Chapter 484 The inevitable conflict between doctors and patients, the relationship between anesthesia and surgery
Besides, he is always very careful when performing surgery on patients.
Although some individual patients may not be satisfied with the results of the surgery, from a professional perspective, he believes that the results can stand the test.
There is a strange patient who still leaves a deep impression on him. He had a hemorrhoidectomy, and then after a while he suddenly had unbearable abdominal pain.
Upon examination, it turned out to be acute appendicitis.
The patient underwent appendectomy at the Third Hospital.
After recovering, he went straight to Tuya's emergency department and made a scene, saying that Zhou Can had deliberately left him a "backhand" during the operation. This led to appendicitis less than a month after he had his hemorrhoids removed.
What can he do when he encounters such an ignorant and extremely suspicious patient?
For another example, he was performing a surgery to stop bleeding, suture and bandage a wrist wound on a two-month pregnant woman. The family member insisted on asking him to go out and talk for a while. He thought the family member was worried, so he changed his clothes and went out of the operating room to talk to the family member.
The man was wearing all branded clothes, was about fifty years old, and exuded the aura of a successful and wealthy man from head to toe.
The pregnant woman is only about twenty years old, very young.
But nowadays, there are many successful people who marry young and beautiful girls.
Zhou Can asked who the man was to the pregnant woman, and the man said he was the pregnant woman's boyfriend.
Please note that boyfriend and husband are two different concepts.
The man pulled Zhou Can aside and said in a low voice, "Doctor Zhou, please do me a favor and tell my girlfriend that the baby in her belly cannot be kept and needs to be removed."
After saying that, he quietly took out a stack of banknotes and wanted to give it to Zhou Can.
With Zhou Can's professional ability, he could naturally see that the injury on the pregnant woman's wrist was most likely suicide by cutting her wrist.
I thought the pregnant woman's boyfriend would be worried about the baby in her belly, but I didn't expect that he would ask Zhou Can to help persuade the pregnant woman to have an abortion.
Zhou Can definitely couldn't agree to such a thing.
I rejected it sternly on the spot.
The man scolded Zhou Can for being ungrateful, and then Zhou Can received a message from the Medical Department.
Someone complained about him.
Therefore, no matter how carefully doctors and nurses serve patients and how polite they are to their families, it is impossible to avoid conflicts with patients.
There are always some requests from patients or their families that cannot be met by medical staff.
It would be truly chilling if the person who wanted to kill Zhou Can was a patient he had treated or a patient's family member.
Suddenly, a person flashed through his mind.
Director Xueyan's husband had threatened Zhou Can before, and this person must be very extreme and of bad character. From the fact that he took money from the Third Hospital and even cheated his wife, it can be seen that he is not a good person.
"Comrade police officer, I'm thinking of a man who is the husband of a female doctor in our hospital. He once suspected that I had an improper relationship with his wife and threatened me in person."
Zhou Can provided this clue to the police.
"Then is your relationship with his wife legitimate?"
"My relationship with Director Xue is innocent. Apart from normal work conversations, there is no relationship between us. She is 15 or 16 years older than me. I have a girlfriend, so there is no way I can do anything with her. When we interact with each other, we respect each other and have never made any jokes that cross the line."
"Then why did the husband suspect that you had an improper relationship with his wife?"
"One night, it was already very late after the last surgery. The previous director of the Department of Cardiothoracic Surgery, Director Hu Kan, asked me to help the current Director Xue Yan manage the Department of Cardiothoracic Surgery. The Department of Cardiothoracic Surgery was facing a major crisis at the time, so I discussed some new coping strategies with Director Xue. Maybe because the door was closed, Director Xue's husband found out about it and suspected that I had an affair with his wife."
For things like this, Zhou Can would definitely tell the truth.
Because the police can find out with a little investigation.
Lying would only bring him unnecessary trouble.
There is absolutely no need for that.
"Okay, we understand this matter. If this case is filed, we will notify you. During the investigation of this case, I hope you can keep your mouth shut and not talk about it to others, so as not to affect our investigation of this case."
"Thank you! Thank you!"
Zhou Can thanked him repeatedly.
Late in the night, these two policemen were so responsible and did not do things half-heartedly.
This made him very grateful and he had more respect for the two policemen.
…
When she got home, Su Qianqian hugged him.
She didn't say anything, just buried her head in his chest and cried.
"If anything happens to you, what should I do?"
She said crying.
"It's okay! Don't cry, don't cry! I will pay extra attention to safety, don't worry."
Zhou Can had already briefly explained the matter to her over the phone.
There's no need to hide it from her.
Because this matter is particularly dangerous, telling her can also make her more vigilant.
For example, not long ago, she learned that Zhou Can was almost hit by a falling flowerpot on his way home from get off work, and she immediately rushed to the scene.
Zhou Can told her that the criminals were hiding in the dark, and if she went over there, she would not only be unable to help, but would also increase the risk. Besides, he was not injured, he was just a little frightened.
In the end, she followed Zhou Can's arrangements and stayed at home waiting for him to come home.
"Starting tomorrow, you don't have to walk to work anymore. Drive!"
"I promise you!"
Zhou Can nodded in agreement.
Falling objects from high altitudes are indeed terrifying. If he had not relied on his crisis response instinct and dodged quickly, the consequences would have been disastrous.
The next day, Zhou Can went to work as usual.
The bleeding of the patient with hemothorax in the cardiothoracic surgery department has stopped and the breathing sound of the left lung has also increased a lot.
The bubbles coming out of the water-sealed bottle have been significantly reduced.
These are all good phenomena.
This indicates that the patient's condition is improving.
However, pneumothorax is prone to recurrence, so even after being discharged from the hospital, the patient must be careful to rest.
The patient with sternal osteomyelitis who was transferred from Xinxiang Hospital now has normal vital signs after surgery. The low-grade fever has subsided, and the blood pressure and heart rate are stable. Because of concerns about re-infection, after communicating with the family, the patient was admitted to the cardiothoracic surgery intensive care unit.
Relatively speaking, living in the intensive care unit is a sterile environment, and all aspects of care and management will be better.
Doctor Pu went to see Zhou Can last night, and he must have made up his mind to follow him.
I didn't send any message or call Zhou Can.
Zhou Can happened to come over and planned to talk to Director Xueyan about this matter, but Director Xueyan had not arrived yet.
She usually arrives at the hospital around eight o'clock.
There was no way, Zhou Can planned to talk to her about this matter when he came over in the evening.
Back in the emergency department, he wanted to upgrade the separation technique to level six as soon as possible, so he naturally worked hard on the operation.
By about 10:40 in the morning, he had completed 13 operations. Of course, many of them were only minor operations.
Even so, the efficiency is already amazing.
The fourteenth operation was performed on a patient with severe rectal prolapse who was currently suffering from fecal incontinence.
He was admitted to the emergency department yesterday, and after examination, emergency surgery was scheduled today.
For patients like this, if they go to the anorectal surgery department, they will need at least one day to wait for a bed. Then, it will take at least three or four days to undergo various further examinations, discuss surgical plans, schedule surgery, and finally perform the surgery.
However, if surgery is performed in the emergency department, the time required can be shortened by at least half.
He was admitted to the hospital yesterday and was scheduled for surgery this morning. The surgeon was Zhou Can, whose actual surgical skills were no less than those of an average chief surgeon.
Now, his incision skills have been promoted to level six, and he is more confident than before.
The patient had already been sent to the pre-anesthesia room.
At this moment, after the table turning work in the operating room was completed, the patient was pushed in directly.
To explain, for a larger surgery of this kind that requires general anesthesia or spinal anesthesia, the attending physician will send the patient to the pre-anesthesia room in the operating room in advance.
In the past, the operating rooms in the emergency department were in very poor conditions, and there were not even 10,000-level operating rooms.
The so-called pre-anesthesia room does not even exist.
Often used in conjunction with a recovery room.
Moreover, in the past, emergency departments rarely performed level 3 surgeries.
Only Dr. Xu had the ability to perform a level 3 surgery. But he was a criminal, and he was suppressed by Director Xie of the Department of Surgery, and other departments were also interested in protecting their own interests.
I also agree with Director Xie’s suppression of the emergency department.
As a result, the emergency department has been surviving in a humble manner.
They only perform level one and level two emergency surgeries. When encountering major emergency surgeries, they only provide preliminary treatment, such as helping the patient stop bleeding, or performing cardiopulmonary resuscitation, increasing blood pressure, etc. After helping the patient stabilize his vital signs, they will ask a specialist to take the patient away .
Today, the emergency department has finally made great progress thanks to the efforts of Zhou Can, a super capable person, and the concerted efforts of the entire department.
Now I have my own Class 100 operating room.
There are also professional bed-changing rooms, pre-anesthesia rooms, and recovery rooms.
In addition to being used for patients to recover from anesthesia after surgery, the recovery room is also used for postoperative observation of patients.
Don’t even think about having a separate post-operative room.
However, Zhou Can, Dr. Xu and others are already very satisfied with the current conditions in the emergency department's operating room.
Qiao Yu and Ma Xiaolan turned the table and the bed sheets had already been laid out.
They worked together to lift the patient onto the operating table.
We are just waiting for the anesthesiologist to come and administer anesthesia.
The patient is 32 years old and is a relatively young female patient.
The preparations before anesthesia have been completed in the pre-anesthesia room, so the patient is currently in a naked state.
There is no way. In the operating room, the doctor cannot take into account the patient's privacy too much.
Doctors can only devote most of their energy and attention to treating patients' diseases.
There are many surgeries where patients cannot enter the operating room with their clothes on.
However, in order to protect the privacy of patients, especially female patients, doctors will considerately cover the patients with disposable sterile sheets. From this point, we can also see the importance of the pre-anesthesia room.
The more complete the supporting facilities in the operating room, the lower the risk of surgical infection for the patient.
Many surgeries must be performed in a Class 100 operating room, mainly to reduce the chance of intraoperative infection.
"Ms. Cheng, how do you feel now?"
"It just hurts in my anus, and I'm a little scared!"
The patient had a look of pain on his face.
"It's okay, it's okay. The doctors performing the surgery on you are Dr. Zhou and Dr. Xu, both of whom are highly skilled surgeons in our hospital. They have already done a preoperative evaluation on you, and as long as nothing unexpected happens, it will be very safe. We have had many successful experiences in performing this type of surgery, so you don't have to be nervous at all."
Ma Xiaolan is very good at speaking when it comes to comforting patients.
She became more and more adept at completing the tasks of a surgical nurse, and her professional level also improved significantly.
In fact, the growth of everyone in the surgical team is visible.
"Sorry, I'm a little late! I kept you waiting!"
The anesthesiologist arrived late.
"It's okay. We just put the patient on the operating table. Doctor Qu, are you going to start general anesthesia right away, or something else?"
Zhou Can gets along well with most of the doctors in the Department of Anesthesiology.
Qu Zi came here today.
In fact, many doctors in the anesthesiology department form relatively fixed teams with surgeons.
For example, Wu Baihe's surgical team in the Department of Neurosurgery usually performs surgery with Director Feng and his assistants going to anesthetize the patients.
If the number of surgeries is large enough, a fixed combination of anesthesiologists and surgeons should be more beneficial than harmful.
For example, for some patients with higher risks, surgeons believe that they can undergo surgery and have a certain degree of confidence in doing the surgery well, but after evaluation, anesthesiologists are unwilling to take the risk.
What should I do then?
Ultimately, if the surgeon cannot convince the anesthesiologist, then the operation cannot be performed.
The patient can only be transferred to another hospital or other treatment options can be adopted.
A good anesthesiologist, after working with the surgeon for a long time, can develop a tacit understanding like a married couple.
I believe many surgeons have had this feeling.
Various disputes may occur with the anesthesiologist before and during surgery, but both parties have a common goal, which is to cure the patient's disease.
Every time an operation is successfully completed, the surgeon is very happy and the anesthesiologist is also very happy.
When a patient has a problem during surgery, both the anesthesiologist and the surgeon will be extremely nervous and will try every possible means to save the patient.
Some people compare the surgeon to the role of the husband and the anesthesiologist to the role of the wife. This is actually a very vivid metaphor.
Couples often quarrel at the head of the bed and make up at the foot of the bed.
Surgeons and anesthesiologists also often quarrel, but they can't live without the other.
During the operation, they were more like close comrades-in-arms, fighting together.
"Considering that she's going to have a rectal repair, she should be given general anesthesia!"
Qu Zi only gave the patient a brief examination and then began to skillfully install a life monitoring probe on the patient.
Zhou Can was helping on the side.
Soon, general anesthesia was successfully implemented.
Since the area to be operated on is a woman's private part, general anesthesia can take care of the patient's dignity to the greatest extent.
"General anesthesia is in place, the patient's vital signs are stable, and the operation can begin!"
"Let's get started!"
Zhou Can couldn't wait any longer.
He needs to perform many operations a day and has to race against time.
By removing the disposable sterile towel from the patient, the patient's anus can be seen.
Her anorectal prolapse was very serious, and her anus was much larger than that of an average person. When she sought medical attention, she was already incontinent.
This problem cannot be cured without rectal repair surgery.
"Oh my god, her anus is prolapsed like this, I don't know how it happened?"
When Qiao Yu saw the patient's condition, she couldn't help but scream out in surprise.
"Sister Qiao Yu is so pure!" Ma Xiaolan praised Qiao Yu with a meaningful smile.
Anesthesiologist Qu Zi had a sullen face and stared at the monitor screen pretending to be serious.
Normally, anesthesiologists don't have to stare at the monitor screen all the time. Most of the time, they just look up occasionally.
The anesthesia nurse who came with her was also a little embarrassed.
