Chapter 152: Supporting a Friend, Dr. Ou Arrived Just in Time
The door of marriage is particularly magical. People standing outside want to get in, and people standing inside want to get out.
Zhou Can was just in a relationship, so he really couldn't understand many deep things.
After the female patient completed the operation, it was already past working hours.
This is how surgery works. If the operation isn’t completed, the doctor has to grit his teeth and persevere even if he poops in his pants.
Zhou Can volunteered to work with the nurse to push the patient back to the ward for recuperation.
Doctor Zou left early because of something else.
"Or should we push her back to bed 27?"
Zhou Can asked the female nurse.
"What else?"
The female nurse smiled at Zhou Can.
Just now in the operating room, Dr. Zou treated Zhou Can as if he were a fellow doctor. Coupled with Zhou Can's excellent performance during the operation, the female nurse naturally looked up to him.
Many people don’t understand why nurses like to please doctors?
In addition to the fact that doctors have a higher status than nurses, doctors can often provide strong assistance in matters such as promotion and department evaluation.
Take Qiao Yu for example. She was originally just a pre-operative nurse with a low status and few opportunities to practice.
Because of her good relationship with Zhou Can, Zhou Can could directly designate her as the instrument nurse when performing important operations. This was actually a great help to her.
"She just had surgery and can't be hit by anything. I think if I can help her move to a quieter bed, it will definitely be good for her recovery."
Zhou Can did not explain everything in front of the female patient.
In fact, she was just worried that her man would run to the hospital and commit domestic violence again.
She would be safer if she were placed in a bed where a nurse could monitor her at all times.
"We nurses don't have the authority to arrange beds. You have to find the attending physician." The female nurse winked at Zhou Can, hinting to him that she understood what he meant.
But there was nothing she could do about it.
Beds are actually a scarce resource.
Usually only the attending physician on duty or the attending physician in charge of the ward is qualified to arrange it.
Residents, trainees, interns and the like do not have this authority.
Nurses do not have this power either.
Zhou Can decided to send the female patient back to bed 27 first, and then talk to Dr. Zou about this matter when he had the chance.
The female patient's caregiver was a white-haired old lady.
The two people have great similarities in appearance.
The old lady who is accompanying the patient is most likely the female patient's mother.
The old man looked at his daughter with white gauze wrapped on her head, his eyes filled with tears.
"Doctor, is my daughter okay?"
The old lady asked.
"The operation was successful, and the fractured skull has healed. But she has multiple soft tissue contusions on her body. She must be carefully cared for and must not fall again."
Zhou Can felt particularly sympathetic towards the mother and daughter, but there was nothing he could do to help.
I can only tell you as much as possible about the precautions.
He didn't even point out that the woman's injuries were not caused by a fall, but by a beating.
Send the woman back to bed and settle her down.
I have to find the doctor on duty to take over!
When Zhou Can turned around, he saw Jiang Xiaohua walking towards him.
"Doctor Zhou, I heard that you have been recognized by Director Wen and have been transferred directly to Director Wen's group. Congratulations!"
Jiang Xiaohua and Zhou Can have a pretty good relationship.
When we met, he immediately greeted me with a warm smile.
"What's there to congratulate? You're not even at ease yet!"
Just listen to what Zhou Can said.
Being appreciated by the chief physician is definitely a great thing that countless interns dream of.
"I'm still at ease, but I'm about to die of sudden death. I've already worked the day shift today, and Doctor Cheng arranged for me to be on duty at night. What a miserable life!"
Jiang Xiaohua complained bitterly.
Bullying newcomers is the same everywhere.
Jiang Xiaohua is the only trainee left under Cheng Gang, so naturally he is being squeezed to death.
All the dirty and tiring work was assigned to Jiang Xiaohua.
"After many years of being a daughter-in-law, I finally become a mother-in-law. What else can I do? I have to endure it slowly. By the way, let me tell you about this patient. He just had a skull fracture surgery..."
Zhou Can explained the patient's general condition and postoperative care requirements.
As for the medical instructions Dr. Zou wrote to the patients, the doctors and nurses on duty can check them on the computer.
After giving the instructions, Zhou Can had nothing else to do and prepared to go off work.
When passing the third ward, I heard bursts of scolding coming from inside.
Is this a fight between family members or something?
Zhou Can curiously stuck his head in and looked inside.
"Damn, why is it Jin Mingxi?"
I saw a young doctor in his twenties, pointing at Jin Mingfu's nose and scolding him mercilessly.
"How did you get to be a resident intern? The patient has a high fever of 39.2 degrees. You can't handle such a small matter?"
Even though this doctor is several years younger than Jin Mingxi, he scolded Jin Mingxi in front of the patient and his family without giving Jin Mingxi any face at all.
Normally, when a senior doctor scolds a junior doctor, he or she will pay special attention to it in front of family members and patients.
After all, it hurts the dignity of the doctor involved.
Even if they make a serious mistake, they will generally be called to the office and reprimanded.
"I am going to give a doctor's order for 0.9g of lysine to be administered by intravenous drip. I just can't make up my mind, so I'm going to ask you for your approval before making a decision." Even after being scolded like this, Jin Mingxi still had to keep his head down and explain carefully.
He was probably worried about angering his superior physician and causing more trouble.
He took the exam for many years before he was admitted to Tuya Hospital as a resident trainee. If he offended the senior doctors, he would be in trouble and doubt his life.
Life will be even more difficult then.
The two-month regular training period for neurosurgery has only been over for two days.
There is still a long way to go.
Therefore, Jin Mingxi chose to endure.
"An excuse, it's clearly an excuse. Would you have said that if I hadn't just happened to be here?"
The young doctor didn't know where such strong anger came from.
He caught Jin Mingxi and kept scolding him.
Zhou Can thought of Jin Mingxi asking him for help yesterday. The young doctor who scolded him so harshly must be Jin Mingxi's superior doctor Dai Wei.
I had been thinking of talking to Dr. Ou about this in a few days.
Now that they have run into each other, Zhou Can will naturally not let his good brother get bullied.
Besides, we are all from the emergency department and we should stick together.
The emergency department of Tuya Hospital has no other advantages but solidarity, especially when facing the bullying of doctors in the surgical department.
"Old Jin, are you still off work?"
Zhou Can walked in and greeted Jin Mingxi with a smile.
It was done intentionally for Dr. Dai Wei to see.
As long as this person has a little bit of vision, he will know what to do.
"Look, there are still several beds of patients that have not been treated. How can we get off work?"
Jin Mingxi looked as if he had eaten bitter herbs.
This doctor Dai Wei was really cruel, he stuffed a lot of work on Jin Mingxi alone. What's more hateful is that he would immediately curse at Jin Mingxi if there was anything that was not done well.
Regardless of the occasion and without mercy.
"This patient has a high fever?"
Zhou Can looked at the patient on the bed.
"I was about to prescribe 0.9g of lysine for intravenous drip, but I was worried about getting into trouble. You came at the right time, please help me take a look." Jin Mingxi knew Zhou Can's ability and immediately asked him for help.
Dai Wei had already begun to secretly observe Zhou Can.
There are relatively few doctors in neurosurgery, only a few dozen. After working for more than a month, they can basically get to know all the medical staff in the department.
"Who is this doctor? You seem to be a new intern in neurosurgery, right?"
Before Dai Wei could speak, another young doctor who came over from not far away stared at Zhou Can and spoke first.
"Yes, I am a trainee who has just been transferred to the Department of Neurosurgery. You have a good memory."
Zhou Can admitted it calmly.
What happened to the trainees?
He is probably the best intern in Tuya Hospital, no doubt about it.
"Don't try to get close to me. Do you know who this is? He is the resident doctor Dai Wei, the superior doctor of Dr. Jin and me. Ha, Dr. Jin is really interesting. He doesn't ask for advice from his superior doctor, but instead asks for help from a resident. Who is he looking down on?"
This trainee looked quite young, with an aquiline beak and a hooked nose, and a face that was three parts cunning and seven parts sly smile.
You can tell he's a troublemaker just by listening to him speak.
"Doctor Chen, I don't mean to look down on Doctor Dai. I just think that since we are friends, we should discuss this together."
Jin Mingxi seemed particularly weak in front of these two people and could only explain quickly.
Doctor Dai's face was icy as he said flatly, "What's there to discuss about a high fever? You interns like to make a fuss about nothing. It's not a very complicated condition. Giving the patient medicine to reduce the fever right away is the right thing to do. Don't get into those flashy things."
After saying that, Dr. Dai directly wrote out the medical advice.
"The intravenous drip of 0.9g of lysine aspirin you mentioned just now is also a treatment for reducing fever, but it is not suitable for this patient who has just had surgery. The most appropriate method is to use an indomethacin suppository 0.05g in the rectum."
There are many ways to reduce fever.
Those are the commonly used ones.
Zhou Can personally thinks that the use of indomethacin suppositories in the rectum and lysine aspirin intravenous drip should both be feasible.
Of course, we are only talking about dealing with routine high fever situations.
The medical instructions written by Dr. Dai were different from the ones that Jin Mingxi was about to submit. He should have intended to establish the authority of his superior doctor and demonstrate in front of everyone that his diagnosis and treatment level was higher than those of the interns.
"What are you still standing there for? Go get the medicine and give it to the patient!"
Dai Wei gave instructions to Jin Mingxi.
"OK!"
Jin Mingxi trotted over to get the medicine.
There was a hint of struggle and dissatisfaction in his eyes.
Zhou Can did not leave, but carefully observed the patient's complexion and some subtle symptoms.
Dai Wei said to the family members in a gentle tone, "It is common to have a high fever after surgery. You don't need to worry too much. After taking the medicine, the patient will sweat a lot. You can give him more water to replenish his fluids."
Zhou Can was standing at the foot of the bed. He actually wanted to walk to the head of the bed to take a look at the patient's examination report and medical records.
Find out the situation.
It's just that this patient is not in his group.
Now Dr. Dai's attitude towards him was obviously not very friendly. If he took the patient's information to check, he would easily be regarded as meddling in other people's business.
Not long after, Jin Mingxi came back with the medicine.
Doctors are actually reluctant to perform anal sex on patients.
Usually big fish eat small fish, and small fish eat shrimps.
The senior doctor assigned this task to the lowest-level doctor.
"Old Jin, what kind of surgery did this patient have?"
Zhou Can asked casually.
"Intraspinal meningioma resection, performed by Director Wu himself."
The family members rushed to answer.
"Director Wu is the best neurosurgeon. Ordinary doctors simply don't dare to perform such difficult operations." When Zhou Can communicated with family members, he knew what they liked to hear.
Intraspinal meningioma surgery is a major level 4 surgery, and this is no exaggeration.
Not many doctors dare to perform this operation.
Even fewer can do it well.
At least one has to be a neurosurgeon at the chief level to do this.
It may be necessary to ask an orthopedic surgeon to perform the operation together to ensure a successful surgery.
"Haha, that's right. We also had connections to get the opportunity to have Director Wu perform the surgery himself. Director Wu is so famous that you can't even get an appointment with him without connections."
The family members immediately blew it away.
Most patients or their families have a similar mentality.
Be proud of having connections.
Either you are proud of knowing a certain doctor or nurse in the hospital, or you are proud of knowing a small leader or having some connection with the higher-level department.
As for those who are truly powerful, they don't need to brag at all.
As soon as I was admitted to the hospital, the hospital leaders, who had sharper noses than dogs, came running over to show their courtesy.
"You are really capable of getting in touch with Director Wu through someone else. Can you show me the medical report?"
After Zhou Can chatted with the family members for a few sentences, their relationship became much more familiar.
Ask to review the patient's examination report when appropriate.
The family readily agreed.
They also thought that it was because they mentioned that they had established contact with Director Wu through connections that the young doctor began to actively curry favor with them.
No matter what, Zhou Can's request to review the patient's examination report was very helpful to the family members.
Dr. Dai and resident trainee Chen Hao stood by the bed and watched Jin Mingxi perform the operation.
And ignored Zhou Can.
After taking the patient's examination report, Zhou Can looked at it carefully.
Soon, he finished reading.
At this time, Jin Mingxi had also finished taking the medicine.
"Doctor Dai, do you think it is necessary to measure the patient's blood pressure?"
When Zhou Can saw the patient for the first time, he found that the patient's face was extremely pale, even his lips were white.
Now that I have finished reading the examination report, I will combine it with some of the patient's subtle symptoms to make a comprehensive diagnosis.
He vaguely realized that the patient's high fever was not as simple as he had imagined, but could pose a serious danger.
Why do hospitals require doctors on duty that when nurses report that patients have some abnormal symptoms, they cannot directly prescribe medical advice, but should go to the ward in person to check before taking action?
It is to prevent formalism from occurring and causing accidents.
"Are you teaching us Doctor Dai how to do things? Everything has been handled, and you asked to measure the patient's blood pressure. Are you trying to show that you are capable?"
Chen Hao reprimanded Zhou Can rudely.
"Just take care of the patients you are responsible for. You don't need to be responsible for the patients . If you feel that you have a lot of free time, tell me who your superior doctor is? I will ask him to increase your workload."
Dr. Dai's face showed extreme displeasure.
He is the only one who is in charge of directing the interns to do things. When will it be the turn of an intern from another group to give him orders?
"I'm not meddling in other people's business. I'm just being responsible to the patient. And I 'm concerned about this because Lao Jin and I are friends. This patient has a high fever. If you simply reduce the fever now, it would be very dangerous and extremely irresponsible."
Zhou Can's tone became a little heavier.
I originally came here to support Jin Mingxi.
I was thinking about having a polite chat with Dai Wei, but I didn't expect that I overestimated my own fame.
Dai Wei didn't know him at all.
The hope of using Director Wen's relationship to support Jin Mingxi was completely shattered.
He had just experienced the expressions of Dai Wei and Chen Hao.
No wonder Jin Mingxi felt tired when he returned to the apartment yesterday.
An unreasonable senior doctor and a trainee who is crazy about flattery would make life difficult for anyone.
"Watch your words. Do you think the doctor-patient relationship is not tense enough and want to create a dispute? I will report this to the department."
Dai Wei's face had turned ashen.
He really didn't expect Zhou Can to contradict him like this in front of the patients and their families.
He became extremely angry when he heard that he was being accused of being extremely irresponsible towards his patients.
At this time, a quarrel was heard from inside and Dr. Ou, who had just finished his meal, walked in.
In the ICU ward, at least one attending physician is required to be on duty at night.
All attending physicians are required to rotate.
Dr. Ou happens to be on duty in the ICU tonight.
After having dinner in the hospital cafeteria, he hurried back to the department to prepare for the various challenges that the ICU ward would bring.
"You can go back to the office to discuss the patient's condition. Don't make loud noises in the ward."
Doctor Ou said seriously after entering the ward.
It is normal for doctors to disagree when discussing a patient's condition.
But there is one principle: try not to argue in front of family members and patients.
On the one hand, the impact is bad.
On the other hand, it is easy to cause misunderstanding among family members and patients.
"Doctor Ou, you came at the right time. This new intern doesn't know the rules. I don't know which group he is from, but he came to the ward I'm in charge of and started talking nonsense."
As soon as Dai Wei saw Dr. Ou coming, he immediately complained.
He will teach this new doctor how to be a human being today.
Zhou Can turned his head and looked behind him, and his eyes met with Dr. Ou's.
"Dr. Zhou! It's you!"
Dr. Ou had a gloomy face and was ready to take this ignorant new doctor back to the office to teach him a lesson.
When he found out it was Zhou Can, his expression changed drastically immediately.
From the dark face of Bao Gong, it turned directly into the face of a friend with a warm smile.
Doctor Dai and Chen Hao were of lower rank, staying in the ward to treat patients, and didn't know Zhou Can's abilities, but he knew everything.
Not long ago, he learned from the grapevine that Zhou Can had made great contributions in two important operations performed by Director Wen.
He also displayed an extremely rare dual surgical talent.
Director Wen is likely to directly accept Zhou Can as his apprentice and focus on training him.
For such a potential stock, Dr. Ou would not only try to offend him, but would also try to curry favor with him.
Besides, he and Zhou Can also have a little friendship.
Don't even think about scolding Zhou Can with a dark face.
Dai Wei and Chen Hao were dumbfounded. Doctor Ou was usually serious and aloof. When had he ever been so kind to the interns?
Moreover, this smile and tone were no longer pleasant, but contained a hint of flattering compliments.
Who is this kid ?
