Chapter 181: A merciful army is not a good one. Next time, don't question doctors with popular science content.
Those who dare to take risky moves are all masters.
Some seemingly hasty or reckless arrangements just prove his mastery of strategy, just like Zhou Yu in the Three Kingdoms, who, with a feather fan and a long scarf, destroyed the masts and oars in a snap of his fingers.
The combination of stability and wisdom is the true wisdom.
Director Hu Kan directly asked Zhou Can to be responsible for treating the patient in bed 19, which also seemed to be a bit of a small-scale approach and a strategy of seeking safety in the face of danger.
"Hurry up and do it! Doctor Duan, please make sure to comfort the family members. You can tell them directly that any surgery has risks and we doctors have done our best."
What Director Hu Kan meant by this is basically telling the family that the hospital is not responsible.
A kind man cannot be used to command an army, and a righteous man cannot be used in business.
Anyone who can become a department head is not a soft-hearted person.
When it is necessary to be ruthless, we must be ruthless towards both family members and medical staff in the department.
Some behaviors that are considered cold-blooded by outsiders are actually helpless means of survival.
For example, in this case, the hospital took the initiative to admit its mistake and took responsibility.
Do you think that doing this will make the family members speak properly?
Wrong!
Human nature cannot withstand any test.
The more you admit your mistakes and show weakness to the family members, the more unbalanced they will feel.
Even if the doctor in question bears all the medical expenses with tears in his eyes and a smile on his face, and cures the patient, the family will not be grateful at all, but may even sue him in court and demand various compensations.
Why is it necessary for family members to sign an informed consent form before surgery?
The purpose is to protect the interests of doctors and hospitals.
From this perspective, patients are actually a vulnerable group. In most cases, they can only choose to trust doctors.
Generally, so-called medical disputes only occur when a person is killed or disabled due to medical treatment, or when everyone can clearly see that the doctor has made serious mistakes.
But these days, there are all kinds of illegal activities.
Medical disputes are also a black industry.
Many hospitals have been severely affected.
Of course, the ultimate victims are definitely the patients. After a hospital suffers a loss, it will make the terms more stringent to prevent medical troublemakers from taking advantage of loopholes.
One day, the doctor found that the patient had a tumor, but he was afraid to operate on it.
When a polyp or tumor is found during a colonoscopy, doctors can remove it directly during the colonoscopy, but they don’t dare to do so because they don’t want to take the risk.
What if the patient only pays for the colonoscopy after the operation, who should he ask for the surgery fee?
What if the patient doesn't know what's good for him and blames me? I just did an examination and didn't ask you to do surgery. I didn't sign the consent form for the surgery. How can I handle this?
After medical disputes became a black industry chain, someone was specifically responsible for finding medical records, and then professionals instructed the family members how to make trouble. After receiving the compensation, the medical dispute organization took the lion's share, and the family members took the smaller share.
This is extremely detrimental to both doctors and patients.
What we really gained was the medical trouble maker team.
In such a harsh environment, it would be impossible for Director Hu Kan to let his doctors take the initiative to admit their mistakes to the family members.
The family must be told that the doctor is not wrong.
The patient is now experiencing postoperative complications, which is extremely rare. The hospital expressed sympathy for the patient and actively developed a treatment plan to save the patient's life.
"Director Xue, I heard that the family member is quite familiar with you. You have to stand in the right line in this matter!"
Director Hu Kan looked at Xueyan.
"Don't worry, I understand the interests involved. The patient's family and I are just ordinary acquaintances. Even if they really ask me, I will answer from the perspective of the hospital's interests. I would never do something like eating with a bowl in my hand and then smashing it after eating."
Director Xue’s position on this matter was not at all ambiguous.
If she told the family that it was the doctor's operating error that led to the patient's extensive tissue necrosis and sepsis, it would be strange if the family did not make a big fuss.
The consequence was that Dr. Duan and Dr. Zhao were punished, the hospital's reputation was damaged, and the family demanded a large sum of compensation from the hospital.
They may even file a lawsuit and report the case to the relevant authorities.
If something like this really happened, the hospital would definitely have an opinion about Director Xue.
She would never do anything that would ruin her future.
…
Zhou Can came out of the conference room, and doctors Duan and Zhao followed him obediently.
As soon as the three of them arrived at the corridor outside the intensive care unit of the cardiothoracic surgery department, the beautiful wife of the patient in bed No. 19 immediately came to greet them.
She must have cried, her eyes were red and a little swollen.
If things go wrong, she will become a widow, so she must be afraid and anxious. Seeing her husband suddenly become ill, she must be sad.
"Doctor Zhao, Doctor Duan, is the result of my husband's consultation out?"
"After a joint consultation with several chief physicians, the results are out. The patient's condition is very serious, and he has developed extremely rare postoperative complications. He must be given a second surgery immediately, as well as anti-infection and immune function conditioning treatment..."
Dr. Duan was able to become the attending physician, not only because he has certain surgical skills, but also because of his amazing ability to deceive people.
The three family members were called into the office and given a lot of lies, which frightened them into agreeing.
What family members fear most is the patient's death.
Even if it's just disability, they can't accept it.
While Dr. Duan was talking to the family, Zhou Can went into the intensive care unit to check on the patient's condition.
High fever, confusion, chills, rapid heart rate, blood pressure and breathing were relatively normal. The results of urine and blood tests were very bad.
Surgery is necessary immediately.
He looked at the wound on the patient's chest and found that the suture was fine, but the healing was problematic.
Moreover, the necrosis is inside. If it is not treated immediately, it will not be as simple as debridement.
After coming out of the intensive care unit, Zhou Can returned to the doctor's office.
At this moment, Dr. Duan had almost finished talking with the three family members .
"Doctor Duan, can the patient named Yang Tie be scheduled for surgery today?"
"Yes, yes. The family has signed the consent form for the surgery. Let the operating room adjust the order of the surgeries immediately and give priority to Yang Tie."
Doctor Duan must be very happy that he has taken care of the family members.
What he fears most is that the family members will continue to pester him and insist on holding the doctor responsible.
At this time, the anesthesiologist also came over to ask the family members to sign.
The patient was quickly taken to the operating room.
In front of the family members, Zhou Can was the subordinate doctor of Dr. Duan and Dr. Zhao. In the operating room, Zhou Can was the chief surgeon.
Neither of them had any objections.
They have all witnessed Zhou Can's surgical skills.
After the anesthesiologist performed general anesthesia on the patient, Zhou Can asked the instrument nurse to help him put on sterile gloves, and he took the position of the surgeon on the operating table without hesitation.
Carefully cut the sutures on the patient's chest wound and reopen the wound.
There was a faint stench of decay wafting out.
After opening the wound, Dr. Zhao and Dr. Duan felt ashamed.
It is shocking to look at the necrotic pectoral muscle flap tissue.
Zhou Can's debridement skills are currently at the lower level of attending physician, which is completely sufficient to clean the wounds of patients.
He cleaned up all the necrotic tissue.
The superb separation technology made Dr. Duan feel ashamed.
As a chief physician, his separation technique was far inferior to Zhou Can's. After Zhou Can completed the debridement, he repaired and anastomosed one of the damaged blood vessels to ensure that there was no problem, and then sutured the wound again.
He couldn't help but show off his superb suturing skills.
Doctor Duan was almost stunned. This was the suture level of a director! It was amazing.
"Fortunately, the patient's wound has not yet become infected with pus, but has only had an inflammatory reaction. Otherwise, the wound would have been impossible to suture."
For Zhou Can, taking on this heavy responsibility is a challenge for himself and also a very good exercise.
This operation must be done well and Dr. Xu’s reputation must not be tarnished.
Six years ago, Dr. Xu was defeated by Director Hu Kan.
Now, Zhou Can is Dr. Xu’s successor and will definitely bring honor to Dr. Xu.
After cleaning and suturing the patient's wound, Zhou Can did not act arbitrarily regarding the subsequent medication.
Although he already had a basic plan in mind, he was extremely humble and discussed it with Dr. Duan, which was also to save Dr. Duan's face.
Giving others face will definitely win their favor and respect.
After a series of treatments, the patient's fever subsided and the sepsis symptoms also subsided rapidly. After only one day in the intensive care unit, his condition improved significantly and his vital signs were stable, so he was eventually transferred back to the general ward.
At this point, the patient finally recovered.
Dr. Duan and Dr. Zhao finally ended their days of fear and restlessness.
In the morning, Zhou Can went to check on the ward as usual.
Doctors Duan and Zhao followed closely behind.
"Doctor Zhou, please take some time to help check on the patient named Yang Tie!"
It is difficult for Doctor Duan to say this.
After all, he is the attending physician, and it is too humiliating to ask the resident to help check the patient's condition.
So he called in Dr. Zhao, who was one level lower in rank.
"OK!"
Zhou Can agreed readily.
It would be difficult for him to just sit back and do nothing until the patient is discharged from the hospital.
In fact, Doctor Duan’s level and experience are not worse than his. It’s just that he was too frightened in the past two days, so he became extremely unconfident.
Zhou Can showed a forward-looking sense of crisis prediction everywhere, and the debridement surgery was very successful. The patient was also out of danger after Zhou Can's treatment. All these results added together and overlapped, and finally formed a deep impression in Dr. Duan's mind - Zhou Can is very reliable.
As long as Zhou Can helps to keep track, he feels at ease and secure.
Zhou Can walked quickly to the sixth bed.
When the man named Yang Tie was transferred out of the intensive care unit, bed 19 had already been occupied by a new patient.
It happened that the patient in bed No. 6 was discharged that day and the bed became vacant, so he was admitted to bed No. 6.
Almost all the beds in the hospital are used in this rotating cycle.
The observation room in the emergency department has the fastest bed turnover.
Many of the patients there were transferred away on the same day or the next day.
Most patients in the cardiothoracic surgery department undergo major surgeries, and their hospital stays are generally longer, which also leads to a greater shortage of beds.
The patient was sleeping soundly on the hospital bed.
After many days of torture and now after a second operation, his body is recovering rapidly, and he naturally needs to make up for some of the lost sleep.
The patient's parents must have been suffering a lot these days.
After seeing their son's condition improve, they went home and went to bed with peace of mind.
The patient's beautiful wife was lying in front of the bed playing with her cell phone.
This time I seemed to be watching short videos and finally stopped searching on Baidu how to treat this disease and whether the doctor's treatment was appropriate.
"Good morning, Doctor Zhao, Doctor Duan!"
The woman was somewhat embarrassed when she saw Zhou Can.
She chose to turn a blind eye and did not greet Zhou Can.
"Is the patient okay?"
Zhou Can didn't bother with a woman like her. He walked to the bedside to check on the healing of the patient's wound.
There was no further redness or swelling and the wound showed no abnormalities.
He picked up the patient's ward rounds record and looked at it. The temperature, blood pressure, and urine volume were all normal.
The situation is not bad.
It looks like this patient will be able to be discharged from the hospital in a few days.
"His temperature has stabilized. The infection should be under effective control. We can try to reduce the dosage of antibiotics and immune-regulating drugs."
Zhou Can said to Dr. Duan.
Antibiotics or other medicines should not be used for a long time.
When the patient is in critical condition, the main focus is on saving his life, and the maximum dosage of drugs is almost always used.
When the condition is under control, the dosage of some drugs should be gradually reduced so that the patient can adapt quickly after being discharged from the hospital.
It can also avoid a series of negative effects caused by excessive use of antibiotics.
Of course, some small hospitals are often unwilling to reduce the dosage of drugs in pursuit of therapeutic effects, in order to get good reviews from patients when they are discharged, and for personal performance.
This situation may cause the patient to be in good condition when discharged from the hospital, but experience recurrence of the disease or a series of physical dysfunctions after returning home.
Many patients often blame doctors for using "tricks" which seriously prolong the recovery period.
I need to go to the hospital repeatedly to get medicine.
Or multiple hospitalizations.
These are most likely the consequences of overdosing on the medication.
Just like weaning a baby, if you wean him all at once, he will definitely not be able to bear it and will keep crying. If you can slowly add complementary foods a few months in advance and gradually reduce the number of breastfeeding, the baby will be able to adapt well when weaning.
"I will write an order today to reduce the patient's medication dosage!" Dr. Duan accepted Zhou Can's advice in full.
"Well... he is just a resident doctor, equivalent to an intern. Can we use what he says? Will it be a problem if I reduce the medication just when my husband's condition has improved a little? Don't worry, my family is financially sound and we don't need to worry about the cost of the medicine."
The beautiful woman said quickly.
Her concerns are not without reason.
Especially people like her who like to do science popularization on their own.
It would be fine if the information you look up is correct, but if the information you find is pseudo-scientific knowledge or if you have a wrong personal understanding, it is easy to form wrong cognition.
"Although Dr. Zhou is only a resident doctor, his level is very high. He made great efforts in your husband's second surgery and postoperative medication. It can be said that he has made a great contribution to your husband's rapid improvement. In addition, I can tell you clearly that from a professional perspective, Dr. Zhou suggested reducing the dosage of the medicine, which is responsible to the patient..."
After Dr. Duan's explanation, the beautiful woman was shocked and ashamed.
She didn't expect that her husband's condition improved rapidly thanks to this resident doctor.
Moreover, she repeatedly abused Zhou Can and constantly questioned his professional level. As a result, Zhou Can not only did not care, but also repaid kindness with grievances and always considered the patients.
At this moment, she really felt ashamed and embarrassed.
"So that's how it is! It's all my fault for not understanding and making wild guesses. That's why I misunderstood Dr. Zhou. I'm sorry."
She apologized to Zhou Can with guilt.
When he looked at Zhou Can, there was no more cold confrontation and hostility in his eyes. Instead, he was filled with gratitude and guilt.
"It doesn't matter!"
Zhou Can waved his hand generously.
"Next time you have questions, remember not to search on Baidu, but to consult our professional medical staff directly. What you search on Baidu may be correct, but it may not be applicable. Even if it is just a minor cold, there may be more than a hundred ways to treat it. Which medicine to prescribe, the medication cycle, the dosage, auxiliary treatment plan, etc., can only be accurately answered by the doctor after diagnosis."
I had not originally intended to say this.
This woman's apology was quite sincere. As a doctor, I believe that we should be like a caring person. In order to prevent her from harming her family or herself next time, it would be better to give her a friendly reminder.
"Haha! I kept searching online because I saw the news often exposed the dark side of hospitals. I was worried about being cheated and encountering low-level novice doctors. I won't do that again in the future."
She smiled awkwardly and expressed her opinion.
After this incident, she realized that the popular science on the Internet is of little use. Instead, it can easily mislead her and make her feel resistant to doctors.
It is indeed very bad to constantly question the doctor's treatment plan.
"After he is discharged from the hospital, remember not to give him all kinds of supplements right away. You have to take your time. I see you have been guarding your husband's bedside and taking good care of him these days. I am very moved and admire you."
Zhou Can praised her a few words before leaving to avoid the embarrassment of social death.
Today, our group has two major operations, both performed by Director Xue.
He was treating a patient named Yang Tie, and Director Xue and Director Hu Kan must have been secretly watching him.
Now that he has proven his strength, it should be much easier for him to get another chance for surgery.
