Chapter 141 Dangers arise frequently, and we work together to deal with the family members
Zhou Can even suspected that this guy had mysophobia.
For him, it doesn't matter which bed he is in. The purpose of the trainees' work is to learn, and they can learn from any disease.
The key is to handle various emergencies well and avoid accidents.
Zhou Can quickly rushed to the ward where bed 31 was located.
Neurosurgery can generally be divided into three to five wards.
The most common lesions are intracranial tumors, brain trauma, functional neurosurgical diseases, and cerebrovascular diseases.
Then, intensive care is considered a comprehensive independent ward.
Those patients whose lives are hanging by a thread must stay in the intensive care unit.
Tuya Hospital is so strong that it can build multiple intensive care units. The emergency department has one intensive care unit, the neurosurgery department has three, and the cardiothoracic surgery, neurosurgery, and thoracic surgery departments must also have intensive care units.
I'm not familiar with the obstetrics and gynecology department. According to common sense and the status of the obstetrics and gynecology department in Tuya, there should be at least two intensive care units.
Premature babies, critically ill pregnant women and mothers all need to be sent in to save their lives at critical moments.
Many family members are particularly afraid when they hear that they need to go to the intensive care unit because it costs a lot of money. The cost of 10,000 or 20,000 yuan a day is a disaster for an ordinary family.
But the intensive care unit really has the strength to fight for lives with the King of Hell at critical moments.
We can save the patient from the brink of death.
Then you stay in the hospital for a few days, half a month, or one or two months, and eventually you pass the critical period safely, are transferred to a general ward, and slowly recover.
Since the construction of intensive care units in major hospitals across the country, the mortality rate has dropped significantly.
Many lucky patients survived and eventually recovered.
There are also tragedies where both people and money are lost.
Zhou Can came to bed 31. The patient was a fairly young man, probably no older than 40. His wife, looking haggard, stood by the bed, holding a washbasin in her hand.
The patient is still suffering from vomiting symptoms.
"Did you vomit a lot?"
Zhou Can asked with concern.
A man in his forties is at the age when he has elderly parents and young children to take care of, and is the backbone of a family.
I really can’t imagine what would happen to the family behind this man if he fell.
Some experts say that health is 1 and career is N zeros.
If you lose your health, no matter how many zeros you have, they will be meaningless.
"My husband complained of a headache not long ago, and not long after that he started vomiting." When the patient's wife saw the doctor coming, her originally nervous expression relaxed a little.
In the eyes of patients and their families, doctors are the nemesis of disease and the life-saving straw.
Zhou Can took the patient's examination data and medical records and looked at them.
"Cerebral arteriosclerosis, accompanied by cerebral aneurysm!"
Zhou Can was shocked when he saw the test results.
Since the patient has been admitted to the hospital, he must be prepared for elective surgery.
For other diseases, vomiting may not be a big deal.
However, vomiting due to brain aneurysm is a very bad sign.
Even Zhou Can, a trainee who has no similar experience, knows the dangers involved.
Doesn’t Dr. Cheng Gang, the patient in charge, know that Bed 31 has a brain aneurysm?
He looked at the patient's hospitalization date and saw that he was admitted yesterday.
"Did the nurse tell him not to eat or drink anything?"
Zhou Can asked this because he wanted to know whether the department had already developed a surgical plan and time for the patient?
"No."
The patient's wife shook her head.
It seems that the doctors in the department have not yet formulated a surgical plan.
"Where does your head hurt?"
Zhou Can asked the patient directly.
"Here, and here, there are waves of severe pain... Ugh!"
As he was speaking, the patient vomited again.
There was only some sour water from vomit in the basin, and no food residue.
"Has he not eaten since he was admitted to the hospital?"
Zhou Can asked.
If the patient had eaten something in the morning, what he vomited out now would definitely not be acid or bile.
"He can't eat. I bought some bread to feed him, but he shook his head after taking a small bite. Not to mention the boxed lunch. From yesterday afternoon till now, he has only drunk a small glass of water. Doctor, when can I arrange the surgery for my husband?"
The patient's wife was filled with worry as she looked at her husband.
"According to his examination report, it should be that the aneurysm in his brain has compressed the nerves, which has led to anorexia, nausea and headaches. Now he has severe vomiting, which may indicate that his condition is worsening. I will report it to the senior doctor immediately. From now on, he should not eat or drink water. If the aneurysm in his brain has ruptured and is bleeding, emergency surgery may be required."
After Zhou Can finished speaking, he carefully checked the patient's condition.
The main symptoms are headache and vomiting.
In addition, the patient had obvious neck stiffness when he responded to vomiting.
All signs indicate that the patient's cerebral aneurysm is very likely to rupture and bleed.
This matter cannot be delayed. If something goes wrong, a life will be lost.
Zhou Can hurried to bed 22 to report to Dr. Cheng.
Cheng Gang is his superior doctor, and he can only report to Cheng Gang.
The hospital implements a three-level responsibility system.
The director is responsible to the attending physician, the attending physician is responsible to the resident physician, and the resident physician is responsible to the trainees and interns.
Each level manages its own level.
If something happens and the junior doctor reports it in a timely manner, it is the senior doctor's responsibility.
He came to bed 22 and saw from a distance that the patient was lying on the bed twitching wildly, rolling his eyes and foaming at the mouth. It was very scary.
Moreover, the patient's head was wrapped in gauze, indicating that surgery had been performed.
It is likely that a craniotomy will be required.
However, Zhou Can had just arrived, so he wasn't too sure.
No wonder Dr. Cheng sent Zhou Can to bed 31 to check on the patient's condition.
Compared with the vomiting patient in bed 31, the condition of the patient in bed 22 was more urgent and required his personal attention.
Jiang Xiaohua originally thought that she could do some easy and clean work by following Dr. Cheng.
At this moment, I had to frown and clear the white foam in the patient's mouth.
There is also nasal discharge.
"Is this a symptom of epilepsy? It seems quite serious."
Zhou Can asked.
"Not long after the operation, the patient developed severe epilepsy," Jiang Xiaohua explained.
As for Dr. Cheng, he simply ignored Zhou Can's questions.
While performing various examinations on the patient, we then make a comprehensive diagnosis and come up with a treatment plan.
He was slow to come up with a solution and was obviously unsure.
At this moment, the patient who was convulsing violently suddenly fell into a coma.
Doctor Cheng's face changed drastically, and there was already panic in his eyes. He was just a resident doctor after all.
Generally speaking, residents who are qualified to manage a bed independently have at least two years of work experience.
This work experience does not start from the first day of regular training, but from obtaining a practicing physician certificate and successfully registering in this hospital.
To be promoted to attending physician, undergraduates need five years of residency experience, and the counting starts from this moment.
So, strictly speaking, once you get the certificate, you are considered a resident physician.
"Don't panic. The patient is probably in a coma due to epilepsy and will wake up soon. But we need to consult Director Wen or Director Wu about this matter." Doctor Cheng said not to panic, but his hands were shaking when he reached for his cell phone.
The patient is in a coma, how can I not panic?
It may be inconvenient to make a phone call in front of family members.
After all, this patient developed epilepsy after the operation. Although his family members haven't said anything yet, their faces are already frighteningly gloomy.
If something is not said well, it can easily lead to a medical dispute.
"You two stay here and watch. I will report the situation to the senior doctor."
After saying that, Dr. Cheng walked away.
Zhou Can followed.
"Doctor Cheng, the patient in bed 31 is vomiting violently, and is also suffering from neck stiffness, severe headache and other symptoms. I suspect the patient has a ruptured intracranial aneurysm and is bleeding."
Zhou Can had no choice but to respond.
Even though he knew that Dr. Cheng was a little overwhelmed at the moment, he still gritted his teeth and explained the situation clearly.
I encountered so many dangerous situations on my first day at work in the Department of Neurosurgery.
Zhou Can deeply realized the difficulty of being a psychiatrist.
Many seniors said that if you persuade someone to become an emergency doctor, you will be struck by lightning. If you persuade someone to become a neurosurgeon, that is stupid and bad.
It's not easy to get into any department.
Doctors will immediately feel stressed when they encounter patients with complicated conditions.
"Did you do an angiography? The patient just vomited, and you are making a fuss about it. How can you be so irresponsible?"
Dr. Cheng must be in a bad mood.
My temper also became much worse.
After scolding Zhou Can, he didn't say how to deal with the situation. He left Zhou Can where he was and walked towards the distant office while making a phone call.
"Hello, Director Wen!"
When the call was connected, Dr. Cheng's attitude immediately changed.
His shoulders almost slumped.
"I have something to report to you. The patient who underwent surgery for cerebral vascular malformation last night suddenly developed epileptic symptoms in the ward. Before I could treat him, he fell into a coma. What do you think we should do?"
Cheng Gang reported carefully.
Zhou Can stood where he was and heard it clearly.
As for what Director Wen said on the other end of the phone, he had no idea.
“Okay, okay!”
Cheng Gang seemed to have received an imperial edict. He felt relieved and agreed immediately.
I thought Cheng Gang would report the situation of bed 31, but I don't know whether he was afraid of being scolded or had other considerations, but he didn't mention a word.
After hanging up the phone, Cheng Gang turned around and saw Zhou Can still standing there.
He said directly, "Hey, send the patient in bed 22 for an EEG immediately. Tell the family that epilepsy after surgery is a common phenomenon. You can prescribe some medicine first to see how effective the treatment is. If the effect is not good, consider a second surgery."
When Zhou Can heard this, he was overwhelmed.
The patient had just undergone surgery and complications occurred. It must be difficult for the family members to accept it.
Asking him, a trainee, to explain to the family members, isn't that just using him as cannon fodder to be beaten by the family members?
This Cheng Gang is too cunning.
"Doctor Cheng, my memory is not very good, and I am not good at speaking. I am afraid that I will misinterpret the message. Why don't you go and talk to the family in person?"
Zhou Can is not a fool and would never agree to such a thing.
Even if he was asked to clean up the patient's feces and urine, he would be more willing to accept it. He would rather be scolded by Cheng Gang than do something that might get him beaten by the family members.
"You are such an idiot, you can't even handle such a small thing."
Cheng Gang scolded him and had to go and explain to the family in person.
In fact, in many departments of the hospital, there are cunning senior doctors like Cheng Gang.
It’s not
Then when the junior doctors got scolded, they would stand up and say a few words of comfort.
Zhou Can was ordered around like this by Dr. Fang when he was doing his internship.
Having suffered two losses, he will never do such a stupid thing again.
Not long after, I heard the family of bed 22 arguing with Cheng Gang.
Jiang Xiaohua was so scared that she hid far away.
It is even more impossible for Zhou Can to be a good guy.
If Dr. Cheng didn't take advantage of him, he might have gone over to help.
Now, he has no good feelings towards Dr. Cheng.
He was more worried about the patient in bed 31. That man was the backbone of a family. His brain aneurysm might have ruptured, but he didn't rush to get surgery. Why did he have to wait until irreversible consequences appeared before he could get surgery?
That would be meaningless.
A family can also be destroyed because of this.
Apart from other things, even if the patient's life is saved, if he suffers from cerebral palsy or limb paralysis, the patient will not only lose the ability to work, but also need family care for the rest of his life.
This is definitely a heavy burden for the patient's family.
Cheng Gang was not very good at arguing and was quickly defeated by the patient's family.
He came out with a dark face and an angry look.
"What are you two still doing? Take the patient to get an EEG."
He took out his anger on Zhou Can and Jiang Xiaohua.
Any examination cannot be done with just a simple request. The responsible doctor must issue an application for the examination, and then the family members must pay the fee. Only then can it be done.
This is the process.
If it is an emergency and family members are unable to arrive in time or are temporarily unable to pay the fees, they can first apply for arrears payment.
It is generally very difficult to arrange treatment for unpaid medical expenses at a specialist clinic.
Because too many patients and their families, after being cured, will default on medical expenses, regardless of whether they have money or not. If the patient is not cured or dies, it will be even more impossible to collect the medical expenses.
This money will eventually be borne partly by the doctors in the department.
Therefore, no doctor in the department is willing to do this thankless task.
After Dr. Cheng left, Zhou Can and Jiang Xiaohua looked at each other.
"Originally, it is the family's responsibility to take the patient for examination. We can help. But what should we do without the examination application form?"
The examination department will not violate regulations just because they are doctors.
"Why don't I go get it from Dr. Cheng?"
Jiang Xiaohua did not try to be cunning this time.
I took the initiative to find Dr. Cheng and got the examination application form.
"Did he scold you?"
Zhou Can asked in a low voice.
"I'm not afraid of being scolded by him, I'm just afraid of being asked to deal with the patients' feces, urine and vomit."
Jiang Xiaohua might have been scolded, but she acted like nothing happened.
"Haha, I'm convinced by you."
Zhou Can smiled.
"I'll talk to the family and ask them to pay the fee first."
Zhou Can has always been a kind person.
When dealing with cunning people, he would be more cunning than them. When dealing with honest people, he would never let them suffer any loss, and would never bully honest people.
"Let me do it! You've taken care of me so many times."
Jiang Xiaohua bared her teeth at him and walked towards the three gloomy-faced family members with the examination application form.
Zhou Can smiled secretly, it seemed that Jiang Xiaohua was not an ungrateful person.
He followed too.
It would be embarrassing to let Jiang Xiaohua fight alone!
In case the family members start beating people up, Zhou Can, being a martial artist, at least won't suffer any loss.
"This is an application for an EEG examination written by our superior doctor. Please go and pay the fee." Jiang Xiaohua looked fair, gentle and shy, but she was not at all nervous when facing the fierce family members.
Don't judge a book by its cover.
Everyone has their own strengths and weaknesses.
"What? You, the hospital, still have the nerve to ask us to pay more? My brother has been treated so badly, and we are already being polite by not asking you to pay. Don't think we are easy to bully."
"If anything happens to my husband, I will definitely sue your hospital."
“This is medical malpractice!”
"Record it, record it. These will be evidence in court."
The three family members were like machine guns, each one more ferocious than the other.
"Family members, I understand your feelings and sympathize with the patient's experience. But I want to tell you that any surgery has risks and postoperative complications are extremely common. Before the operation, I believe the surgeon also talked to you and obtained your consent before the operation was performed."
Zhou Can was about 1.85 meters tall. He stood forward, and the natural aura of a martial artist weakened the fierceness of the three family members.
"You all signed the consent form for the surgery. Besides, if the patient doesn't have the surgery, he might even die. Now there are only minor complications after the surgery, but you treat the doctor like this. Which doctor will dare to perform surgery in the future?"
When it comes to negotiation skills, Zhou Can is much better than Cheng Gang.
After all, he is a rich second generation.
I have learned a lot from my parents since I was a child.
The expressions of the three family members were visibly relieved.
Zhou Can strikes while the iron is hot.
"The sooner the patient gets checked and the cause of epilepsy is found, the sooner they can receive treatment. The longer it is delayed, the more disadvantageous it is for the patient. The examination fee is actually not much, but if the patient's treatment is delayed, the loss will be huge."
After Zhou Can's lecture, the three family members exchanged glances and whispered a few words to each other.
A compromise was quickly made.
"I'll go pay the examination fee right away. Can you two doctors send my husband for a checkup? There are too many people in your hospital. It takes a long time to queue up for any examination."
"Okay, we'll take the patient over right away. Don't worry, we'll give you the green channel and expedite it."
Zhou Can successfully convinced the family members and breathed a sigh of relief.
Originally, the family members looked like they might beat the doctor at any time.
Jiang Xiaohua winked at him and gave him a thumbs up secretly.
To be honest, the patient's vicious aura just now made Jiang Xiaohua's heart sink.
I was particularly afraid of being beaten.
The two men pulled the patient outside the EEG examination room, where there were many patients queuing up.
Jiang Xiaohua has quite a few tricks.
Take the checklist and run to the window and give it to the data entry clerk.
"This patient is already in a coma. Please arrange for an expedited EEG examination immediately."
The identity of a doctor is sometimes quite useful.
This should be considered as cutting in line openly.
The key is that others are willing to buy it.
“Done!”
He ran back and said to Zhou Can.
"You are amazing. I have learned another trick from you."
Zhou Can's words made him smile with a smug look.
While waiting for the examination, Zhou Can faintly heard several people mention the three words "Director Wu".
Like he was taking the initiative to say hello.
When he looked over, he saw that it was indeed the top surgical scalpel, Wu Baihe.
