Chapter 547: It turns out that they are sending a banner, a sense of caution
The patient is not old, only thirty-four or thirty-five years old. If anything happens to him, it will be a huge blow to the family.
It is not easy for any family to raise a son.
Thirty-four or thirty-five years old, he was basically taking over the family burden from his father, his career was rising rapidly, and he had just married and had a child. It is conceivable that if he fell down at this time, the life of the family would be greatly affected.
Why is the mortality rate of acute pancreatitis so high?
First of all, let’s talk about a question: why does it cause low blood pressure?
The main reason why it causes a drop in blood pressure is the secretion of substances such as bradykinin.
Bradykinin can dilate blood vessels, which will cause the patient's blood vessel capacity to increase, thereby causing hypotension. The patient will then experience obvious symptoms such as thirst and cold limbs.
If it is just low blood pressure, it will not kill the patient.
The real cause of death is complications such as organ failure, systemic inflammatory response, severe abdominal infection, gastrointestinal bleeding, etc. Bradykinin secretion is one of the causes of these complications.
The pancreas is a very amazing organ that can 'eat' itself.
After the pancreatic enzymes in the pancreas are activated, there is a terrible phenomenon that the pancreatic tissue will digest itself, eventually causing bleeding or even necrosis.
As the second largest digestive organ in the human body, how does it eat itself?
The pancreas usually secretes insulin to regulate blood sugar levels, effectively utilize glucose in food, and maintain normal metabolism. The pancreatic juice it secretes is specifically designed to help the body clean up oil stains and digest greasy food.
It can be said that it is a digestive organ that works hard and has great contributions.
When pancreatic juice is first secreted, it exists in the form of pancreatic enzymes and will not be activated until it comes into contact with gastric acid and protein food.
People with acute pancreatitis are very likely to develop gallstones.
Once you have cholelithiasis, the stones will fall into the junction of the pancreatic duct and the gallbladder, blocking the exit, causing bile to flow into the pancreatic duct or pancreatic juice to flow back. At this time, the inactive zymogen is activated into an active enzyme, which will digest itself.
This is how the pancreas eats itself.
There is a younger man among the family members who looks quite similar to the patient. He seems to be in his twenties and may be the patient's younger brother.
After hearing Zhou Can's diagnosis, he was still a little worried and asked, "Doctor, is your diagnosis reliable? What if my brother's illness is not acute pancreatitis? Will it delay the rescue?"
"Don't be offended! It's mainly because you are too young. Human life is at stake. We came to Tuya just for safety."
The family members were mainly worried that Zhou Can was too young and lacked work experience, which would delay the rescue.
"No doctor can guarantee this. If you don't trust my diagnosis, I can't help but ask another doctor to treat you."
Faced with such doubts, it would be a lie for Zhou Can to say he wasn't angry.
According to his experience, once family members begin to doubt the doctor, trouble will ensue.
It is extremely detrimental to diagnosis and treatment.
When the doctor prescribes a medicine, the family members will ask, what is this medicine for? Is it effective? What if it doesn't work? Is there a better alternative medicine? ...
Countless doubts were enough to make the attending doctor die on the spot.
To be honest, Zhou Can didn't need to be in charge of the triage work. He would come to help solve the problem when the doctor on duty couldn't handle it.
After all, saving people is the most important thing.
In addition, Director Lou, Deputy Director Han and others in the department have authorized Zhou Can to take charge of rescue work on their behalf when necessary on many occasions in department meetings or public occasions.
Because rescue often happens in a very short period of time.
If they are not present, a highly qualified doctor must be found to lead the rescue work.
There is no doubt that Zhou Can is the best among all the emergency doctors. In the entire emergency department, only Director Lou, Deputy Director Han, Doctor Xu and a few others are capable.
Now Zhou Can has probably become the best rescuer in the emergency department.
At this time, Deputy Director Han rushed over from the ICU.
The emergency ICU usually has two very capable chief physicians and deputy chief physicians on duty in turn. Only when encountering some very difficult and critical cases will other top doctors in the emergency department be mobilized as much as possible to rescue the patient.
Sometimes, a doctor may not be able to take care of everything, as he or she has to maintain the patient's breathing, heart rate, and blood pressure.
In addition, resuscitation equipment such as extracorporeal lung membranes are used to treat patients, which requires the cooperation of multiple doctors and nurses, and requires skilled techniques.
"Director Han, you're here just in time! The family has some doubts about Dr. Zhou's diagnosis. Please take another look at the patient!"
Dr. Xie is the first doctor to see the patient, and he is most worried about the patient's death.
Now that Zhou Can has finally come up with a diagnosis result, the family members are unwilling to cooperate, which is really worrying.
The family trusts older doctors , and Deputy Director Han is old enough.
"What is Dr. Zhou's diagnosis?"
Deputy Director Han glanced at the family members and then looked at Zhou Can.
"I highly suspected that the patient might have acute pancreatitis. I asked the patient to do a blood test and fasting blood sugar test, as well as an abdominal B-ultrasound. The family thought I was too young and wanted to ask an older doctor to help the patient diagnose again so that they would feel more at ease."
Zhou Can was very tactful in his words in front of the family members.
There will never be any bad emotions in the language.
In the current era of highly tense doctor-patient relationships, doctors and nurses need to find ways to adapt to this harsh medical environment. They need to work hard to improve their communication skills, standardize diagnosis and treatment procedures, and avoid conflicts with family members and patients.
"Director, please help me take another look at my son!"
The family members made a request to Deputy Director Han at an appropriate time.
"What else are you looking for? Doctor Zhou is no worse than me in terms of expertise. Asking me to diagnose him again is just a waste of precious rescue time. Send him for a checkup right away! Saving his life is the most important thing."
Deputy Director Han urged the family members.
Although the family members were still somewhat skeptical, they no longer objected.
The patient was sent for examination.
"Director Han, I'll leave this patient to you. I have to go to the operating room quickly."
"Okay! Go get busy!"
Ever since Deputy Director Han’s hand was broken by a family member, Zhou Can stepped in to help him use his connections to quickly arrange surgery and get him admitted to a better ward. He is still grateful to Zhou Can.
Whenever there was anything going on at work, he would take great care of Zhou Can.
Good deeds will bring good results.
Some of Zhou Can's personal connections were gained by helping others.
…
Around nine o'clock in the morning, news came from outside, telling Zhou Can that the patient suspected of aortic dissection was indeed suffering from competitive pancreatitis. The situation was quite serious, and the digestive surgery department had been notified to take the patient away.
For patients with very serious conditions like this
Otherwise, if something goes wrong, it will only cause trouble.
"I didn't expect that the patient actually had acute pancreatitis. At first I thought it was more likely to be aortic dissection. Boss Zhou is indeed worthy of his reputation. Not only is his surgical ability extraordinary, but his diagnostic ability is also so outstanding."
Jiang Wei looked at Zhou Can with admiration.
It's really not easy to be admired by such a super talent as her.
"It's okay to be able to diagnose it. As long as you are careful, if you are proficient in pathology and have rich clinical diagnosis experience, you can still do it."
Zhou Can didn't think there was anything wrong.
The operating room is particularly busy today, with patients who need urgent surgery coming one after another.
After working until about 12:40 in the afternoon, Zhou Can took the surgical team to the cafeteria for lunch. Normally, they would eat lunch in the cafeteria. Only when it was past lunchtime, they would order takeout and eat in the lounge.
As soon as he walked out of the operating room, Zhou Can saw a young man walking towards him quickly.
It was none other than the younger brother of the patient with acute pancreatitis.
He couldn't help but be cautious and alert. What did this man want to do? Could it be that something happened to his brother and he blamed it on Zhou Can?
"Boss, do you want to notify the security guard to come over?"
Yang Zhi asked in a low voice.
When people see family members approaching quickly with long packages in their hands, they can't help but feel nervous.
"Not for now. Go eat first!"
Zhou Can was confident in his own strength. Even if the man's long package contained a sharp knife, Zhou Can was still confident that he could take him down.
Almost all martial arts masters can fight hand-to-hand with bare hands.
"Doctor Zhou, this is for you!"
The young man quickly opened the package, and inside was a silk banner.
Everyone breathed a sigh of relief.
Just send a banner, why make it so scary?
"What do you mean?"
Zhou Can was a little puzzled. Was this guy giving someone a banner just because he had a disagreement with someone?
He has received countless banners.
"Thank you for saving my brother! The doctor in the digestive surgery department told us that if he had been sent to hospital later, the consequences would have been difficult to predict. He also told us that my brother's symptoms were too similar to aortic dissection, and it was very difficult to diagnose it. It was because of your correct diagnosis that precious time was bought for my brother's treatment. But I was still questioning your ability. I'm sorry, I sincerely apologize to you."
After the young man's explanation, Zhou Can finally understood what was going on.
The patient's condition was indeed very urgent at the time. Zhou Can's contribution was not particularly great, but it was particularly crucial.
Without Zhou Can’s timely and correct diagnosis, the patient might have died.
"How is your brother doing now?"
After Zhou Can took the banner, he asked casually.
"After the operation, the patient is now fine. He is recuperating in the ward."
"It's good that everything is alright."
Zhou Can nodded happily.
He feels particularly happy every time he hears the news that a patient has recovered.
The sense of accomplishment is also full.
"No merit, no reward. I didn't actually do anything. You should take the banner back. It's more appropriate to give it to the doctor who performed the surgery."
Zhou Can refused to accept the banner presented by his family.
"We need to thank the surgeon, but you deserve even more thanks. The silk banners are all custom-made, so please don't mind. Accept them. This is also a small token of our gratitude to you."
"Okay then! Thank you, thank you!"
Zhou Can accepted the banner.
Of course, there is no need to mention going to the cafeteria to eat.
While eating, he habitually checked his mobile phone messages and replied to the important ones one by one.
He knew that this way of eating was unhealthy, but he had no choice because his time was too tight.
Director Xueyan sent him several messages in succession.
After clicking on it, I found out that the cardiothoracic surgery department had received a very special patient. He was only seventeen years old and had heart failure. He came from the capital and specifically sought treatment from Dr. Zhou Can.
Most of these cases are extremely difficult to diagnose and treat.
There are many large hospitals in the imperial capital, and the medical skills are the best in the country. This is because most of the powerful medical experts and professors are gathered in the imperial capital.
"I have to go to the cardiothoracic surgery department after dinner. Yang Zhi, you lead everyone to do some minor surgeries that can be handled first."
Zhou Can's team now has one more person, and the pressure is obviously much greater.
I have to work hard to perform more surgeries to make money, otherwise I won’t be able to support Jiang Wei, this super nurse.
Do you think her salary is high?
It's not particularly high, just normal.
However, the revenue-generating pressure on the emergency department operating room has certainly increased a lot. In the end, Zhou Can's team needs to complete at least 40 more level 3 surgeries or more than 400 level 1 and 2 surgeries a month.
Now he has to leave temporarily for something, and Yang Zhi and others have to take over.
Otherwise, Director Lou would have had a talk with him after get off work.
"Boss Zhou, can I go with you?" Jiang Wei asked excitedly.
"I'm afraid not! Qiao Yu is on leave today. You are the instrument nurse of our team. If you follow me to the cardiothoracic surgery department, Yang Zhi and his team won't be able to perform the surgery. There will be opportunities in the future, don't worry."
Zhou Can discovered that Jiang Wei particularly wanted to go to cardiothoracic surgery.
Why was she so keen on going to the Department of Cardiothoracic Surgery? To gain more knowledge? To participate in important major surgeries? Zhou Can was inevitably confused.
Logically speaking, she has interned in top hospitals abroad, so what kind of scenes has she not seen?
It is a bit unreasonable to say that you can gain more knowledge.
It was difficult to get such an opportunity to participate in important major surgeries for the time being. Of course, if Zhou Can was willing to use her and let her be a surgical nurse during a level 4 major surgery in the cardiothoracic surgery department, she would be able to participate.
The key is that Zhou Can will not agree.
Even now, Zhou Can still remains wary of this woman.
"Okay then! I just want to go with you to help you. Patients coming from the capital must be very difficult to diagnose and treat. Maybe I can be of help!"
She seemed a little aggrieved and gave a rare explanation.
"I understand your painstaking efforts. Thank you. There will be opportunities in the future. When our surgical team grows stronger, I will definitely need your help to perform various major surgeries ."
Zhou Can comforted her.
After dinner, he hurried to the cardiothoracic surgery department without taking Jiang Wei with him.
Unlike ordinary people who are easily soft-hearted, Zhou Can has always been very opinionated and will never be soft-hearted when it is time to be ruthless.
Otherwise, you will be the only one who suffers.
When he arrived at the Department of Cardiothoracic Surgery, Director Xueyan was resting in her office. She was very happy to see him and immediately took him to the corridor to see the patient with heart failure.
The patient came this morning. Even though he came from the imperial capital, if he didn't have very strong connections to get in through the back door, he could basically only sleep in the corridor or in the waiting room outside the office like ordinary patients.
"Sister Yan, have you examined the patient?"
"Only one blood test was done. The rest of the tests are up to you. The patient has gone through almost all the necessary tests at Renhe Hospital in the imperial capital. Unfortunately, they still couldn't find the cause of the disease."
If the inspection has been completed and is still within the validity period, there is generally no need to repeat the inspection.
