Chapter 233 This is the level, the real version of poisonous chicken soup
Zhou Can, Yu Xin and Duan Zifu are actually competitors.
Logically speaking, there is no obligation to help her solve the problem.
If a man does not work for himself, he will be punished by heaven and earth.
Helping your competitors is equivalent to harming yourself.
"It's okay if Dr. Zhou can't help. The patient suddenly developed abdominal pain, and the condition itself is very complicated. It's normal that we, the interns, can't analyze the cause."
Although she is a little cold, she has good character.
Maybe in her opinion, Zhou Can just didn't want to help, but she didn't expose it.
Instead, he gave Zhou Can a way out.
"After the morning meeting, I'll go to the ward to check on the patient's condition. Now I can't make any analysis or judgment based on just a few simple symptoms you mentioned. It would be irresponsible to make a hasty diagnosis towards the patient."
Zhou Can said with a serious face.
"Well, thank you!"
She didn't say anything else, and the three of them entered the conference room together.
When attending the department's morning meeting, the chief physician usually sits at the front, with attending doctors and residents in the middle, and trainees, advanced students, and interns at the back.
In terms of status, the resident trainees of our hospital are definitely the highest, followed by trainees, and interns are the lowest.
Many people think that trainees are awesome.
Because most of the trainees are excellent doctors at the county and city levels, they carry the high hopes of their hometown elders and their original hospitals. They come to large hospitals to broaden their horizons, learn more advanced medical skills, and then return to improve the diagnosis and treatment level of their hometown hospitals.
In fact, trainees have a very low status in a large hospital like Tuya.
You can learn some knowledge and techniques, but it is difficult to learn core medical techniques.
Soon, the conference room was full of people.
There are doctors and nurses.
Everyone sat apart consciously, the nurse on the right and the doctor on the left.
I don’t know whether it is based on the tradition of men sitting on the left and women sitting on the right, or whether it has been a tradition since ancient times to regard the left as an honor.
Doctors have a higher status than nurses, so they sit on the left.
Director Shang spoke with a serious face, "The reason why I called everyone to this morning meeting today is because a major medical accident almost happened in our department yesterday. A patient with gastrointestinal bleeding began to have abdominal pain and bloody stools at around 4 o'clock in the morning. The attending physician was careless and only performed the most basic physical sign measurements and monitoring on the patient, and did not take effective measures in time..."
The whole place was silent, no one dared to bring bad luck at this time.
Because some of Director Shang's words were very harsh.
It can be seen that this incident made him very angry.
"In this safety accident, the attending doctor Zhang Hou must be severely criticized."
Dr. Zhang sat among the many residents, with his head lowered, not even daring to raise it.
This is already considered as criticism within the department.
The severity is second only to the criticism issued by the entire institute.
Actually, he was not wronged at all. Zhou Can had already suggested that he should do a gastrointestinal angiography on the patient as soon as possible, but he refused to listen.
Maybe he was just hoping for a lucky break and wanted to wait until the senior doctor came before making a decision.
Who knew that this delay would lead to such a big incident.
"Dr. Zhang Hou found that the patient had abdominal pain and blood in the stool, but he did not report it to his superior doctor in time. Dr. Zhou Can happened to pass by and suggested that the patient be given a gastrointestinal angiography immediately after seeing the situation. Not only did he not listen, but he criticized Zhou Can. This kind of official style of being powerful even though he is not a high-ranking official, and his work attitude of taking chances and being careless about the patient's condition, must be taken as a warning. I personally hate this even more."
Doctor Zhang's face turned pale and gray.
If there was a crack in the ground, he would want to crawl into it.
It is so embarrassing to make serious criticism in front of all the medical staff in the department.
"We must commend the new resident doctor Zhou Can for this safety accident. It was his seriousness and responsibility, his concern for the patient, and his willingness to give advice to the attending doctor Zhang before the accident. After the accident, he actively participated in the rescue and demonstrated his love, ultimately helping the patient escape danger. He not only saved the patient's life, but also preserved the department's hard-earned reputation. His actions are worth learning for every medical staff."
After Director Shang finished speaking, he looked at Zhou Can who was sitting in the back row.
"Please stand up, Dr. Zhou, so that everyone can get to know you and say a few words."
Zhou Can wanted to keep a low profile, but Director Shang wouldn't let him.
This was done deliberately to make him famous.
There was no choice but for Zhou Can to stand up and bow to those around him.
"I am Zhou Can, a newcomer. Please take care of me. I have finished speaking. Thank you all."
The short and omnipotent speech made everyone cover their mouths and laugh.
They also have a very good impression of Zhou Can.
Next, Director Shang put forward requirements for the department’s medical safety and nursing safety.
Ask each group in the department to check the patients under their management to ensure that no one is missed.
The case for Dr. Zhang, who is in charge of the patient, will definitely not be as simple as deducting his bonus for that month.
This incident will have a significant impact on the future.
It takes more than twice the effort to remedy the situation.
After the meeting, the worry on Yu Xin's brow deepened.
"Doctor Zhou, could you please go to the ward and help me check on that patient? If I really can't find the cause, I will report to Director Shang immediately." She was obviously frightened by what happened to Doctor Zhang.
The lessons of the past were right in front of her, and she couldn't help but be afraid.
"Let's go and take a look! It is said that three cobblers can be better than one Zhuge Liang. The three of us will diagnose the patient together. There is no reason why we can't find the cause of the disease." Zhou Can's words made Yu Xin, who was usually aloof, smile rarely.
The metaphor of the cobbler is quite vivid.
The three of them came to the ward and saw the patient in bed 73 lying on the bed with a weak look on his face.
The overall condition of the person is very bad.
"Excuse me, did you have diarrhea just now?"
Zhou Can's ability to diagnose by observation is simply not comparable to that of Yu Xin and Duan Zifu.
The practical experience he has accumulated through a large amount of practice on the front line far exceeds that of ordinary trainees.
The patient's complexion, condition, expression, eyes, etc. can all serve as the basis for his diagnosis.
"How do you know? Did you smell a bad odor?" the family member next to him asked embarrassedly.
"We didn't smell any odor, but we could tell by observing his facial complexion and mental state," Zhou Can explained to the family.
Some patients and families are very sensitive.
I am particularly afraid of affecting other patients.
Especially for some patients who cannot take care of themselves, sometimes they can only pull up the curtain of the bed and do it in the ward.
"You can tell just by looking at his face! Your doctor in Tuya is amazing!"
After hearing this, the family members were no longer so embarrassed.
Zhou Can saw that the patient's body was shaking from time to time and he was covered tightly with a quilt.
"Are you cold?"
Zhou Can touched the patient's forehead with the back of his hand.
The temperature is indeed a little high, but it is not a high fever.
Instead, it was the patient's shivering behavior that aroused his vigilance.
Fever accompanied by chills, as well as nausea, abdominal pain, and diarrhea, so many symptoms combined are a disaster for a patient who has just undergone surgery.
"I, I feel cold and my stomach is very uncomfortable. I can't explain it, it's like a bad cold, but there's a little difference. Doctor...will I die?"
The patient's mental state seemed very tense.
He even asked the doctor without hesitation whether he would die.
This means the patient is feeling very uncomfortable at the moment.
"Don't worry, they are just some minor symptoms. Our hospital has performed countless operations to remove pancreatic duct stones , and the technology is very mature. Normally, you can be discharged from the hospital in a few days."
Zhou Can didn't dare to be too specific about the time.
The length of time a patient stays in the hospital varies from person to person.
Even for the same disease and the same treatment, some patients may be discharged from the hospital in two or three days, while others may need more than a week.
It is closely related to the patient's physical condition, whether postoperative infection occurs, and whether postoperative complications occur.
Zhou Can saw the patient's hand pressing on the left upper abdomen.
This position is slightly lower than the pericardium and should be the area where the stomach is located.
Considering the patient's symptoms such as nausea and diarrhea, Zhou Can secretly speculated that the patient seemed to have problems with his digestive system.
"Does your stomach hurt?"
he asked the patient.
"It's just a little bloated, and it's especially uncomfortable when you feel nauseous and want to vomit."
As he was speaking, the patient suddenly looked painful.
"Basin, get the basin quickly."
Zhou Can quickly spoke to the family members.
The family members were confused and worried about the patient's suffering.
Zhou Can caught a glimpse of the red basin under the bed, bent down, took it out, and then held it.
The patient struggled to turn his body sideways and stuck his head out of the bed.
"Ugh...crash!"
Some liquid filth came out of the patient's mouth.
Almost jet-like.
The family members reacted at this time and quickly took the basin from Zhou Can.
At the same time, he secretly admired Zhou Can's medical skills.
Whether it was the fact that he had accurately inferred that the patient had diarrhea not long ago by observing the patient's complexion and mental state, or the fact that he was the first to notice that the patient wanted to vomit, he was also the first to notice that the patient wanted to vomit.
The time in between was so short that the patient vomited before he even had time to speak.
Not to mention the family of bed 73, even the family of the other three beds looked at Zhou Can with admiration.
Among the three trainee students, Zhou Can performed exceptionally well.
Medical skills vary in level, and it is the only thing that cannot be faked.
Whether one has real ability or not can be seen when facing the patient's condition.
Zhou Can patted the patient's back gently to help him breathe more easily.
After the patient has finished vomiting, bring water to the patient to rinse his mouth.
These are just small things, but these details deeply warm the patient's heart. The family members are very grateful to him.
Most doctors are aloof and condescending towards their patients and their families.
There are actually not many doctors who can truly treat their patients like family members.
The most common doctors are those who speak sweet words.
“When did the patient finish the surgery yesterday?”
Zhou Can turned around and asked Dr. Yu Xin.
"It was probably around 10:30 yesterday morning." She was able to immediately answer the time when the patient left the operating room, which showed that she was dedicated to her work.
Zhou Can thought for a moment, and his eyes became brighter.
After the patient vomits, the patient's condition becomes better. After vomiting, the patient will feel much more comfortable.
“When did the patient eat after returning to the ward after surgery?”
Generally, you will be required to fast for more than twelve hours before surgery.
The patient vomited a considerable amount of material and also had diarrhea, indicating that he must have eaten after the operation.
"It was probably around 4pm! I saw that my husband's surgery went very smoothly. He was in good condition after the surgery, so I quickly went to a restaurant outside and asked the chef to make chicken soup for him. This can nourish the body and heal faster."
The family members recalled what happened at that time.
When she expressed her nourishing opinions which she believed to be correct, there was a hint of pride in her that I was very smart.
Zhou Can nodded. The timing was very consistent with the illness he suspected.
From 4pm to 7am this morning, it was about 15 hours. At around 7am, he came to the ward to check on the patient in bed 71 and found that the patient in bed 73 was groaning.
This indicates that more serious symptoms had already appeared at that time.
"The restaurant where you bought the chicken soup is a small restaurant, right?" Zhou Can asked the family again.
"Yes, it's a small restaurant that specializes in fast food."
"He had a pancreatic duct stone removal surgery, which is considered a major operation. According to the doctor's orders, he can't eat for three to five days. Didn't the nurse tell you?"
Zhou Can was really speechless about such family members.
He totally disregarded the doctor's advice.
Many family members believe that the patient has just undergone surgery and is weak, and needs a lot of nutritional supplements to recover quickly.
Little do people know that there is a saying in Chinese medicine that a person who is weak cannot be nourished.
It is a very wrong practice to take large amounts of tonic food immediately after recovering from a serious illness.
After surgery, patients need to eat mild, easily digestible food. Avoid spicy food, tobacco, alcohol and other irritating foods.
This patient had just undergone pancreatic stone removal surgery. He can drink water five or six hours after the operation, but cannot eat.
Doctors will also provide patients with some necessary nutritional support.
In fact, family members don’t need to worry at all.
"Didn't you tell me to drink water? I was thinking, there's no difference between drinking chicken soup and drinking water... Is it because my husband drank chicken soup that he had these serious adverse reactions?"
When the family members heard Zhou Can's slightly reproachful words, they were immediately filled with self-blame and regret.
It was all good intentions, but I didn't expect it would end up harming my husband.
"Drinking chicken soup itself will not cause so many problems, but the chicken soup you gave him may have problems." Zhou Can looked serious.
Yu Xin, who was standing next to him, could only watch and listen throughout the whole process.
During the entire diagnosis process, she had no ability to lead the questioning like Zhou Can, and based on clues, ask about things the patient had done behind the doctors and nurses' backs.
To be honest, even she, the attending physician, didn't know that the patient secretly drank chicken soup yesterday.
She always emphasized to the family that they were not allowed to eat for a week after the operation.
The fasting period is deliberately extended to two or three days as a precaution.
Unexpectedly, the family members were smart enough to secretly order chicken soup for the patient.
After watching the video clips on the Internet, some young women make demands on their boyfriends or husbands. They wish their husbands were as good as the male gods in the video clips. This causes unrest in the family.
Netizens call this phenomenon "drinking the toxic chicken soup" on the Internet.
Now, the chicken soup that family members give to patients is truly poisonous.
"Is there something wrong with the chicken soup? That shouldn't be possible! I personally selected the live chicken and had them kill and cook it right before their eyes!"
The family members countered.
"Judging from the patient's symptoms , it should not be a postoperative complication, but food poisoning. You must strictly follow the doctor's orders in the future. If you have any ideas, you can ask the doctor or nurse in time. You must believe that doctors and nurses are not the patient's enemies. We have tried our best, and our purpose is the same as the family members, hoping that the patient will recover soon. Not allowing the patient to eat is because the patient's physical condition does not allow him to eat, not because the doctor abuses the patient."
Zhou Can did ideological work on the family members with great earnestness.
Hopefully she'll learn from this lesson in the future.
"To give an inappropriate example, it's like when your child eats junk food, you don't let him eat it. In your opinion, this is for his health, many leukemias and tumors are caused by eating junk food. But your child won't think so, he will only think that his mother doesn't let him eat the delicious spicy strips, so he can't indulge in his craving for it."
Zhou Can even gave an example to educate the family members.
As soon as he finished speaking, the patients in other beds spontaneously applauded Zhou Can.
"Dr. Zhou said it very well! Doctors are like parents to us. We will definitely try our best to understand the good intentions of doctors in the future." The daughter of the patient in bed 71 stayed in the ward to take care of the patient.
She has always had a good impression of Zhou Can and has a high level of trust in him.
He was the first one to speak up for Zhou Can at this moment.
"Thank you for your recognition. We doctors are by no means enemies of patients and their families. We are comrades-in-arms, fighting together to eliminate the patients' diseases. The families give us doctors the greatest trust and understanding. Seeing the patients recover and be discharged from the hospital is what makes us most happy."
Zhou Can said to the family members and patients in the ward.
Through this incident, family members and patients can have a better understanding of doctors, which is a good thing.
"Doctor Zhou, what type of food poisoning does this patient have?"
When Yu Xin looked at Zhou Can at this moment, her eyes were filled with sincere admiration.
She was deeply impressed by both the medical skills and medical ethics.
All her previous pride, compared to Zhou Can, was like the light of a firefly competing with the bright moon. The two were too far apart.
"If I'm not mistaken, it's probably salmonella. Chicken is most likely to harbor salmonella. If the salmonella inside the chicken is not killed by high temperatures during cooking, infection will occur after eating it."
Zhou Can stated his diagnosis.
Whether this is the result or not, an examination is needed to confirm it.
