Chapter 193 Patient vomiting blood. Back to the emergency department, feeling homesick
Most modern women have received higher education, and their knowledge and abilities are no less than those of men. They are fully capable of earning money to support themselves.
This has greatly improved their social and family status, and made them more independent.
There is no need to be a vassal of men as in the old society.
"Your idea is not good. Men should get married when they are old enough, and women should get married when they are old enough. This is the wise advice passed down by our ancestors. Not all men in the world are unreliable. The vast majority of men are responsible and good men. If you meet the right one, don't miss it. Find a husband who loves you and start a family. You will feel happiness you have never felt before."
Director Jia told her how to live a correct life based on his experience.
Only when a woman marries a man can she enjoy the wonderful feeling of being protected and loved by a man, get pregnant and have children, and enjoy the happiness of a family.
After listening to Director Jia's advice, Qiuhong turned to look at Zhou Can.
"Junior Brother Zhou, do you have a girlfriend?"
She asked this suddenly, which scared Zhou Can to death.
"Yes, I do! Senior Sister Qiu is so outstanding and so beautiful. I am absolutely not worthy of you."
Zhou Can was very worried about this beautiful senior sister, who suddenly fell in love with him on a whim.
"Hey, what are you thinking about? Look at you, am I that scary and so eager to get married? I just want to ask, are you good to your girlfriend?" She couldn't help feeling a little embarrassed after hearing Zhou Can's answer.
After realizing that Zhou Can had misunderstood, he hurried to explain it clearly.
"Oh, so that's how it is! I can't say I'm particularly good to my girlfriend, I can only say I'm just okay!"
Zhou Can's answer was quite humble.
"Is your girlfriend happy with you?" she asked again.
"You'd have to ask my girlfriend to get a more accurate answer. Judging from her reaction, she should be quite happy! She often comes to see me, gives me gifts, and reads books with me. When we are together, she smiles very brightly. I can feel that she is very happy inside."
Zhou Can thought about it and then answered seriously.
"Senior Sister Qiu asked me this. Don't you have any good female friends around you?"
"My circle of friends is relatively simple, with only two female friends of similar age. One of them has been divorced twice, and the other often complains to me that after getting married, her husband doesn't do housework and has no ambition. We even quarrel occasionally, and once he smashed her phone. So, I am quite afraid of love and marriage."
No wonder she is so beautiful, has a stable job, and is still single at the age of nearly 30.
"Qiuhong, I can tell you from my own experience that the female friend who told you about her husband's bad deeds was actually just telling you about the grievances and bad aspects of her relationship with her husband. Next time you chat, you can ask her to leave her husband. Do you think she will agree? Marriage and love are neither as beautiful nor as unbearable as you young people think."
Director Jia smiled and shook his head.
The information she received was all negative about love and marriage, which is why she developed a fear of marriage and love.
"You have a point. I'll ask her some other day."
Qiuhong nodded thoughtfully.
Then he looked at Zhou Can again.
"Do you feel happy in love?"
"Of course I am happy! When I am with my beloved , I feel especially sweet, peaceful and happy. Love is one of the most beautiful things in the world. Be brave and try it!"
Zhou Can persuaded this highly educated senior sister.
The three of them chatted for a few minutes before another patient came in.
An elderly couple came in, supporting a thin middle-aged man.
The middle-aged man staggered as he walked, his eyes were blurry, the areas around his eyes and face were red, and there was even a trace of blood at the corner of his mouth.
Most of the patients who come to see Director Jia have difficult and complicated illnesses.
There are very few such emergency patients.
"vomit!"
As soon as the middle-aged man opened his mouth, blood spurted out.
This situation is strange and scary.
The clinic can see all kinds of patients, and Director Jia and Qiu Hong are very calm. Only Zhou Can, the newbie, feels a little scared.
Vomiting blood may indicate upper gastrointestinal bleeding.
The man must have started vomiting blood before he came in. No wonder there was a trace of blood on his mouth.
A strong smell of alcohol hit my nose.
It seems that this middle-aged man vomited blood due to drinking.
It's probably bleeding from the stomach.
Drinking on an empty stomach or drinking large amounts of strong alcohol can easily cause gastric bleeding.
In addition, drinking alcohol damages the liver.
A large amount of reduced coenzyme I can be produced during alcohol metabolism, which can change the redox state in liver cells, inhibit protein and glucose synthesis and gluconeogenesis, and can also lead to the accumulation of triglyceride in the liver, thereby increasing the incidence of fatty liver.
In addition, a large amount of acetaldehyde can be produced during alcohol metabolism, which can combine with a variety of proteins to form acetaldehyde-protein adducts, which not only have a direct damaging effect on liver cells, but also can cause liver cells to be attacked by immune responses, affecting liver cell function and leading to fatty degeneration of liver cells.
In addition to causing serious damage to the liver, drinking alcohol can also damage the brain.
People who often get drunk are prone to various brain diseases.
"Director Jia, please save my son! He was drinking alone today as usual, and he started vomiting blood. He is our only child, you must find a way to save him."
The old couple dotes on their son very much.
Roughly estimated, their son is at least 37 or 38 years old, but they still spoil him like a two or three-year-old child.
Spoiling a child is like killing him.
Their son became a drunkard, which had a lot to do with their indulgence.
"Have you had a checkup?"
Director Jia did not dare to be careless when he saw the patient vomiting blood.
Mainly because I’m afraid something might happen.
"No. We were planning to go to the emergency room, but we heard that your medical skills are very good, so we bought an appointment from a scalper, thinking that it would be more reliable to ask you to treat us."
Judging from the way this old couple is dressed, they must be city people.
They were willing to spend money to save their son.
They even went so far as to look for scalpers to buy Director Jia's same-day consultation number, just to have a doctor with better medical skills treat their son.
Of course, it is also possible that the scalpers deliberately deceived the elderly couple in order to sell their medical numbers.
"Oh my, he's vomiting blood! His condition is so serious, we need to find a doctor right away! Ordinary doctors may not be able to treat him well, you can find Director Jia , he will definitely be able to save your son..."
Ticket scalpers are the best at observing people's words and expressions.
He is also very good at talking.
After a mixture of threats and intimidation, and some flattery from Director Jia, the old couple, who were eager to save their son, obediently paid for the scalper number.
There are sometimes risks when scalpers hoard expert consultation numbers.
If you don’t sell it, won’t it just rot in your hands?
The number for a special expert costs several hundred.
Therefore, in the hospital's outpatient hall and front door, you can always see some ticket scalpers wandering around looking for targets.
These people are very smart.
Knowing that the hospital is cracking down on scalpers, they go around the hospital gate soliciting customers under the banner of "accommodation and meals". These people have a special way of survival.
In addition to secretly giving benefits to hospital security guards and building good relationships with them, they also engage in services such as providing temporary accommodation, meals, and car rentals for patients and their families.
It is generally difficult to get an appointment with a specialist in a large hospital.
Especially for patients who come from other places to seek treatment, if they wait one more day, various expenses will increase a lot. The disease itself cannot be delayed.
The only option is to obediently find a scalper number to buy.
Zhou Can once saw a ticket scalper selling a note with a plus sign signed by an expert. The patient's family successfully got a specialist appointment that day with the plus sign.
All I can say is that these people have extraordinary powers.
It is not ruled out that the experts themselves may also be involved.
Director Jia briefly inquired about the patient's condition and then performed a physical examination.
"He should have upper gastrointestinal bleeding. I'll first apply for five tests for him, including blood routine, stool test, liver function, coagulation function and gastroscopy. You should take him to the tests as soon as possible. This disease cannot be delayed."
Given the patient's condition, the possibility of hospitalization and surgical treatment is very high.
Doing these necessary routine examinations is also a preparation for hospitalization.
The old couple took their baby son for a check-up.
"As for this patient, I think his disease is not difficult to cure, but the hard part is getting him to stop drinking. Even if we cure him this time, he will drink again next time."
"We can only blame his parents for spoiling their child too much."
Qiu Hong continued.
"That's right! Spoiling a child is like killing him. As a parent, if you indulge your child in everything, you are harming the child."
Director Jia is famous, and as soon as the patient with vomiting blood left, a new patient came in. It was Zhou Can's first time to experience seeing a doctor with an expert, and he felt what it meant to be busy.
Every patient comes with different demands. Some of the causes are complicated, while others are relatively clear.
Director Jia treats every patient very seriously.
Following Director Jia's lead, I can not only learn a lot of useful practical knowledge, broaden my horizons and gain more knowledge, but also be influenced by him and become more serious and responsible in my diagnosis and treatment work.
It was almost noon when the patient who vomited blood due to drinking came back after the examination.
The examination results showed esophageal varices and ruptured bleeding.
Director Jia took the gastroscopy and took a look.
"Ouch, your blood vessel has been ruptured! Fortunately, the rupture is not particularly large, so you can try a more conservative treatment method first. First, let him fast for a period of time. Second, reduce portal pressure and provide appropriate nutritional support to improve liver function. Third, use drugs to increase coagulation function. For example, use thrombin or vasopressin."
The patient's symptoms seemed serious, but after examination, they turned out to be better than expected.
"Doctor, we all listen to you. Please treat my son as soon as possible!"
The patient's father urged.
Director Jia looked embarrassed.
"He must be hospitalized for treatment. We don't have any beds here! His condition can't wait. How about you take the diagnosis results to other hospitals where beds are not in short supply?"
This patient should actually see a gastroenterologist.
There is a shortage of beds in the surgical department.
Many surgical patients are waiting for beds to be available, and it is difficult to arrange a bed for him as a non-surgical patient.
This situation is basically common in all famous large hospitals.
There is a severe shortage of beds, and some minor illnesses have to be transferred to other hospitals.
"Director Jia, please help me think of a solution! My son has been vomiting blood until now. If we take him to another hospital, we will have to register and wait. We are afraid something might happen!"
The patient's mother immediately knelt down.
Zhou Can was quick to act and quickly supported her.
"Let me ask for you first! If it really doesn't work, the beds at the Provincial People's Hospital are not that tight, and the medical skills there are very good. You can go there for hospitalization."
After Director Jia finished speaking, he asked Qiuhong to call the inpatient department.
Qiu Hong called and said, "Hello, can you arrange a bed in the inpatient department now? There is a patient who is vomiting blood and needs to be hospitalized urgently."
The answer there should be that there are no beds.
Qiu Hong continued, "Can you help me think of a solution? The patient's condition is very urgent."
Soon, she ended the call with some disappointment.
"There are no beds available in the inpatient department right now. If it is really urgent, they suggest that patients wait and see if there is a bed available tomorrow. They will call to notify you then."
This is also the most common practice.
There are only so many beds in the Department of Digestive Surgery, and they are now full of patients. Beds will only become vacant when patients are discharged.
Hospitals generally ask patients who need hospitalization to leave their phone numbers and then wait in line for a bed.
Discharge procedures are usually completed in the morning.
That’s why the patient is asked to wait until tomorrow to see the doctor.
"He has been vomiting blood. It would be too risky to wait until tomorrow morning." Director Jia looked embarrassed.
Many times, what troubles doctors is not how to treat the disease, but the lack of beds.
"Director Jia, do you think we can send him directly to the emergency department for treatment? He can stay in the observation area for one night." Zhou Can had been in the emergency department for three months and was more familiar with the situation there.
This patient should not have registered for a special specialist. This is just a common disease, and even an ordinary gastroenterologist or surgeon can treat it.
Also, for an emergency like his, going through the emergency channel can often allow him to receive treatment in the shortest time possible.
If you go to the outpatient clinic, just waiting in line for the examination is already a hassle enough.
The patient was able to finish the examination so quickly, probably because his parents had to queue up with him many times.
After all, vomiting blood does look scary, and it's a good excuse to cut in line.
"Yes, yes, going to the emergency room is a good idea."
After listening to Zhou Can’s suggestion, Director Jia thought it was a good one.
"Zhou Can, are you familiar with the emergency department?"
Director Jia knew that Zhou Can was from the emergency department.
"I should be able to get this done if I take them over there!"
Zhou Can didn't dare to say too much.
It has been more than a year since he left the emergency department, and he has hardly ever returned because he was too busy.
Only during the holidays would I call or send messages to Dr. Xu, Director Lou, Qiao Yu and others to express my greetings and best wishes.
Director Lou, Chief Physician Han Changqing, Doctor Xu and others will definitely buy into his account.
It’s hard to say about ordinary doctors and nurses.
Because he had been away for too long, and they were unaware of Zhou Can's outstanding achievements in other departments, it was inevitable that he would become unpopular.
When the patient's family heard that Zhou Can could help their son get hospitalized, it was like they had grabbed a life-saving straw and they thanked Zhou Can profusely.
Led by Zhou Can to the emergency department.
Arriving at the waiting corridor outside the emergency department, Zhou Can felt a bit "homesick".
Once upon a time, there were familiar people and things here.
More than a year ago, he embarked on the journey to surgical regular training with the earnest expectations of Director Lou, Deputy Director Han, Doctor Xu and others.
Originally, he was planning to return after completing his studies two years and nine months later and make great achievements in the emergency department.
He has only completed a small part of his regular training and has not even completed all the surgical regular training. In fact, he is reluctant to return to the emergency department at this time.
He didn't want to come here just for a visit and leave quickly.
Deep down, Zhou Can is a person with a very strong self-esteem.
He had promised Director Lou, Doctor Xu and others that he hoped to come back after completing his studies.
"Wow, Doctor Zhou, it's really you! I haven't seen you for over a year! You don't come back to visit us often."
Ye Tingting is simply everywhere.
She also had sharp eyes and spotted Zhou Can at a glance.
"Hello, Sister Ting! I'm busy, so I don't have time to come back and visit you! I haven't seen you for more than a year, and you're still as beautiful as ever, you haven't changed at all."
Zhou Can responded with a smile.
When they were in the emergency department, Ye Tingting had always had a good relationship with him.
"You're taking them here?"
Ye Tingting looked at the patients and their families behind Zhou Can.
"There are no beds in the Department of Digestive Surgery, so I brought the patient here to see if he can be treated in the emergency observation area first." Zhou Can explained with a smile.
"Is he a relative or an acquaintance?"
Ye Tingting felt that having Zhou Can personally bring her here for treatment was definitely a treatment that could only be enjoyed by relatives or acquaintances.
"Neither. He is just an ordinary patient from the Department of Digestive Surgery. He has esophageal varices and ruptured bleeding due to alcohol consumption. This disease cannot wait. I volunteered to bring them here."
"I see. Give me the information and I'll go talk to Dr. Ellie."
Ye Tingting is quite enthusiastic.
She is only a nurse in the observation area and has no authority to decide whether a patient should be kept for observation or treatment. She still needs to consult a doctor.
At this time, Dr. Lin in the operating room should have just returned from the cafeteria after lunch.
When he saw Zhou Can, he hurried over and greeted him.
"Zhou Can, Dr. Zhou! I haven't seen you for some time. How are you? Is your rotation to other departments for regular training going well?" Dr. Lin enthusiastically asked about Zhou Can's recent situation.
"Thank you for your concern. My training is going well. How about you? After more than a year of development, you must be doing well!"
Zhou Can remembers that when he left, a competition mechanism was initiated in the operating room of the emergency department.
Dr. Lin, who has mediocre talent, and Dr. Lu, who just wants to get by, are both at risk of being eliminated.
"Oh, don't mention it . You know my talent. In the past year, I have never slept before 1 a.m. I have been practicing the basic skills of surgery every day. For the time being, I will stay here."
Doctor Lin was full of bitterness when he talked about this.
"Haha, if you stay, you will have a chance. I believe you will definitely develop better and better."
Zhou Can was truly happy for him.
Although Dr. Lin has various flaws, no one is perfect. We have been together for so long, so there must be some affection between us.
"Doctor Xu must have missed you a lot. Whenever we didn't make much progress in surgery or made mistakes, he would often praise Zhou Can in front of us. I'll go tell Doctor Xu. It's his turn to go to dinner now."
After Dr. Lin finished speaking, he walked quickly towards the operating room without waiting for Zhou Can's consent.
