Chapter 497: Heaven has its own destiny, a very difficult myocardial infarction
The most common thing is to remove the ventilator from a critically ill patient. This process usually requires preparation before the ventilator is removed. Even if all the assessments are fine, the patient still needs to undergo a 120-minute spontaneous breathing test before the ventilator is removed.
After waiting for about eight minutes, the baby's blood oxygen concentration rose to 99%.
Babies' bodies are delicate and many of their organs are not fully developed, but their recovery abilities far exceed those of middle-aged and elderly people.
Everyone breathed a sigh of relief when they saw that the baby was out of danger.
It was really thrilling just now.
If Zhou Can had been a little slower during the operation, or his technique had not been up to par, the child would most likely have died.
The lowest blood oxygen level dropped below 50%, and even Director Zhuang felt that there was no hope for the child.
In the end, Zhou Can rescued the person.
"It's not easy! This child is lucky and has met a lucky star who can save him!" Director Zhuang said with emotion.
"That's right! I was so scared that I almost suffocated just now!"
"Last time, a 7-year-old girl got jelly stuck in her throat and she couldn't be saved. The jelly broke into pieces when she was pinched. Director Huang, who was doing the laryngoscopy, tried his best to clean the jelly away bit by bit , but the girl was already dead."
The medical staff in the endoscopy room praised Zhou Can's skills.
"Without your assistance and cooperation, I alone would not be able to save the child. Teacher Zi's assistance is impeccable."
Zhou Can did not take all the credit.
We need to retain some altruistic thinking at all times so that we can better integrate into the larger collective.
I can’t say that I’m welcomed wherever I go, but at least in most cases, I’m a welcome presence.
What impressed him most during this rescue was the female nurse named Zi.
She is also the most capable endoscopy assistant nurse Zhou Can has ever seen.
"Haha, I didn't do anything!"
She smiled, appearing very modest.
Nurses are just like doctors. Some strong nurses are even as effective as doctors.
"Teacher Zi is too modest! Are you a special assistant nurse in the endoscopy room?"
Zhou Can asked casually.
There are quite a lot of nurses in the pediatric department, and he couldn't even remember some of their names.
I also know very little about this nurse, Zi, except that her last name is Zi. This is the third time I have worked with her in the laryngoscopy room.
When they first collaborated, Zhou Can was just a medical assistant to a chief physician.
The second time, he was removing a fish bone from a young child, which was Zhou Can’s strong point.
At that time, I worked with Director Dai to rescue the young child.
At first, Director Dai was the one who used laryngoscope to remove the fish bone, but his skills were very average and he failed after many attempts. Eventually, Zhou Can took over and removed the fish bone with relative ease.
That time, Nurse Zi's cooperation left a deep impression on Zhou Can.
Her calmness and professionalism are admirable.
More than a year later, Zhou Can entered the pediatric laryngoscopy room again, but he came in with Director Zhuang.
Director Zhuang's position in pediatrics is much higher than Director Dai's.
However, Zhou Can had already been recognized by many pediatric doctors and nurses at this time, and Director Zhuang trusted him very much.
So as soon as he came in, Zhou Can was in charge of the entire rescue work.
It can be said that Zhou Can’s growth is visible.
The speed of increase is extremely rare in the entire hospital.
Naturally, Nurse Zi was also deeply impressed.
"Yes, I usually assist in the laryngoscopy room or other endoscopy rooms." She replied calmly.
But it was obvious that he was not very enthusiastic about talking to Zhou Can.
Maybe some people are naturally more indifferent.
Zhou Can just nodded and said nothing more.
The patient was sent out of the laryngoscopy room. Outside, the baby's three family members were all there. But the atmosphere was still very tense.
The old lady must have suffered a lot, she kept wiping her tears and crying like she was at a funeral, but no one paid any attention to her.
Including her son.
The baby's mother had scratches and bloody marks on her face, but she didn't cry.
There was only coldness on his face, and his eyes showed endless disappointment and disillusionment towards this family.
"Doctor, how is my baby?"
She saw the door of the laryngoscopy room open, Zhou Can and Director Zhuang walked out, and hurried forward to ask.
"Congratulations, your child is lucky and has a good life. He was successfully rescued. But you must be more careful about what you feed your child in the future. Keep larger granular foods, peanuts, and nuts away from your child. Foods like jelly are also very dangerous. Infants under three years old are particularly prone to accidents."
Zhou Can instructed the child's mother.
"Thank you, thank you!"
She was so excited that tears were streaming down her cheeks, but her face was full of smiles.
She took the baby from the nurse, checked it nervously, and then kissed the baby's face several times.
The old lady was crying and complaining about her daughter-in-law.
It's annoying just to listen to.
Of course, Zhou Can, Director Zhuang and others would not say anything.
In the hospital, you can encounter all kinds of family members, including various evil mothers-in-law, even vicious parents-in-law, and ruthless husbands.
Some of them really don't treat their daughter-in-law as human beings.
There are also sons-in-law who are treated like slaves.
In short, there are all kinds of people.
"Lu Shuqing, let's get a divorce! Let's go to the Civil Affairs Bureau to handle the formalities today."
The first thing the woman said after taking the child was to divorce her husband.
The man seemed very cowardly. No matter how his mother scolded his wife, he kept his head down and said nothing.
When he heard that his wife wanted to divorce him, he was obviously stunned.
He looked at his wife in disbelief.
"After you get divorced, you will lose your urban hukou and can only return to your hometown in the countryside!"
He obviously didn't want to leave.
"Let alone going back to the countryside, I would never live with a weak man like you even if I had to go out to beg for food. If you had stood up and said something whenever your mother scolded me, she wouldn't have been so arrogant. In the past two years, I have suffered a lot in your family, and you have never fulfilled your responsibilities as a husband. I stayed at home to take care of the children, and you gave all your salary to your mother. Even for the money to buy a pair of diapers, I had to listen to her nagging for most of the time and ask her for money with a smile on my face."
"If you are still a man, bring your household registration and marriage certificate with me to the Civil Affairs Bureau to get a divorce. If you disagree, I will only look down on you even more. Also, I will go through legal procedures, and this divorce is final."
The woman's attitude was extremely firm.
Zhou Can was watching from the side and felt quite relieved.
Women should be more decisive sometimes.
Especially when encountering such a family where the victim is bullied, divorce is a good way to stop the loss decisively.
Of course, if you can wake up the man and move out and not live with his parents-in-law, that is also a solution.
After all, it is not easy for the two of them to get to know each other, fall in love, get married and have children.
After a divorce, it is the children who suffer.
"You are a jinx, and you really take yourself seriously. I told you at the beginning that rural women should not be married..." When the old lady heard that her daughter-in-law wanted to divorce, not only did she not step forward to dissuade her, but she cursed her in various ways.
I want to put all the blame on my daughter-in-law.
"Son, just divorce her. We are city dwellers. We have a house and a city hukou. You can find a virtuous and beautiful girl. She still thinks she is nothing. After the divorce, she is just a second-hand commodity. No one will want her even if you pay her..."
"Mom, please stop talking!"
The man has already reached the point where his wife and children have left him . He must know in his heart that it is all because his mother is too domineering and mean.
"Oh my... now you are going to help this jinx, this bitch from the countryside to deal with me, right? You are the one who was brought up by me since I was little... Woohoo... I won't live anymore, I won't live anymore!"
As the old lady spoke, she banged her head against the wall.
Even a fool can see that it's mostly acting.
The baby's mother had already walked a distance away with the child in her arms. She did not look back.
At this time, the man no longer cared about his mother, but caught up with the woman.
The old lady performed for a long time, but her son did not come forward to persuade her, and even the medical staff beside her did not come forward to pull her back. She could not help but secretly look behind her, and then she found embarrassedly that her son and daughter-in-law had already left with her grandson.
He was suddenly overwhelmed with grief and sat on the ground crying loudly.
"What a sin... I won't live any longer, I won't live any longer..."
Zhou Can looked at her and shook his head. Whoever met this old lady would be unlucky.
Sometimes, the elderly really can't just obey blindly. Really wise and knowledgeable children should not be foolishly filial. Blind filial piety will only make some parents with low self-cultivation more unscrupulous.
In the end, it is only one's own small family that will be destroyed.
What matters nowadays is filial piety and love. While fulfilling filial piety, we should also give more care to the elderly.
As people get older, they inevitably become lonely and their thoughts become increasingly eccentric.
If you continue to blindly obey them at this time, it will only hurt others and yourself.
Unfortunately, influenced by thousands of years of feudal thinking, few people can see through this.
Zhou Can returned to the outpatient department and continued to see patients.
This time, the grasping technique was unexpectedly promoted to level 6, reaching the level of chief physician, which was very remarkable. Looking at the entire Tuya Hospital, there were very few people who could practice grasping technique to the level of chief physician.
Many surgeons use toothpicks to pick up food while eating, which is a practice of grasping technique.
To be promoted from associate chief physician to chief physician, 100,000 experience points are required. Even if picking up food once can increase 0.1 experience points, it takes a million times to reach the chief physician level.
In fact, there are very few surgeons who can insist on eating with toothpicks every day.
Because doctors are very busy, they don't have time to eat slowly with a toothpick.
Surgeons in particular are so busy in the operating room that they often don’t even have time to eat.
…
Because it took a lot of time to rescue the child with a peanut stuck in his throat, Zhou Can had to see all the patients who had registered with him, so it was already 1:30 in the afternoon when he finished seeing patients.
Su Qianqian brought him food at around twelve o'clock.
Then I waited outside for an hour and a half.
When she saw Zhou Can coming out of the outpatient clinic, her face was full of heartache.
"Can't you eat before seeing the patient? It's so late now, what if he gets sick from hunger?"
"All the patients who come to see me are in urgent need. Especially in the pediatric department, they are all children and babies, their bodies are delicate, and each of them is the apple of their parents' eyes. How can I just leave them there and just focus on eating? They registered with me, which shows their trust in me. I cannot let them down."
Zhou Can said to her.
"Eating is the most important thing in the world! If you get sick, you won't be able to take care of their children. Besides, they love their children, and I love my lover!"
Su Qianqian was really worried when she saw that Zhou Can was always unable to eat on time.
"By the way, I went to your to have a kidney checkup. The results haven't come out yet, but I feel that my body is obviously different from before. I feel especially relaxed and comfortable. I hope there will be a good result."
She took the ancient prescription and completed twelve courses of treatment last week.
I waited a week before doing the check-up so that it could be more accurate.
"Don't worry, there will definitely be a good result. Even if there are some minor problems, we can still think of other ways."
Zhou Can has never dared to trust the efficacy of traditional Chinese medicine too much.
This is mainly because kidney failure is an irreversible disease in Western medicine.
Once it happens, it can't be good.
It’s just that the symptoms of each kidney patient are different. Mr. Chen Guoli believes that Su Qianqian can be cured, so there should be great hope.
After dinner, Zhou Can rushed to the cardiothoracic surgery department without stopping.
Director Xueyan encountered the biggest challenge. If the patient was not cured, it might lead to the reputation of cardiothoracic surgery being damaged.
As soon as he arrived, Xueyan had hurriedly left the operation to Director Le and ran over to discuss the condition of the patient with myocardial infarction and coronary heart disease with Zhou Can.
"Zhou Can, I'm so sorry. You are so busy, but I have to bother you to come and help me with the consultation."
Although it had been a while since the incident, Director Xueyan still felt a little ashamed when she saw Zhou Can.
This is a kind of guilt in the soul.
"Sister Yan, why are you being so polite to me? Let's take a look at the patient's examination report first!"
Zhou Can didn't even think about visiting the patient.
When consulting for this type of disease, you usually just need to look at the examination report.
In particular, the results of cardiovascular angiography can clearly show the extent of the patient's cardiovascular blockage and where the blockage is.
“I have everything ready to go in my office.”
She led Zhou Can into the office, and the two of them were surprisingly tacit and did not close the door.
"The three arteries on the right side of this patient's heart are all blocked. Currently, blood flow is maintained only by some small blood vessels nearby. However, the patient's cardiovascular condition is worse than expected."
Director Xueyan gave the film to Zhou Can for review.
After seeing it, Zhou Can broke out in a cold sweat for this patient.
Under normal circumstances, even if only one blood vessel is blocked, angina pectoris and partial myocardial infarction will occur. At least when the blood supply to the myocardium is reduced, its contraction ability will also be reduced.
At this time, patients are very likely to feel chest tightness and fatigue.
The three arteries entering the heart are all blocked, but the patient is still alive. This is simply a miracle of life.
But our human body is so amazing.
Its self-healing ability is often stronger than you can imagine.
After all three arteries in this patient's heart were blocked, during this blockage process, the surrounding small blood vessels miraculously took on the heart's blood circulation function.
After growing and expanding to a certain extent, they successfully connected to the aorta.
Therefore, the patient is still alive today.
Even Zhou Can, who was used to seeing various patients with myocardial infarction, couldn't help but break out in a cold sweat for this patient.
"Before the angiography results came out, I thought I could perform cardiovascular intervention surgery on the patient and insert a stent to clear his blood vessels based on my experience. I never expected that all three of his blood vessels were completely blocked, and that the blood flow was miraculously supplied by the tiny blood vessels nearby. What do you think we should do now? Artificial blood vessel replacement and bypass surgery are the last resort options."
Xueyan said.
