now." Director Xueyan has completely sided with Zhou Can and abandoned the thunderous treatment ideas that she and other directors had discussed.
"When communicating with the family, we must be thorough. I estimate that this marathon will take at least three months. Because the child's condition has been delayed for some time, it may take longer. Of course, we must also prepare for the worst. If we can't save the child, we can only say that we tried our best."
After Zhou Can explained some details, he left in a hurry.
He hadn't eaten yet, so he had to fill his stomach first to cope with the afternoon consultation. Then after the afternoon consultation, he had to go back to the emergency room to perform surgery until midnight.
Only he himself knows how tiring it is to work two shifts in a row.
Of course I won’t mention the outpatient clinic in the afternoon.
By six o'clock in the evening, Zhou Can had left the outpatient clinic and rushed to the emergency department after dinner.
When passing by the door of the emergency room, he unexpectedly saw a familiar figure.
"Isn't this the mother of the extremely difficult child whose son broke his left arm? Why is she here in the emergency room?"
Zhou Can felt very confused.
Suddenly, he seemed to think of something and his heart trembled violently.
Could it be that the boy really had hit his head and suffered intracranial hemorrhage?
Maybe Zhou Can looked at him twice more and the woman noticed it, so she turned around and looked over.
Zhou Can quickly looked away.
This woman is too powerful, and he doesn't want to be entangled with her.
Now that her son is in the emergency room, it would be really annoying if she vented her anger on Zhou Can and started throwing a tantrum.
"Doctor Zhou!"
The woman had sharp eyes and after recognizing him, she called out to him.
This kind of woman usually holds grudges, so it's not surprising that she could recognize Zhou Can at a glance.
Zhou Can didn't want to pay attention to this woman, so he pretended not to hear her, quickened his pace and tried to run away. He still had many operations to perform.
Patients who are detained for emergency
Can't delay.
"Doctor Zhou, I was wrong this morning. I'm sorry! I really regret it now because of my stupidity and ignorance. I sent the child to the emergency room. You have many acquaintances in the hospital. Please help to say hello and ask them to save my son, okay? Please!"
There's nothing wrong with this woman except that she's shameless.
I had a quarrel with Zhou Can in the pediatric clinic this morning, and it was faster than turning the pages of a book.
A ferocious face.
Now that his son is in the emergency room, he still has the nerve to ask Zhou Can to help say hello.
Who do you really think she is?
