Chapter 444 Highly Time-Effective Surgery Service, Look Good

But the more this kind of person she is, the thicker her skin is, beyond your imagination.

"May I ask who you are?"

Zhou Can looked at the woman with a puzzled look on his face.

Aren't you a shameless person? I will play shameless with you today.

The woman was immediately shocked. She had thought Zhou Can would refuse, but she never expected Zhou Can to do this to her.

I subconsciously looked at Zhou Can and found that he was indeed confused, as if he really didn't recognize me.

The woman immediately explained awkwardly, "I brought my son to see you this morning. My son's left hand was broken. You asked us to do a brain CT scan to see if there was any intracranial hemorrhage. I disagreed and scolded you. Do you remember?"

The woman had no choice but to explain to Zhou Can patiently.

She thought that it was normal for doctors to forget about her since they had to see many patients a day.

In addition, her son was not around, and she had messy hair and a haggard face after a day of hard work, so it was even more difficult for Zhou Can to recognize her.

"Oh... I have a little impression! I have to rush to the night shift, sorry! As for the scolding, don't take it to heart. Some family members often scold people, and we are used to it."

After Zhou Can finished speaking, he turned around and left.

The woman was left alone, watching him leave. She opened her mouth several times but failed to call out to him.

Zhou Can clearly showed an expression and attitude that said, "I don't know you and I don't have much impression of you," which naturally blocked the woman's idea of asking him for help.

When faced with such situations, family members, doctors, and nurses all try to avoid them as no one wants to get into trouble.

When I entered the operating room, I saw several patients waiting for surgery lined up in the corridor outside.

Considering the need for anesthesia, many surgical patients are not allowed to eat or drink water.

Surgery generally requires fasting for about eight hours.

Children's digestion speed is faster than that of adults, so sometimes the standard can be relaxed appropriately. There are two main considerations for not allowing children to eat before surgery.

First, to prevent vomiting after general anesthesia, which can cause food to enter the airway and lead to suffocation and death. Second, to prevent the patient from having fecal incontinence and defecating on the operating table.

It is a common phenomenon for surgical patients to suffer from urinary and fecal incontinence on the operating table.

This not only pollutes the operating room, but also makes medical staff feel sick.

The night shift is for surgeries. Some patients were admitted in the morning and after waiting for eight hours, they just met the fasting and water requirement. This also leads to more patients undergoing general anesthesia surgeries in the night shift than usual.

Taking into account the digestion capacity of Zhou Can's team, the department will make reasonable arrangements for the patients reserved for him.

It is impossible for there to be several major level 3 operations.

"Doctor Zhou, I'm really here!"

A tall and thin man had been waiting in front of the operating room door for a long time. When he saw Zhou Can coming, he immediately stepped forward.

"Welcome, welcome! Come on, follow me in!"

Zhou Can didn't expect that after he talked to Dr. Yang Zhi from the Department of Anorectal Surgery yesterday, he would actually come to help today.

This is to prepare for Zhou Can's assessment.

Taking Yang Zhi into the operating room, Zhou Can didn't see Dr. Xu for a while. He probably went to eat.

Zhou Can is fully qualified to perform some minor surgeries and does not need the presence of an attending physician.

"Hey, the boss has brought a helper with him!"

When Luo Shishen saw Zhou Can walk into the operating room with a male doctor, he was stunned.

"You... aren't you the one from yesterday?" Ma Xiaolan recognized Yang Zhi with her sharp eyes.

"Haha, I didn't expect a beautiful lady to have such a good memory. I want to join Dr. Zhou's surgical team, so I came here today to receive Dr. Zhou's assessment."

Yang Zhi spoke frankly and openly without hiding anything, which improved Zhou Can's impression of him.

"His name is Yang Zhi, and he is a surgical surgeon in our hospital. I will assign him some tasks during the operation. Xiaolan, can you temporarily serve as his instrument nurse?"

Zhou Can asked Ma Xiaolan.

"No problem! But let me make it clear in advance. I've only been studying for less than a year. If I'm clumsy, Dr. Yang can't scold me."

Ma Xiaolan said half-jokingly.

It has been almost a year since she joined Zhou Can's surgical team. She was arrogant at the beginning, showing off to Qiao Yu, the senior, but later she behaved herself after being taught a lesson by Zhou Can.

Although there are still some shortcomings, Zhou Can is satisfied with her work attitude and study attitude.

Of course, her progress is also visible.

Another option is to follow Zhou Can. Because of the huge number of surgeries performed every month, she receives a generous salary and bonus.

It has to be said that the amount of salary can greatly affect a person's temperament and mentality.

Ma Xiaolan is the most typical example.

She is obviously much more humble now than before, and her confidence radiates from the inside out.

This kind of inner self-confidence is many times better than the previous mindless and arrogant external self-confidence.

"Let's start preparing! I see a lot of patients waiting for surgery in the corridor outside the operating room. We have to hurry."

Zhou Can issued the combat order.

This also means that the intense work is about to begin.

There are many surgical patients queuing outside the emergency room waiting for surgery, which is rarely seen in any other department.

Perhaps this phenomenon can be seen in front of the operating room in a specialist clinic.

But there can't be so many patients undergoing surgery.

Even if there is, the specialist department will try to stagger the surgery time.

For example, elective surgery is the most common.

You can tell the patient that we don’t have any beds at the moment and you have to wait for a day or two. Or you can let the patient stay in the hospital for observation and go home to wait, which are common practices.

Zhou Can had long ago made a suggestion to Dr. Xu and Director Lou regarding the surgical method in the emergency department.

Make patients feel as timely as possible.

Just like when we buy a product online, we definitely look forward to receiving it as soon as possible. Under normal circumstances, it is normal to receive the goods in about three days. If it takes more than a week, we will feel a little disappointed. If we place an order today and the goods arrive tomorrow, we will be pleasantly surprised.

The mentality of patients seeking medical treatment is quite similar to that of online shopping.

Because of the pain they suffer from the illness, patients will definitely want to undergo surgery as soon as possible after arriving at the hospital.

Zhou Can understood the patient's anxiety and boldly proposed a suggestion: the surgery should be completed within 24 hours at the latest.

In most cases, the emergency department admits patients in the morning and the surgery can be completed on the same day.

For some patients who need to undergo level 3 surgery, the surgery plan may not be finalized until the next day because they need to wait for the test results. However, the surgery can basically be scheduled within 24 hours.

This highly timely treatment method has also created a high reputation for the emergency department.

Looking across the province, I am afraid that no hospital's surgical department can provide such high-efficiency surgical service guarantees.

However, with Zhou Can, a quick surgeon, Tuya's emergency department has been providing high-efficiency surgical treatment services, and the efficiency is getting faster and faster.

This feature also greatly adds points to Tuya's emergency department in the fierce competition.

In the past, if the emergency department wanted to retain patients, the doctors and nurses who received them had to use certain words to persuade them. Now, many patients come here because of the reputation of the hospital, and even actively ask to complete the surgery in the emergency department.

Some patients who come here because of the hospital's reputation are forced to go to a specialist for treatment because the surgery is too difficult or they have high demands on the equipment, operating room environment, and surgical team, but the patients and their families still disagree.

There is a reason why Zhou Can’s position in the emergency department is becoming increasingly important.

He is now more like the most critical 'engine' and 'heart' of the emergency department.

Ma Xiaolan quickly brought in the first patient.

The patient was a young woman, probably around 25 or 26 years old, with a very slim figure. Her symptom was a large lump on the front of her left arm, near the wrist joint.

According to her, the tumor was only a small size at first, but then it kept growing bigger and bigger, and is now as big as an egg.

It looks so high and scary.

Where's the film? Show me.

Since it is a surgery, X-rays are definitely needed. In this case, at least a CT scan is needed.

Many older doctors are accustomed to referring to X-ray imaging data.

It must be pointed out that X-ray is one of the earliest scanning methods developed and is not as accurate as CT. If it is a fracture, an X-ray is completely appropriate .

However, tumors that can be detected by X-rays are generally very large.

Therefore, when screening for tumors in the body, do not be superstitious about X-rays.

For example, the most common liver tumor or lung tumor, an X-ray may show that everything is normal, but a chest CT scan may reveal a smaller tumor lesion.

Today's doctors have received more training in this area, so they may be better.

It has caused many tragedies in the past.

The patient complained of lung discomfort. After taking an X-ray, the doctor told the patient that there was nothing wrong.

After hearing this, the patient was very happy and took some cough and pain relievers at home.

And so, nearly a year passed.

The patient's cough gradually worsened, and he went to the hospital for another check-up.

This time, the patient still went to see the same doctor as last time, because he felt that by seeing this doctor for the first time, a certain foundation of trust !

So I went to see this doctor again the second time.

The patient was also given an X-ray examination.

After the photo was taken this time, the doctor's face became serious. He told the patient that there was a large tumor in the lung and recommended further examination immediately.

Then after undergoing multiple tests, the patient despairingly learned that he was already in the advanced stage of lung cancer.

The patient was filled with despair and anger when he learned that he had lost the chance of surgery.

If the doctor had been more careful during the first checkup and found the problem, it would have been in the early stages of lung cancer, and there would still be a chance for surgery to cure it.

The diagnosis now is that he is in the advanced stage of lung cancer and doesn't have much time left. Who can accept this?

He has elderly parents and young children to take care of, and the whole family is waiting for him, the pillar of the family, to earn money to support the family.

Patients cannot imagine how their families will live after they die.

The more he thought about it, the angrier he became. Finally, he bought a sharp knife for killing pigs. Taking the opportunity to ask the doctor about the patient's condition, he suddenly pulled out the knife and stabbed it into the doctor's abdomen.

After being stabbed twenty-seven times, the patient was eventually covered in blood, and the doctor was lying in a pool of blood, with no chance of rescue.

This doctor-murder case caused a national sensation at the time.

Since then, experienced doctors have always reminded novice doctors that when they encounter a situation where a tumor is suspected, they must not use X-ray results alone as a reference.

A CT scan must be performed to supplement this.

If necessary, even enhanced CT or MRI can be performed.

I must praise MRI here, which is definitely a major invention in the history of human medicine. MRI can accurately detect lesions as small as 5mm.

With it, many tumors that were originally impossible to detect in advance can now be detected when the tumor is very small.

However, for many types of tumors, even if they are detected, if they are too small, doctors will not recommend immediate surgery. Instead, they will observe to see if they continue to grow and show signs of malignancy.

Another point is that even if some tumors are found to have blood flow signals and unclear boundaries, they are not necessarily malignant tumors.

Many patients would be extremely frightened if they were diagnosed with a tumor that might become malignant.

This is totally unnecessary.

It is better to relax, eat when you should eat, sleep when you should sleep, and maintain a happy mood. Its effectiveness is even better than that of medicine.

Zhou Can took the X-ray of the female patient and examined it carefully. His brows were furrowed and his expression was extremely serious.

Although the female patient could not see his facial expression because of the mask, she could still feel the invisible depressing atmosphere.

"Doctor, is my tumor serious? Is it cancer?"

She was visibly nervous when she asked.

Whether in the operating room or in the ward, doctors and nurses usually do not say the word "cancer" in front of patients. Instead, they use "CA" or "not good" instead.

“Does it hurt when you touch it?”

Zhou Can asked the female patient.

"It will hurt a little! It seems to be a dull pain."

The attending physician had most likely asked her similar questions.

Therefore, she could say more professionally that it was a dull pain.

One characteristic of cancer tumors is that they are usually painless or cause dull pain when touched.

The real pain of cancer is actually the pain of metastasis in the later stage. For example, bone metastasis will cause pain in the bone marrow.

"Doctor Yang, come and take a look."

Zhou Can called Yang Zhi over to check it out together.

Of course, it was also intended to test Yang Zhi's diagnostic ability and surgical experience.

"Mr. Luo, you can also take a look."

Although Zhou Can was reluctant to be Luo Shishen's master, he always taught him wholeheartedly, more dedicated than a real master.