Chapter 519: The Function of a Note, Invitation
"Uh... I think he may have some good treatment suggestions to offer us." No matter how stupid Dr. He was, he would not say anything that would make the two directors unhappy.
It's impossible that they haven't made much progress in rescuing the patient, so Zhou Can has a better way, right?
I believe the two directors have understood my meaning.
"The patient is currently unconscious. We will try our best to stabilize his vital signs and then find a way to develop a further treatment plan. There is no problem. No matter how powerful Zhou Can is, his treatment steps will still be the same as ours."
Pang Houzhong disagreed.
The attending physician and the chief physician were originally talking, and as a young resident he had no right to interrupt.
It is because he relies on his status as Director Xiang's apprentice that he dares to act so presumptuous.
In fact, no matter which company you work for, if you are appreciated by the top leaders, you can really walk sideways in the company. At least your status and position are much higher than that of ordinary colleagues.
"I don't know about this either. I'm just reporting my observations to the two directors."
Dr. He glanced at Pang Houzhong and did not argue about the matter any further.
However, Pang Houzhong spoke without restraint, which must have made him feel unhappy.
"Professor Xiang, why don't we ask Zhou Can? We can also learn more about his medical skills."
Ru Yaji’s plan was simple. She was just unwilling to accept the defeat and wanted to see if Zhou Can was really that strong.
Not long ago, Zhou Can accurately diagnosed that the patient's critical illness was caused by blood clots in the central vein.
Or maybe it just happened to happen.
For example, Zhou Can happened to have similar clinical diagnosis and treatment experience. It would not be difficult for him to point out the problem.
"What a mess! What reason do we have to communicate with him? Should we ask him to come for a consultation?"
Director Xiang scolded Ru Yajie in public.
Her thoughts were too naive and she had no idea of the possible impact on the reputation of the Provincial People's Hospital.
If Zhou Can was a doctor in our hospital, he might be able to put up with his dignity and invite him in for consultation. But he is a doctor in Tuya Hospital. If he is invited in for consultation, where will the reputation of the Provincial People's Hospital be if he is slapped in the face again like this blood clot?
Director Xiang is standing at a different height and can see farther.
At this time, a nurse came in from outside.
"Professor Xiang, this is a note left by the family member who visited bed 13, asking me to give it to you in person." This nurse was the young nurse who took Zhou Can into the ICU for a visit.
She has a lower position and little experience here.
My current job is mainly miscellaneous work.
Every nurse is trained step by step by doing minor work.
The hospital has strict rules for addressing doctors of different levels.
Deputy chief doctors are usually addressed as Director So-and-so. Do not call him Deputy Director all the time. Assistant doctors and deputy directors are always addressed as Director So-and-so.
Generally, you should not call associate chief physician or chief physician "teacher", as they will be unhappy if they hear that.
The chief physician can either be called Director So-and-so, or, with a higher EQ, be called Professor So-and-so.
Just like when we go to an administrative department to do business and see a handyman, if you call him "comrade", he may not answer you. But if you call him "leader", his face will be much friendlier. If you have any questions, he will be happy to answer or give you some advice.
Therefore, there is a lot of knowledge in addressing your superiors.
Chief physicians prefer to be called Professor X rather than Director X. If the chief physician also serves as the vice dean, the title changes again and he has to be called the dean.
When addressing someone, always address them by their highest title.
Director Xiang was a little surprised. After taking the note, he found that it was folded into a triangle. If you don't take the initiative to open it, others can't see the content of the note.
He immediately realized that Zhou Can was probably taking care of his face and maintaining his dignity, so he didn't let others see the contents of the note.
"You should discuss the treatment plan for the patient in bed 13 first."
Director Xiang stood up and walked outside to open the note.
There was only a short line of words written on it: the golden rescue time is four hours.
Just these few short words hit Director Xiang's heart like a heavy hammer.
With his experience and wisdom, he naturally understood that Zhou Can was referring to the patient in bed 13.
For example, in the case of cardiac and respiratory arrest, the generally recognized golden rescue time is three minutes. Within this time, if cardiopulmonary resuscitation can be performed quickly on the patient, the irreversible damage to the patient's body will be minimal.
On the contrary, if you wait more than three minutes to rescue someone, the difficulty of saving that person will greatly increase.
Another thing is that even if the person is saved, he or she may become brain dead and become a vegetable. Or he or she may develop cognitive impairment and become mentally retarded. In this case, saving the person is much less meaningful.
It will place a heavy burden on the original family.
Nearly three hours have passed since the patient in bed 13 was admitted to the hospital.
The Provincial People's Hospital only provides life support to patients. It tries hard to stabilize the patients' vital signs and the treatment method is very conservative.
Zhou Can's meaning was very clear. He wanted to tell Director Xiang that the golden rescue time for this patient should be completed within four hours.
If this time is exceeded, it does not mean that bad things will definitely happen.
There is a high probability that some irreversible disease progression will occur, and the patient may even lose the chance of treatment.
After reading the note, Director Xiang stood there in a daze, silent for a long time.
Trying every possible means and overcoming all difficulties to save lives is the doctor's duty and the professional ethics that doctors must abide by.
Although Zhou Can did not say it explicitly, there was a hint of coercion in his words.
The Provincial People's Hospital does not have to bear any responsibility for missing the golden rescue time, but Director Xiang will suffer from the condemnation of his conscience.
Conscience is an invisible ruler.
It exists in everyone's heart.
When we do something wrong, or hurt others because of being too selfish, if we are kind enough, we will be condemned by our conscience, feel uneasy, or even guilty.
Cold-blooded people may be indifferent to the feelings of others.
In other words, the conscience that is often scolded has been eaten by dogs.
In fact, there are very few such people. The vast majority of people in this world are good people.
Director Xiang is able to hold such a high position and his medical skills are extremely high, so there is naturally no problem with his professional ethics.
After reading the contents of the note, he was suffering from inner torment.
Invisible pressure is coming towards him in waves.
This note forced him to find a way to actively treat the patient in bed 13.
After a moment, he returned to the duty room.
"Show me the patient information of bed 13 again."
Everyone noticed that his face seemed a little solemn, and they didn't know what had happened.
Pang Houzhong immediately gave the patient's examination report and other information to Director Xiang.
"The intracranial effusion is quite serious. After your discussion just now, do you have any good solutions?"
"This kind of situation is usually solved by surgery. Doctors from the orthopedic surgery department and the neurosurgery department need to work together to perform the operation. But as you can see from the patient's condition, there is no way he can go on the operating table."
Director Zhao looked helpless.
Some patients' physical conditions do not meet the criteria for surgery, so doctors can only choose more conservative treatments.
Otherwise, what if the patient dies on the operating table and the family members ask the hospital for an explanation?
Even if the family members do not make trouble, the patient's death on the operating table will affect many of the hospital's ratings.
The doctors performing the surgery will also suffer negative impacts or even be punished.
Naturally, no one wants to do this kind of "losing" thing.
"Have you asked a neurosurgeon to take a look?" Director Xiang studied the document for a while, his face still somewhat gloomy.
The patient's injuries were very serious and the extent of his internal injuries had not been determined, making treatment very difficult.
"After the emergency department received the patient, we invited experts from three departments, namely neurosurgery, thoracic surgery, and orthopedic surgery, to consult. After the diagnosis by the thoracic surgery expert, he believed that the patient's spleen was likely to rupture, and other organs had certain damage and displacement, and the patient's condition was critical. The neurosurgery expert diagnosed that the patient had intracranial bleeding, and it was very close to the brain stem, so the operation was extremely risky and difficult. After the diagnosis by the orthopedic surgery expert, it was found that the patient had fractures in multiple parts of the body, and it was recommended that the patient undergo surgery at a later date."
After Director Zhao finished explaining the situation, Director Xiang just nodded and said nothing more.
The patient's injuries are extremely serious and there is a high possibility that he will not survive.
If you want to actively rescue the patient, the doctor must have the ability to do so.
Given the patient's condition, who would dare to operate on him?
Director Xiang is only an expert in critical care medicine. He is neither professional in surgical matters nor has the ability to perform surgery.
"See if Zhou Can has left! If he is still here, please ask him to come to my office. I want to talk to him."
Director Xiang considered it again and again and finally made this difficult decision.
After thrombectomy, the patient in bed 13's vital signs temporarily stabilized.
But everyone understood that the patient's condition was still deteriorating and it was very likely that he would not survive tonight.
There are too many patients who died after falling from a height and failed to be rescued.
When everyone heard Director Xiang say this, they all looked at him in surprise.
The 'odd jobs' nurse ran out to look for someone.
"Why are you looking at me like that? Didn't you just suggest that I ask Zhou Can to come for a consultation? I'm planning to do just that. It wouldn't be wrong to at least listen to his opinion."
Director Xiang was somewhat overwhelmed by the strange looks from everyone.
I could only proactively explain a few words.
What these people were more curious about was what Zhou Can wrote on the note, which caused Director Xiang's attitude to change significantly.
But no one dared to ask about this matter in person.
After Zhou Can finished writing the note, he did not leave the Provincial People's Hospital immediately. He told Lu Fen some basic information about Deputy Director Lu.
According to the current treatment methods of the Provincial People's Hospital, Deputy Director Lu may not survive tonight.
Zhou Can was considering the possibility of persuading Lu Fen to transfer Deputy Director Lu to Tuya Hospital.
Transferring such critically ill patients to another hospital itself carries great risks.
Many of them are unable to leave the ICU.
Deputy Director Lu had multiple fractures all over his body, and moving him would easily cause secondary injuries.
So, this is a very tricky thing.
Besides, if the patient is transferred there and fails to be cured, wouldn’t Tuya Hospital be in big trouble?
Although Zhou Can has some status in Tuya, he must be extremely cautious about matters like this.
One thing is certain, if Deputy Director Lu can be transferred to Tuya Hospital, as long as his family members are willing to cooperate, Zhou Can will definitely find ways to persuade all relevant departments to give Deputy Director Lu active treatment.
Of course, this was just his wishful thinking.
There are many obstacles in the actual operation process, making it almost impossible to achieve.
The best way is to let Deputy Director Lu stay in the Provincial People's Hospital for further treatment. If we can convince the Provincial People's Hospital to start a more active rescue for Deputy Director Lu, it will be perfect.
He had already had some preliminary communication with Lu Fen, explaining some of the interests involved and the actual situation that Deputy Director Lu was facing.
However, considering that her relationship with Lu Fen was not deep, she was very young and had little social experience.
In order to avoid causing some medical disputes, he spoke quite conservatively.
Just give some explanations and reminders indirectly.
She is currently the only immediate family member of Deputy Director Lu and has the right to make any decision regarding his treatment.
If we can do some ideological work for her first and then communicate with the Provincial People's Hospital, Zhou Can will feel more confident.
Otherwise, even if he could persuade the doctors at the Provincial People's Hospital to take the risk and take some active rescue measures for Deputy Director Lu, it would be in vain if the family members disagreed.
"Doctor Zhou, I didn't expect you haven't left yet, that's great!"
The young nurse who was in charge of looking for Zhou Can seemed very happy when she saw Zhou Can.
She was also very polite towards Zhou Can.
Even respectful.
"What's up?"
Zhou Can looked up at the nurse.
"It's like this. Director Xiang wants to invite you to his office to have a chat. Do you have time now?"
"OK!"
Zhou Can only answered with one word.
He seemed to have anticipated this result.
I followed the nurse to Director Xiang's office, but there was no one inside.
"Doctor Zhou, please sit down for a moment. Director Xiang will be here soon."
"OK."
Zhou Can nodded.
"My colleagues are all praising your high level of medical skills! This is also the first time I have seen the true style of young and outstanding doctors in Tuya Hospital. Compared with the ones I have seen before, you are different from them."
As the young nurse spoke, her eyes were filled with admiration and respect for Zhou Can.
Zhou Can is only a few years older than her, but he has such great abilities, which is truly admirable.
She had called Director Xiang directly and told him to invite Zhou Can to his office. She stayed here to chat with Zhou Can for a while.
So as not to neglect others.
At the same time, she was also curious about the real situation of Tuya Hospital and wanted to find out the real situation of Tuya Hospital by talking with Zhou Can.
Just like Zhou Can also wanted to know the situation of the Provincial People's Hospital.
Strictly speaking, we are competitors.
"Haha, you flatter me!"
Zhou Can was not very interested in chatting with the young nurse.
Just replied calmly.
But the other party was very enthusiastic.
"Are there many outstanding young doctors and nurses like you in Tuya Hospital?"
“There are so many people who are better than me.”
Zhou Can said seriously.
He never thought he was that good, because his goal was to become the best doctor in the world and to build a super team.
