Chapter 180 The bomb exploded. Director Hu Kan's order
"You, you... are so outrageous! I really don't know how such an irresponsible doctor got into a famous hospital like Tuya. If I don't let you leave today, it will be my responsibility."
The woman was so angry that she was shaking all over and actually took out her cell phone to make a call.
Her mother-in-law had a similar attitude and wanted to teach Zhou Can a lesson.
Only her father-in-law had some ability to read people's expressions, and his social experience was obviously richer than the two women. He saw that Zhou Can was fearless and was not frightened at all.
He quickly winked at his daughter-in-law.
Unfortunately, the daughter-in-law was angry and didn't listen to him at all.
"Hello, Director Xue. I am Chen Jinyue's daughter-in-law. I have something to report to you..."
She was so angry that she actually called to complain about Zhou Can on the spot.
And he went directly to Director Xue to complain.
It seems that the person who knows Director Xueyan is her father-in-law.
The call ended quickly.
After the beautiful woman hung up the phone, her expression became even uglier.
Needless to say, it did not achieve the results she wanted.
"What did Director Xue say?"
The woman's mother-in-law asked quickly.
"She asked us to find the attending physician or the chief physician." When she said this, the woman's domineering attitude and sense of superiority were gone.
What is the beating from society?
I believe she has felt it now.
In her mind, Zhou Can was just a resident doctor, but they were familiar with Xueyan, who was at the director level. If they wanted to deal with a resident doctor, wouldn't it be a matter of a word?
As a result, reality made her know what it means to be low-key.
Just at this moment, Dr. Zhao came over.
Which patient should the dressing be changed for?
The beautiful woman's eyes lit up, and she was about to find Dr. Zhao to complain about Zhou Can again.
Because the last time I complained to Dr. Zhao it was very effective.
Unexpectedly, when Dr. Zhao saw Zhou Can, his expression was completely different from the cold and arrogant one he had yesterday. Instead, he quickly forced a smile and took the initiative to greet Zhou Can.
"Doctor Zhou, are you used to being transferred to Director Xue's group?"
"good!"
Zhou Can responded with a smile.
"You'll get used to it. Following Director Xue is much better than staying here to take care of the patients. I haven't rested all morning. Just after dinner, I have to change the dressing for the patient in bed 20. It's all trivial matters, and there's very little to learn."
Dr. Zhao truly envies Zhou Can.
In addition, he had witnessed Zhou Can's powerful strength yesterday, so when he talked to Zhou Can today, the roles of the two had been reversed. He was flattering the whole time.
Adults are just that realistic.
"you busy!"
Zhou Can greeted him and walked straight to the doctor's office.
The beautiful woman swallowed back the words that were about to come out of her mouth to complain about Zhou Can.
She saw everything that Dr. Zhao did to Zhou Can just now, flattering him.
It is obvious that the identities and status of Dr. Zhao and Zhou Can have changed in just one day.
It would be wrong for her to go to Dr. Zhao to complain about Zhou Can at this time, unless she is mentally ill.
She wondered to herself, what on earth had happened yesterday?
It can make the status of that trainee student soar so much.
Seeing that Zhou Can was no longer someone she could bully, she could only give up.
"Doctor Zhao, you're here just in time! My husband's chest hurts so badly, can you prescribe some more painkillers?"
She asked Dr. Zhao.
"Didn't we just open the surgery this morning? For your husband's safety, painkillers cannot be used continuously. After the anesthesia period, it is normal to have some pain in the wound. Think about it, the skin, subcutaneous tissue, and muscles are cut open, and then sutured. How can there be no pain during the recovery process?"
Dr. Zhao's statement agrees with the nurse's.
In fact, both doctors and nurses have high professional knowledge. They will basically agree to any reasonable request made by patients as long as it is acceptable.
"Just bear with it! The pain will gradually subside. The more you fear pain, the more painful it will be, so you must have a strong willpower."
After saying that, Dr. Zhao walked to bed number 20 next door to change the dressing for the patient.
This matter did not attract Dr. Zhao's attention.
And so, another day passed.
The next morning, Zhou Can rushed to the department to work and felt that the atmosphere was somewhat solemn.
"Hey, why didn't I see Director Xue and Deputy Director Lu today?"
Zhou Can felt a little puzzled.
"Something happened to a patient!"
Doctor Long lowered his voice and whispered.
"Ah... the patients in our group?" Zhou Can checked the patients in this group. Several of them were at high risk and required intensive care.
Which patient had the accident?
Could it be the patient who underwent the aneurysm clipping surgery yesterday?
"It's not our patient, it's from Director Le's group. I heard it's a patient with torn pectoralis majora. He underwent suturing surgery. He had a high fever this morning and had sepsis. Currently, all the chief physicians in the department are consulting on this case. If we can't find the cause, I'm afraid we'll have to ask an expert in internal medicine to come for a consultation."
Dr. Long was very worried about this matter.
The fact that all the directors of the department were alerted at the same time shows how serious and urgent the patient's condition was.
After hearing this, Zhou Can was slightly stunned.
Something happened to the patient in bed 19 after all.
In fact, there were signs yesterday.
The patient kept complaining of chest pain and was in a manic mood, but he was not completely squeamish.
Ischemia and necrosis of any tissue in the body will cause unbearable pain and extreme discomfort.
Just then, a nurse ran in.
"Doctor Zhou, Doctor Zhou, someone called from the conference room just now, asking you to attend the consultation immediately." The nurse didn't understand why they had to invite a resident physician to attend the consultation when there were so many chief and deputy chief physicians.
"Okay, I'll be right there!"
Zhou Can agreed and stood up and walked outside.
Only he understood what was going on.
The day before yesterday, he reminded Dr. Zhao and Dr. Duan in the operating room that the patient's valve had been over-coagulated and they should be careful about necrosis.
But he was of low status and his influence was not taken seriously, so no one listened to him.
"Didn't you call me over?" Dr. Long asked the nurse.
"No. Just ask Dr. Zhou Can to come over immediately for a joint consultation."
She shook her head.
After hearing this, Dr. Long felt somewhat depressed. He, the attending physician, was doing so poorly that he was even worse than the interns.
In fact, his level was not low, it was just because Zhou Can was too evil, and it happened that Zhou Can was the first to discover the danger. That's why he invited Zhou Can to come over for a consultation.
Zhou Can quickly came to the meeting room of the cardiothoracic surgery department.
Morning meetings and consultations are usually held here.
The hospital's building area is limited, and each department only has one or two office rooms like conference rooms that are idle most of the time.
The saved rooms will be used to place beds for patients.
All famous hospitals have one thing in common: there is a severe shortage of beds.
“Boom boom boom!”
Zhou Can knocked on the door.
"Come in!"
A majestic, steady voice came from inside, with a deep tone.
After pushing the door open and walking in, I saw the bigwigs of cardiothoracic surgery gathered together, each with a serious expression.
The screen on the wall was playing the examination report of the patient in bed No. 19.
Dr. Duan and Dr. Zhao both looked pale, terrified, and filled with deep regret.
If I had listened to Zhou Can's "unpleasant words" the day before yesterday, or if the patient had been more careful and patient when he complained of chest pain yesterday, it wouldn't have ended up like this.
The person sitting in the main seat was Director Hu Kan, whom I had met once from afar.
He was still as steady as an old monk in meditation, and there was not much emotion on his face.
As soon as Zhou Can walked into the consultation room, he immediately felt many pairs of eyes staring at him.
These people are all important figures in the department.
Some have made great achievements in the cardiovascular field, and some have achieved great success in thoracic surgery.
Each of them has real talent and excellent surgical skills.
"Doctor Zhou, please take a seat!"
The female nurse standing by the door asked Zhou Can to sit at the last seat at the conference table.
She should just temporarily pour tea and water for the directors who attended the consultation. She is also responsible for contacting anyone who needs to be contacted.
"Doctor Zhou, the patient in bed 19 had a chest wall muscle suture surgery the day before yesterday. Do you still remember it?"
"have!"
Zhou Can answered straightforwardly.
"According to the people who participated in the operation, when the operation was about to end and the skin was about to be sutured, you reminded the two senior doctors to be careful of large areas of tissue ischemia and necrosis. Can you tell us about the situation at that time?"
Zhou Can didn't mind the matter being brought up again.
Doctor Zhao was already extremely ashamed, and Doctor Duan also lowered his head, not daring to look up at anyone.
Mainly because I have no face.
"OK!"
Zhou Can nodded in agreement.
Start by introducing the situation at that time.
"During the operation, when Dr. Duan cut open the pectoral muscle flap, there was severe bleeding. He cut into a relatively thick artery. Dr. Zhao then performed electrocoagulation to stop the bleeding. The electrocoagulation may have taken too long. I noticed while standing under the operating table that the electrocoagulated body tissue had changed color slightly. How should I put it? It was like pork that had been scalded, with a greasy sheen and a bit of grayish white."
"I was a little worried about tissue ischemia and necrosis when I saw it, and I did remind Dr. Duan and Dr. Zhao about it."
Zhou Can just stated everything related to the illness.
Doctor Zhao was so angry about this that he punished him by making him clean the operating room without saying a word.
This also prevented Dr. Zhao from being ruined and his image and character from being destroyed.
Even after he warned that tissue ischemia and necrosis would occur, Dr. Duan carefully examined the patient, concluded that there was no problem, and asked Dr. Zhao to suture the skin, but he did not mention it.
Good character can sometimes bring many unexpected rewards.
Give face to Doctors Zhao and Duan. Even though they don't say it, they must be grateful in their hearts.
"On the third day after surgery, the patient developed a high fever and sepsis. What do you think is the problem?"
Director Hu Kan's eyes were fixed on Zhou Can.
This was the first time he spoke since Zhou Can came in.
"The possibility of pectoral muscle flap necrosis is relatively high."
Zhou Can gave his own opinion.
"What about the treatment plan?"
Director Hu Kan asked again.
I don’t know why, but when he asked the question, there seemed to be an invisible pressure.
“Uh… With so many big guys from the departments present, it’s not appropriate for a resident like me to discuss treatment plans!” Zhou Can quietly checked and saw that there were at least seven or eight chief and deputy chief physicians.
The strength of cardiothoracic surgery is really strong.
"It's okay, just speak up. I've heard of your fame for a long time. I have a chance today, and I also want to see what kind of apprentice Lao Xu has accepted."
Director Hu Kan, like many other bigwigs, likes open strategies.
If you have any purpose, state it openly.
Many small people like to play tricks, that's because they are weak, they have to sneak into Chencang, make a feint to the east and attack in the west to defeat their opponents or gain huge benefits.
The big guys don’t like to play tricks because society is becoming more and more civilized.
Everyone is a well-known figure, and after reaching a certain level, the circle becomes very small. If you play tricks, no one will want to play with you, and you will be isolated.
And the price is particularly low.
So they prefer to study open strategies.
Director Hu Kan had already said this, so it was difficult for Zhou Can to avoid the issue any further.
"If it were up to me, we would reopen the wound, clean it, and then sew it up again. Then we would give the patient various supportive treatments to fight infection and prevent worsening of sepsis. In particular, we would prevent kidney failure. If necessary, we could establish an extracorporeal renal function replacement. While fighting infection, supporting organs and life, we would also provide immune conditioning treatment."
Sepsis develops rapidly and is extremely harmful.
Early, timely and effective symptomatic treatment is very important.
It can be roughly divided into three directions. The first is the diagnosis of the cause, finding the lesions, and then clearing them, and then using corresponding antibiotics to prevent infection and treat them.
The second direction is life support treatment.
Including circulatory resuscitation, mechanical ventilation, renal replacement, etc.
The third direction is immune regulation.
The human immune system is the ultimate weapon to defeat all diseases. No surgery, no medicine, no matter how advanced the instrument, can defeat the immune system.
Even the latest anti-cancer drugs developed by humans work from the immune aspect, such as activating immune T cells.
"If this patient is dying now and you were asked to take over the treatment, would you be willing?"
After hearing Zhou Can's answer, Director Hu Kan's eyes brightened.
A hint of interest .
"Of course! Saving the dying and healing the wounded is a doctor's duty. The patient is in critical condition, so I should do my best to treat him."
Zhou Can answered very decisively.
"If something goes wrong and you can't save him, aren't you worried about the consequences?"
Director Hu Kan's soul-searching questioning was so intense that even a fool could see that he was testing Zhou Can.
Maybe he wants to observe Zhou Can's abilities and qualities in all aspects.
"I am also a human being, so I am bound to be worried! In this kind of situation, just do your best. If we really tried everything but failed to save the patient, I believe the family members will understand. As for reputation and the like, I really don't care about those empty words."
Zhou Can only cares about strength and never cares about fame.
On the contrary, he particularly likes to be less famous and quietly treat patients. This way, he doesn't have to bear too much psychological pressure and can live a particularly relaxed life.
"Interesting! You are much better than Lao Xu. If he had realized earlier that false reputation can harm people, nothing would have happened. I hope you can go further and longer than Lao Xu."
Zhou Can also secretly admired the broad-mindedness displayed by Director Hu Kan.
Dr. Xu and he are competitors, and the two have been fighting for many years. Now that something has happened to Dr. Xu, he has been reduced to the attending physician of the emergency department, while Director Hu Kan's position is stable and even higher than before.
He did not do anything to take advantage of others' misfortune.
This is a kind of respect.
"Whether you are doing residency training in cardiothoracic surgery or coming here for advanced studies, as long as I am still the director of this department, I can guarantee that your abilities will be as strong as possible and I will provide you with a big stage. Our department will also give you the best training."
Director Hu Kan said this in front of the big guys in the department, which was almost equivalent to helping Zhou Can say hello.
What this means is to tell other directors and deputy chief physicians in the department to give Zhou Can the best guidance and training.
This is true magnanimity and love.
It is equivalent to helping former opponents train successors.
It is probably difficult for ordinary people to have such a broad mind and tolerance.
"Thank you! Thank you teachers!"
Zhou Can stood up and bowed to thank all the big guys.
He was also smart, and after saying thank you in this way, the bigwigs in the department would accept it.
We will definitely give Zhou Can the best training in the future.
"The patient in bed 19 will be in your charge for treatment from now on. Doctor Duan, Doctor Zhao, you two will assist us." Director Hu Kan's words shocked everyone again.
Human life is at stake, this is no joke.
The patient's condition is very serious, and it is not safe to entrust it to a general chief physician for treatment.
It would be best if Director Hu Kan took over personally.
Now it is handed over to a trainee to take charge, which is outrageous.
"Director Hu, you absolutely cannot do that! Even if you want to train Zhou Can, you can slowly give him some minor surgeries and train him on patients with mild illnesses. If this patient's condition worsens further, the consequences will be very serious. What if something really happens?"
A male doctor in his forties hurriedly tried to dissuade him.
"You guys, just keep your heart to yourself. I have competed with Lao Xu for so many years, and I know him too well. Lao Xu's successor is definitely not a vegetarian. I can tell from the look in this kid's eyes that he eats meat."
Director Hu Kan overruled all objections and made the final decision on the matter.
"Xiao Zhou, feel free to do what you want. I believe you won't bring shame to your teacher."
"Thank you for your trust. I will do my best to treat the patient. If there is anything I cannot do, I will ask for help from the chief physicians."
Zhou Can indeed did not expect that Director Hu Kan would make such an arrangement.
The patient had serious problems because the surgery was not done properly. If it were a normal department director, he would definitely handle it personally with extreme caution.
However, he directly handed the case over to Zhou Can, a trainee, for treatment.
It may seem like a joke, but in fact, it involves multiple deep considerations.
The 'steadiest scalpel' cannot make an unstable arrangement.
This also shows that Director Hu Kan's state of mind has reached a height that ordinary people would find difficult to achieve in their lifetime.
