Chapter 142: Reporting to higher authorities, everyone has become more capable
Wu Baihe's status in neurosurgery is extremely respected. Doctors and nurses all rush to greet him and say hello. This is a very normal thing.
I saw him walking towards this direction with a stethoscope on his chest and a stack of documents in his hand.
Next to him was Du Leng, a newly recruited overseas returnee doctor in the Department of Surgery.
If you count carefully , Du Leng has been working in Tuya for half a year.
The regular training for doctoral students should be different from that for undergraduates.
I heard that a master's degree only requires two years of regular training, while a doctoral degree only requires one year of regular training.
Du Leng's impressive academic credentials enabled him to thrive in the surgery department.
At this moment, he can actually walk side by side with Wu Baihe, which shows how high his status in surgery is.
There were several doctors following Wu Baihe.
One of them was Dr. Ou, whom he had met once in the operating room.
Compared with Du Leng, Dr. Ou, who is over 50 years old, can only walk in the third row, which shows that he does not have a high status in Wu Baihe's medical team.
Zhou Can felt that this was a good opportunity to report to a higher level.
The patient in bed 31 is in critical condition.
The longer you delay, the more disadvantageous it will be.
I don’t know what Cheng Gang is thinking?
However, there are a few doctors who really do not care about the interests of their patients. As long as no one dies or the doctor's own interests are not harmed, they sometimes behave in a very cold-blooded manner.
Even if they watched patients die or their conditions worsen, they remained unmoved.
At this time, Wu Baihe was almost reaching the elevator.
It is about ten meters away from the EEG examination room.
Du Leng had already rushed to press the up button of the elevator.
It looks like he won’t come.
Opportunities are fleeting.
Zhou Can walked over quickly.
Wu Baihe and Du Leng have both noticed Zhou Can.
After all, everyone is very familiar with each other.
Needless to say, Du Leng and Zhou Can constantly had conflicts, and the two fought openly and secretly. Du Leng never won.
He was jealous and hateful towards Zhou Can.
"Hello, Director Wu!"
Zhou Can's eyes met . He needed help from others now, so he didn't dare to be arrogant.
What's more, he is facing one of the two most powerful knives in surgery.
It is the minimum courtesy to be respectful to your senior doctors.
"Hello!"
Wu Baihe was a little surprised to see Zhou Can here.
However, he was deeply impressed by this young doctor. In addition, Director Xie mentioned Zhou Can's name many times, and even lowered himself to recruit him, but when he failed to recruit him, he suppressed Zhou Can.
Therefore, the directors of various surgical departments are not unfamiliar with the name Zhou Can.
"I have something I want to tell you about, okay?"
Zhou Can is quite familiar with Director Yin of Shennei.
This was probably the first time I had formal dealings with Wu Baihe.
"you say!"
Wu Baihe looked at him indifferently.
Du Leng had no expression on his face and pretended to be expressionless in front of Zhou Can.
"There is a patient named Luo in bed 31 of the neurosurgery department. He was hospitalized for brain aneurysm. Not long ago, he had severe vomiting, headache, and neck stiffness. I suspect that he may have a ruptured brain aneurysm and is probably in the bleeding stage. The patient is very young, about 38 years old, and is the breadwinner of a family. His condition is critical. Can you spare some time to personally check on him?"
Zhou Can pleaded for mercy for a stranger he didn't know, just for the sake of the last bit of conscience in his heart.
He could have just turned a blind eye to this matter.
Even if the patient dies, it will not have any impact on him.
If he really did that, he would feel guilty for the rest of his life.
Asking Wu Baihe to personally investigate is the quickest and most effective way.
If Wu Baihe still doesn't care, Zhou Can can only communicate with the family and let them find a solution on their own.
In short, this disease must not be delayed.
"Why don't you report this to your superior doctor?"
Wu Baihe asked with a slight frown.
"Because after I reported it to my superior doctor, he didn't take it seriously. I personally think the patient's condition is critical and must be treated immediately. Oh, by the way, the family reported that the patient has not eaten since yesterday."
Zhou Can deliberately mentioned this matter to show that the patient's condition is far more serious than it appears.
At the same time, it can also create favorable conditions for arranging surgery as soon as possible.
Without fasting or drinking water, which anesthesiologist would dare to perform general anesthesia on a patient?
No one dares to take such a risk.
If the patient vomits during general anesthesia, the food in the stomach will reflux and easily block the trachea, causing the patient to suffocate and die.
"I have an important operation that needs to be performed right now, and I have no time to take care of other things. But since you reported that the patient's condition is critical, this matter cannot be delayed. Who is responsible for the patient in bed 31?"
Wu Baihe agreed to take care of this matter.
"It's me! It's me!"
Dr. Ou quickly replied.
"Doctor Ou, immediately arrange for an intracranial angiography for the patient in bed 31. If you find that the aneurysm has ruptured and is bleeding, you should discuss with the family directly whether to perform a traditional craniotomy or an aneurysm interventional surgery. Explain the costs, advantages and disadvantages of the two options to the family. After the family makes a choice, if my surgery is not finished, then go to Director Wen."
Wu Baihe made detailed arrangements.
Enough to handle 31 beds of patients in a timely manner.
"That's it for now! If there are any major issues, you can report to me at any time."
After saying that, Wu Baihe took Du Leng and others into the elevator.
Du Leng didn't say a word this time.
It might be because he tried so hard to belittle Zhou Can in the hospital cafeteria last time, but it had little effect. Instead, he was put at a disadvantage.
So, he learned his lesson this time.
Just say nothing.
Compared with Zhou Can, his advantage is already huge.
Zhou Can is currently rotating from one department to another for standardized training.
Very low status.
At least that's what Du Leng thought.
Du Leng himself has risen rapidly in various surgical departments, and his status is even higher than that of many attending physicians.
Zhou Can watched Wu Baihe and others enter the elevator, and then the elevator door closed, leaving only Dr. Ou to stay with him.
"Zhou Can, who did you report the condition of the patient in bed 31 to?"
Dr. Ou could have followed Wu Baihe to participate in an important operation, gained a lot of knowledge, and learned a lot of surgical experience and skills.
Unexpectedly, it was delayed by this sudden change.
He must be somewhat unhappy.
This is not Zhou Can’s fault.
But the senior doctor who did nothing will definitely take it to heart.
"I reported this to Dr. Cheng Gang, but after listening to me, he scolded me. He said that they didn't do angiography and told me not to talk nonsense. I really have no choice but to pretend to be deaf and dumb and not report it. I can't live with my conscience. If the patient really has a ruptured brain aneurysm, then every second of delay will make the patient's condition more dangerous."
Zhou Can was also very helpless about this matter.
"You did the right thing. Doctors should care about their patients and value their lives, health and safety. This is also the most basic professional ethics."
After hearing this, Dr. Ou's face turned gloomy.
Gave affirmation to Zhou Can's behavior.
"Doctor Jiang, I'll leave the patient's EEG examination to you. I have something to do here."
Zhou Can shouted at Jiang Xiaohua.
"OK."
Jiang Xiaohua nodded at him.
Doctor Ou asked, "What happened to the patient?"
"Complications after surgery, severe epilepsy, coma. After consulting Director Wen, Dr. Cheng arranged for the two of us to bring the patient in for an EEG."
"oh!"
Dr. Ou nodded and said nothing more.
Bring Zhou Can to the inpatient ward of neurosurgery.
Went straight to bed 31.
The male patient was now lying on the hospital bed and his condition had worsened. He was vomiting and needed his wife to help him turn sideways.
Dr. Ou was fifty years old and had extensive experience in diagnosis and treatment. He immediately realized that the patient's condition was serious.
After asking a few simple questions, the patient checked the flexor and extensor muscles of the neck. When he touched them with his hands, the patient cried out in pain.
"Send him to do a cerebral artery CTA immediately. I will apply for the examination right away. This matter cannot be delayed. Doctor Zhou, come with me to get the examination application form."
Requests for examinations must be made in an office or clinic setting.
"OK!"
Zhou Can finally felt relieved.
Thanks to Dr. Ou’s attention, the patient was finally treated in time.
I'm afraid this matter will be delayed.
Doctor Cheng Gang is examining a postoperative patient. Some postoperative patients need to undergo biochemical tests, and the corresponding data must be recorded after a period of time, which is very tiring.
He saw from afar Zhou Can bringing Dr. Ou into the ward where the patient in bed 31 was.
After thinking about it for a moment, his expression immediately turned ugly.
"This new intern is really restless. He was asked to send the patient in bed 22 for an EEG, but he called Dr. Ou to check on the patient in bed 31. I'm not dead yet."
Doctor Cheng rushed over immediately with a gloomy face.
"Doctor Ou, you are here!"
Cheng Gang first greeted Dr. Ou, then looked at Zhou Can with an extremely unfriendly look.
"What's wrong with you? Didn't I ask you to take the patient in bed 22 to do an EEG?"
His words implied that he was going to bring an army to bear to punish the culprit.
This is what he said in front of the family members and Dr. Ou. Otherwise, he would definitely not have this attitude.
He would definitely grab Zhou Can and give him a good scolding.
"I asked him to bring me here."
Doctor Ou's tone was icy, and his gaze towards Cheng Gang was even colder.
This is because he is extremely dissatisfied with Cheng Gang.
"Come with me to the office!"
Doctor Ou was the first to walk out of the ward.
Cheng Gang glared at Zhou Can fiercely with a gloomy face.
"You're really good. You're trying to report this to a higher level, right?"
"The patient in bed 31 is already so ill, can't Dr. Cheng see it?"
Zhou Can pushed back directly.
Not offending senior doctors does not mean that you cannot offend them.
To be honest, he looked down on doctors like Cheng Gang from the bottom of his heart.
They don't take patients seriously and only care about their own interests.
"Okay, you are really capable."
Cheng Gang had a cold face and was extremely dissatisfied with Zhou Can.
The two entered the office one after another.
Doctor Ou is already writing a check-up request form for the patient in bed 31.
After opening, hand it directly to Zhou Can.
"Tell the family to pay the fee quickly, and you can help the patient do the angiography . I'll wait for the results here."
"OK!"
Zhou Can took the examination form and just left the office when he heard Dr. Ou say to Cheng Gang in a cold tone, "The patient in bed 31 was vomiting so badly, why didn't you report it to me in time?"
"The patient vomited before being admitted to the hospital. I think the new doctor is just making a fuss. There are so many critically ill patients waiting to be treated outside. I thought I should treat the urgent patients first and then go to bed 31."
Cheng Gang gave an explanation.
There are indeed many acute and serious illnesses among the inpatients in the neurosurgery department.
However, it is impossible for patients with real serious illnesses to stay in ordinary wards.
Most of them were admitted to the intensive care unit.
"Did Dr. Zhou tell you that the patient might have a ruptured brain aneurysm?"
Dr. Ou questioned.
He is not that easy to fool.
It's not something that can be dismissed with just any excuse.
After seeing the patient in bed 31 just now, he secretly felt lucky that a resident doctor with a conscientious and responsible character and solid medical foundation had come.
Otherwise, the patient in bed 31 might really be doomed.
Even if the patient dies, the hospital does not need to bear any responsibility as long as it has fulfilled its obligation to rescue the patient.
But this is a living life!
"That was purely the new resident's conjecture. I checked on all the patients from beds 21 to 31 on time and knew their conditions very well. The patient in bed 31 had just been admitted to the hospital for a checkup yesterday. If the brain aneurysm was really going to rupture, it would have ruptured long ago."
Cheng Gang is still making excuses.
Most irresponsible doctors are like this.
As soon as there is something that is slightly disadvantageous to him, he will immediately find ways to completely eliminate it.
People eat grains and cereals, and since the forest is so big, there are all kinds of people.
It would be naive to say that every doctor is a good doctor with high medical ethics.
The dean even had an affair and was involved in corruption and bribery.
It is not uncommon for some department heads to sleep with nurses.
…
Zhou Can took the patient to do cerebral artery angiography.
This inspection is technically very difficult.
It needs to be performed by a professionally trained doctor.
Neurosurgery and neurology share the same examination department.
The doctor in charge of the operation is Shinnai.
The test results came out quickly.
The aneurysm ruptured and the amount of bleeding was quite large.
It has spread to most of the brain.
No wonder the patient suffers from severe headache and vomiting.
Bleeding causes meningeal irritation, leading to intracranial hypertension and ultimately a series of adverse physical reactions.
The human body has a self-protection mechanism.
Vomiting and pain are both forms of self-protection.
For example, if you eat poisonous food, you will often vomit. This is the body's self-protection.
Not to mention the pain.
Pain in a certain part of the body is reminding us that there is something wrong with that part of the body.
Imagine if humans had no sense of pain, they would think nothing would happen if their hands were fried in oil. They would still not notice a bloody cut on their body by a sharp weapon.
It’s scary to think about it.
Zhou Can trotted into the doctor's office.
"Doctor Ou, this is the angiography report. The patient's brain aneurysm ruptured and is continuing to bleed."
"Notify the patient immediately and tell him not to eat or drink anything. We must find a way to arrange surgery right away."
After reading the report, Dr. Ou looked serious.
Continuous bleeding will cause continued increase in intracranial pressure, and drainage is required to relieve pressure when necessary.
The earlier the surgery is performed, the better.
"Excuse me for taking the initiative, but I have already told the patient and his family to fast. I have also seen the patient's vomit, which is full of acid and bile. Upon inquiry, I learned that the patient has not eaten since he was admitted to the hospital yesterday."
Zhou Can explained.
“You did a great job!”
Dr. Ou looked at Zhou Can with admiration in his eyes.
"Cheng Gang, now that the results are out, do you still think this young new doctor is making wild assumptions?"
He looked at Cheng Gang who was busy writing medical instructions.
"This... he guessed right this time. Medicine is a rigorous discipline, and I don't think my way of handling it was wrong. But next time I encounter something like this, I will arrange for the patient to be examined in time."
Cheng Gang is just being stubborn.
Dr. Ou was extremely disappointed and angrily confronted him.
"Reflect on this! If this patient had not been examined in time without Dr. Zhou Can's insistence, what would have happened?"
After saying that, Dr. Ou stood up and walked out of the office.
"I will talk to the family about the surgical plan right away. Doctor Zhou, if you have nothing else to do, come with me and listen. It will be good for you. You can also participate in the surgery later."
Dr. Ou was obviously giving Zhou Can some reward in this way.
The rewards that senior doctors can give are nothing more than focused training, guidance, and promotion nominations.
"I'm fine."
Zhou Can immediately followed happily.
He had never seen a brain aneurysm surgery.
This is the most common neurosurgery operation. I heard that the operation is extremely difficult and risky.
"How come you're okay? Have you finished treating the patient in bed 22?" Cheng Gang must have been resentful of being humiliated by a junior doctor.
Naturally, he didn't want to see Zhou Can making huge profits by following Dr. Ou.
As a senior resident doctor, he had no chance to be trained by Dr. Ou. But now, a resident doctor who had just been here for one day had won Dr. Ou's favor.
"The patient in bed 22 is being followed by Dr. Jiang, so don't worry!"
After Zhou Can finished speaking, he followed Dr. Ou without looking back.
Cheng Gang was so angry that he cursed behind him, "You have become more capable, one by one!"
