Chapter 458 Emergency Room Daily Life: This is Experience and Level
I believe that after clinical medical staff feel these tangible changes, they will be as happy as Zhou Can.
He changed into his white coat and went straight to the inpatient ward for rounds.
When he found the makeshift bed No. 23 in the corridor, he greeted her with a smile, “Sister Tingting, are you feeling better today?”
After the emergency surgery, Ye Tingting stayed in the ICU for three days. After her condition stabilized, she was transferred back to the general ward for further treatment. Because she was very young and the surgery was performed by Dr. Xu himself, her recovery was quite good.
"Much better. I couldn't eat at all the past two days, and my stomach hurt so much. I feel much better today."
Ye Tingting has lost a lot of weight.
Having one's intestines punctured is like a near-death experience for anyone.
The family member who was taking care of her was Ye Tingting's mother.
Her husband is the main laborer in the family and has to go to work every day to earn money to support the family. He also came to accompany her for two days, and then came to the hospital after get off work to take Ye Tingting's mother home.
Being a caregiver in a hospital is an extremely hard job.
It was not only noisy here, but there was no place to sleep. Many family members who accompanied the patients had to lie on the edge of the bed to sleep.
It may be possible to hold out for one or two days, but if the patient needs to be hospitalized for many days, it will definitely be a huge test for the family members who accompany the patient.
"Let me see your wound!"
Her wound was in the upper abdomen, very close to the ribs.
If the murderer had stabbed her a little higher, the consequences would have been unimaginable. It's hard to say whether she would have survived.
Zhou Can made rounds on her every day and was always extra caring and attentive to her.
She lifted up her hospital gown, exposing her upper abdomen.
The wound is still covered with gauze.
Zhou Can carefully spread the tape, revealing the long wound. The wound from the stab wound was actually very small, but Dr. Xu had to perform an abdominal surgery in the process of rescuing her, so the wound was so long.
"It has basically healed. My teacher's skills are excellent. As long as you pay attention to maintenance and keep your mouth shut, there shouldn't be any obvious scars. The transverse colon in the abdominal cavity should also recover well. Otherwise, your body temperature wouldn't be so stable. The surgical wound is more likely to not heal for a long time, or even become infected with pus."
After the examination, Zhou Can made a comprehensive assessment based on her current condition.
"I feel relieved when I hear you say that!"
She smiled.
Women all love beauty. If there is a long scar on the upper abdomen, or even scar hyperplasia, it is simply unimaginable.
Ye Tingting is a nurse herself, and she knows exactly what foods can and cannot be eaten after surgery.
There is no need for Zhou Can to give any additional instructions.
"How is He Juan?"
Ye Tingting never dared to ask about He Juan, but she knew that He Juan's injuries were very serious.
It is even possible that the person is already dead.
"She is still in the intensive care unit. She had an abdominal infection. Because there are many trauma sites in the abdominal cavity, severe blood loss, and intestinal contents contaminating the abdominal cavity, her condition has not been ideal. But I went to see her last night. Based on her symptoms, condition, and physical signs, I am generally optimistic. As long as she can survive the most difficult stage of abdominal infection, she should be much better later."
He Juan was lucky to have Zhou Can rescue her in time, and then he used his connections and resources to try every possible way to actively rescue her, which led to the current relatively optimistic results.
Even so, she still had a narrow escape.
There are many gates of hell waiting for her to go through.
After Zhou Can finished his rounds and came out of the ward, an emergency nurse hurried to the doctor's office.
Seeing Zhou Can coming over, she shouted as if had found a savior, "Doctor Zhou, Doctor Zhou, a young female patient just came to the triage desk. She looks unwell, as pale as paper. Only Doctor Xie is on duty now. He is examining the female patient. Let me ask the second-line teacher to come over and take a look."
Second-line teachers generally refer to senior doctors or nurses.
They have rich experience in diagnosis and treatment, and are basically at the level of attending physicians, head nurses or above.
Usually, they no longer stay at the bedside or face the family members and patients directly, but do more advanced work, such as directing the rescue of patients, reviewing the medical records written by interns and trainees, issuing some important medical orders, leading the team, etc.
Those who are qualified to lead a team are basically associate chief physicians or above.
Taking the cardiothoracic surgery department as an example, the deputy chief physician who leads the team has a higher status and voice than the ordinary chief physician.
The clinical department of a hospital is an extremely realistic place. Whoever has excellent diagnosis and treatment skills can bring more income to the department. Whoever has a strong voice has a stronger voice. In addition, chief physicians who are excellent in academics and scientific research are also very impressive.
Although a department will not explicitly rank people based on seniority, the treatment one receives will be determined by how well-qualified one is.
There doesn't exist a half-baked chief physician who orders people around in the department.
Even if that person is a relative of someone else, the most he can do is do less work and still get paid.
Clinical frontline departments are actually not suitable for people with connections to survive.
Those with some background all go to the administrative department.
The backstage staff will generally crowd into the medical technology department.
Dr. Xie is a new doctor in the emergency department.
I have just completed three years of work after I transferred to residency last year. I am considered a newly promoted senior resident.
Dr. Luo's hand was cut by a family member last time, and it has not healed yet. The emergency department is a bit short of doctors on duty, so Dr. Xie was transferred to the triage desk for duty.
To be honest, there must be some flaws in the fact that Dr. Xie was kicked out of the Urology Department.
It is possible that the medical skills are not good enough, or the work attitude is not right, etc.
We are all adults and generally don’t say it out loud.
The emergency department needed people, so the hospital transferred them from the internal medicine department, and the internal medicine department naturally took the opportunity to eliminate the doctors with weaker skills.
I believe that no department would give away an excellent doctor with outstanding potential.
Although Zhou Can was only a junior resident, in the eyes of most medical staff in the emergency department, his level was better than that of the attending physician. At critical moments, as long as the old nurses in the emergency department caught him, they would definitely ask him to come over for emergency treatment.
He came to the triage desk and saw that Dr. Xie had finished examining the female patient.
The female patient looked very young, probably only about seventeen or eighteen years old.
She wasn't particularly pretty, but she was pretty and had some looks. She dressed like a student, very formal.
"What's her current situation?"
Zhou Can asked Dr. Xie.
"The patient complained of abdominal pain, and during examination, her abdomen was obviously tender." Dr. Xie specializes in urological diseases and can basically handle the abdominal area.
"Have you found out the cause?"
"Not yet! I'm going to ask her to do an abdominal ultrasound first."
Dr. Xie obviously did not pay enough attention to it, and even felt that it was too much for the nurse to invite Zhou Can over.
"I suggest you draw blood first to check her blood count and hemoglobin, and then do an ultrasound."
Zhou Can gave some suggestions.
That's basically the guidance.
Although Dr. Xie was somewhat unhappy, he knew Zhou Can's abilities and immediately ordered a blood test.
"The blood test must be expedited! Teacher Lu, please draw her blood on the spot, don't let her wait in line!"
Zhou Can asked the girl to sit down and spoke to the nurse.
"good!"
The female nurse trusted Zhou Can very much and immediately ran to the treatment room to get blood collection tubes, needles and other items.
Zhou Can asked the family member next to the girl, "Who are you to her?"
"I'm her mother."
The woman looked to be in her forties and her clothes seemed fancy, but with Zhou Can's eyes, he could tell at a glance that she was wearing inferior branded goods.
I feel that this mother should be a strong-willed woman.
The makeup is also very heavy.
"Go and pay her the examination fee. It's over there!" Zhou Can said to the girl's mother.
"OK!"
The girl's mother gave her daughter some instructions and went straight to the payment window.
Although the hospital has many self-service machines, some older and less educated family members still prefer to choose manual payment at the window.
Zhou Can sent the girl's mother away, then looked at the girl and asked, "I looked at your medical records, which describe you as unmarried and without a history of sexual life. Now that your mother is not here, tell me honestly, have you ever had sexual life?"
The girl didn't expect Zhou Can to ask this, and her face immediately blushed and lowered her head.
"You are in a very dangerous condition. When I came over just now, I saw at a glance that your complexion, lips and other features showed signs of acute anemia. If I am not mistaken, you must be bleeding from your lower body."
Zhou Can's expression was very serious.
Originally, the girl should have gone to see a gynecologist, but somehow she ended up in the emergency room.
Maybe it’s because the gynecology clinic is not open yet.
Moreover, you have to wait in line for a long time before you can see a doctor there.
"How... do you know everything?"
The girl raised her head and timidly glanced at Zhou Can, appearing a little surprised and admiring. This new doctor was much better than the previous one.
I didn't even do any examination on her. I just took a few glances and knew her general condition.
He even deliberately sent her mother away before asking her questions.
Very heartwarming.
"Because I'm a doctor! You know what I mean? Your current condition could be very dangerous. Tell the doctor everything that's going on so that we can treat you the best and fastest."
Zhou Can's tone softened a lot, like an older brother caring about his younger sister.
Try to make the female patient feel less nervous.
"I told you the truth, but you must not tell my mother. More than two months ago, I got a boyfriend. In the past few days, I felt stomach pain. Today, the pain was particularly severe, and there was a little bleeding. I felt a little scared, and then my mother found out that something was wrong with me, so she asked her boss for leave, did not go to work, and quickly brought me to the hospital for treatment..."
The girl told the whole story in detail.
As Zhou Can had guessed, she already had a boyfriend.
Doctor Xie broke out in a cold sweat after hearing this, and now he was completely in awe of Zhou Can.
I thought the female patient's condition was simple, maybe she had a stomach upset or something like that, but I never thought she had concealed so much medical history information.
Thinking of how she was afraid of her mother just now, Dr. Xie admired Zhou Can's skill even more.
He calmly used the excuse of paying the fee to send the girl's mother away, and then asked about the girl's medical history. This is experience!
Doctor Xie asked for a long time but got nothing out of him.
Zhou Can easily asked the truth he wanted to know.
"I suspect you may have an ectopic pregnancy, and you should be bleeding now. If it is a heavy bleeding, you must undergo surgery immediately. Girls, remember to protect yourself in the future, understand?"
Zhou Can looked at the girl and felt distressed.
She was pregnant at the age of seventeen or eighteen, and it was an ectopic pregnancy. I wonder if her mother would collapse when she found out.
It seems that her mother cares about her very much.
Not only did he take time off to take her to the hospital for treatment, but he also went directly to a large hospital like Tuya instead of choosing to save money and go to a small clinic.
This also created favorable conditions for the girl's rescue.
Ectopic pregnancy causes heavy bleeding, which is an extremely dangerous situation.
Often, a large amount of bleeding in the uterine cavity and abdominal cavity can occur in a very short period of time, leading to serious consequences such as shock or even death of the patient.
Nurse Lu has come over with the blood collection equipment.
"Let me do it!"
Zhou Can's injection skills are much better than hers. Now every second counts, so naturally they have to save every bit of time.
Zhou Can rolled up the sleeve of the girl's left arm, then pinched the front part of her elbow with his hand. His right hand held the blood collection needle and ejected it suddenly.
But the method used was flying needle to draw blood.
puff!
The needle inserted into the vein accurately, and the girl didn't even feel the pain because the speed was so fast.
Blood was already flowing out of the catheter.
A tube of blood was quickly drawn.
"Tell the laboratory to hurry up and find out her hemoglobin in the shortest possible time. It doesn't matter if the other results come out later. Blood type is also very important. Once the blood type is out, contact the blood bank immediately to prepare blood. Also, get the operating room ready... Never mind, I'll take care of the operating room!"
Nurse Lu is just a nurse after all, and her status is far inferior to Zhou Can.
This kind of emergency rescue, which involves ectopic pregnancy, is a gynecological and obstetric disease. Performing this operation in the emergency department is considered a new operation.
"How do you feel now? Do you have symptoms such as cold limbs, dizziness, palpitations, etc.?"
Zhou Can asked the female patient.
"I feel a little cold and dizzy! If anything happens to me, please help me give this note to my mother. Thank you."
The female patient seemed to trust Zhou Can very much.
He took out a folded piece of written paper from his pocket and handed it to Zhou Can.
"Have faith in yourself. We will do our best to save you. Don't worry!"
Zhou Can took the note and carefully put it into his shirt pocket in front of the female patient.
This is done to make her feel that her entrustment is valued.
Nurse Lu was already running to send the blood sample for testing, and the female patient's mother had already paid the fee and returned.
The girl lowered her head nervously, not daring to look at her mother at all.
"Come on, push the bed and follow me to the ultrasound room, and give her an ultrasound examination right away. I'm here to say hello and jump the queue, don't waste any more time."
Zhou Can pushed the flat bed over and let the girl lie on it.
The girl's mother saw the doctor's anxious tone and realized that her daughter's illness was not simple. She seemed a little panicked.
Along the way, the girl was sent to the ultrasound room for an ultrasound examination as quickly as possible.
"Doctor, what disease does my daughter have? Is it serious?"
"It is very likely that surgery will be required immediately. You must be mentally prepared. I have to call her now to contact various departments and prepare for the rescue surgery. I don't have time to explain too much to you."
After Zhou Can finished speaking, he walked aside and called Qiao Yu and Dr. Xu from the anesthesiology department and the operating room to prepare for emergency surgery on the girl.
It’s not that I haven’t thought about having the girl go to the obstetrics and gynecology department for surgery.
After all, they have more experience in performing this type of surgery.
I’m afraid I won’t have enough time.
And he has confidence in his skills.
