Chapter 244 The miserable patient, Bian Que meets Cai Henggong for the third time
There are really few nurses in the neurosurgery department who are easy to talk to. Zhou Can has done regular training there and knows the nature of neurosurgery very well.
As for neurosurgeons, they are all arrogant and conceited.
Each of them is a 'Long Aotian' level figure.
In addition, neurosurgery is very busy, so if we just invite a resident or attending physician to come and jointly diagnose and treat, it won’t be a big problem. However, this operation requires at least a deputy director-level neurosurgeon to perform it, which is a bit difficult.
Please, I'm sure you can.
But they just act cool and no one can find any fault with it after two or three days.
After all, the patient who needs treatment has a chronic disease, so it is completely understandable to have the surgery a day or two later.
Only the emergency department has the privilege of consulting with a specialist chief physician at any time.
However, emergency medical staff often suffer when they hire people.
"Some nurses are just of that quality. Please calm down." Zhou Can knew that he had said something wrong and quickly comforted Director Shang.
"The lesion has been found, but because the chief neurosurgeon was not able to coordinate, the patient's treatment time was wasted. What's going on?"
Director Shang was still very angry.
"I have to talk to Director Wu of the Department of Neurosurgery tomorrow. This nurse who answered the phone was so irritating. After all, I am the director and chief physician of the Department of Gastroenterology, and she doesn't even show me the minimum respect."
When one reaches the level of chief physician, even if it is the lowest level third-level chief physician, his status in the hospital is quite high.
The weight of gastroenterology department is definitely not as high as that of neurosurgery department.
However, Director Shang is at least a local lord. If he really picks a fight with that nurse, that nurse may not end up well.
If things get out of hand, the hospital will absolutely stand on Director Shang's side.
Zhou Can didn't say anything else.
After get off work, I went to the cafeteria to eat and delivered meals to the gastric cancer patient in bed 71. Then I went back to the apartment to practice medical skills and read books, of course.
After entering the internal medicine department, the pressure is even greater than when I was in the surgery department.
Because he had gained Director Shang's initial trust, he was asked to write not only the admission instructions for the patients he took over, but also the instructions for the patients during the hospitalization. I can only say that Director Shang was really generous.
Judging from this trend, it is estimated that the patient's postoperative medical instructions will also be given to Zhou Can.
It's basically independent bed management with most of the power decentralized.
Many more cautious teachers only ask the trainees to write medical records, medical history, discharge procedures, and preoperative conversations. Most of the time, they ask the trainees to accompany the patients for examinations, get medicine, help the patients get report forms, send them to the medical department for signature, etc.
There are even some chief physicians who go too far and ask residents to help them make tea, mop the floor, and buy meals.
The teaching teachers will put more effort into the training of students in regular training. At most, they will give oral medical instructions and then ask students to get test orders or something.
Director Shang has not paid any attention to Zhou Can since he took over the first patient yesterday.
Not to mention the medical instructions for admission, Zhou Can is also in charge of the medication after hospitalization.
You should know that all the departments where Zhou Can had his regular training were surgery, except for the critical care medicine department.
I only practiced writing medical prescriptions for a few days in the last month of my time in general surgery.
Before, although all the chief physicians and attending physicians trusted him very much and knew that he was very capable, because Zhou Can did not have a medical license, everyone tacitly agreed not to let him prescribe medical orders alone.
One reason is procedural non-compliance, and the other is fear of accidents.
If there is a problem with the medical prescription and something goes wrong with the patient after taking the medicine, the responsibility will be huge.
Therefore, Zhou Can was rotated to the Department of Gastroenterology this time. As soon as he entered the department, he was asked to write medical orders and perform all operations on his own, which put him under a lot of pressure.
I also felt that my knowledge of pharmacology was insufficient, so every day after get off work I returned to my apartment and tried to spend as much time as possible reading.
…
The next day at work, the first thing Zhou Can did when he arrived at the hospital was to go to the ward to check on the four patients he was in charge of.
As soon as I entered the ward, I saw a woman with gray hair next to bed 77.
He should be around fifty years old.
The crow's feet at the corners of the eyes are very deep, the nasolabial lines are also very heavy, and there are also wrinkles on the forehead.
As humans age, aging is simply unstoppable.
Wrinkles on the skin are the most easily observed sign of aging.
As for graying hair, modern people have a lot of stress in their lives, and many people have gray hair at a young age. This can no longer be used to judge a person's age.
The female patient on the hospital bed must have cried, her eyes were still wet.
But her face was filled with happiness at this moment.
If I'm not mistaken, the mother of this female patient finally rushed over from another place.
"Good morning, Dr. Zhou!"
The female patient greeted Zhou Can with a smile.
It was obvious that she had become much more cheerful. Her eyes and face showed a positivity that I had never seen before, a look that only comes from being full of hope for the future.
"Good morning! Is this your mother?"
Zhou Can asked with a smile.
"Yes, my mother arrived at the hospital at 11 o'clock last night."
When she looked at the woman, her eyes were filled with attachment and a hint of regret that could not be concealed.
In this world, only parents will treat their children unconditionally.
Parents are the real Buddhas.
No matter how miserable their children's lives are outside, no matter how big their defects are, or how rebellious they are, they always love their children unconditionally in their hearts.
"Hello, Auntie! It must be hard for you to come here from another place, right?"
Zhou Can greeted the woman in a friendly manner.
"It's just that the train ride was a bit long, and the transfer took several hours, otherwise we should have been able to get to the hospital earlier. I heard from my daughter that you paid for her meal yesterday, thank you so much. By the way, how much is it? I'll give it to you now."
The woman wanted to stand up, and Zhou Can then realized that she was actually using a cane.
One leg seems to have a problem.
No wonder he kept sitting on his own little stool without moving.
"Auntie, it doesn't cost much to buy food, you don't have to give me any. I've already told your daughter to actively receive treatment, and when she gets better, she can treat me to a good meal when I return to your hometown."
Zhou Can quickly waved his hand to signal the woman to don't be polite.
"Okay, okay! If you really go to our Shiniu County, I will definitely treat you to the most delicious local specialties." The woman agreed with a smile, looking at Zhou Can with gratitude. "Alas, my daughter has been stubborn since she was a child. When she was only a little over one year old, I divorced her and lived with her alone. Later, when she was only seventeen years old, she was deceived by the sweet words of a middle-aged man while working in another place. She refused to listen to my advice and married that old man..."
The woman talked about her daughter's unfortunate experience.
"When she got married, I told her that if she wanted to get married, she should stop calling me mom. She hasn't contacted me in all these years. I have difficulty walking, and I want to visit her, but I'm worried that her husband's family will look down on her, and then she will have a hard time living in their family. I didn't expect her husband's family to be so cruel. They often didn't give her food during her pregnancy, and often only gave her some leftovers... She's so stupid."
The woman wiped her tears as she spoke.
"Two days ago, I received the first call from her in four years. I heard that she had stomach cancer. She was stunned. Her husband's family sent her to the hospital and then passed away. Now I can't get through to her on the phone. They have made it clear to her that they will not pay for her medical expenses and let her fend for herself."
To put it bluntly, she was abandoned by her husband's family.
This girl, so beautiful, married an old man and ended up like this.
It's so miserable.
Not to mention Zhou Can, even the other patients in the same ward were filled with indignation after hearing this.
The good people in this world can be very, very kind, while the bad people can be vicious, immoral, and ruthless, or even bad beyond imagination.
"Have you ever gotten a marriage certificate?"
Zhou Can asked the girl.
"I did before, but after I got sick, he forced me to get a divorce. I didn't agree, so he and his family beat me to death." Her voice sobbed several times as she talked about these things.
No wonder she has so many injuries on her body.
This husband and his family are not human beings, they are beasts.
"It's better to get divorced. We are an orphan and a widow, and I am a disabled person. I can't fight those evil people. Over the years, I have saved some money from work, which I originally planned to use for my retirement. Now she has this disease, as long as there is a glimmer of hope, I will ask the hospital to save her. Even if we have to sell everything we have, we will treat her."
The woman said to Zhou Can.
They are two weak women, and the woman is disabled, which makes them the most vulnerable group at the bottom of the society.
Even though the woman hated her daughter's ex-husband's family to the core, she still chose not to pursue the matter.
It's not that I don't want an explanation, but I know I can't afford to offend, so I can only swallow my anger and bear it.
There are too many helplessness in the adult world.
"Her current stomach tumor is still in the early stages. As long as she undergoes surgery in time, supplemented with chemotherapy and radiotherapy, she has a high chance of being cured. If you agree, I will report this to the senior doctor and arrange surgery for her as soon as possible."
Zhou Can does not comment on other people's private affairs.
Instead, only talk about things related to treatment.
This is also a medical practice principle taught to him by his teachers.
Doctors should only treat illnesses and not get involved in the private affairs of patients and their families. There are too many injustices in the world, and it is impossible to manage them even if you want to.
Almost all cancers, once confirmed, should be treated with surgery as soon as possible as long as there is still a chance of surgery.
The longer you delay, the more disadvantageous it will be.
In addition to spreading to surrounding lymph nodes, adjacent organs, and tissues, cancer cells can also spread to distant parts of the body through the blood.
"We agree. Please ask the hospital to arrange surgery for us as soon as possible."
"Okay! I'll see Director Shang later and report this to him, and I'll make arrangements for you as soon as possible. The specific cost of treatment is not yet clear, but you should be prepared. Before scheduling the operation, the hospital will require prepayment of the treatment fee. Her treatment costs mainly include two parts, the cost of surgery to remove gastric cancer, and the cost of chemotherapy after the operation. At least 60,000 yuan should be prepared, and the total treatment cost may exceed 100,000 yuan. If you have medical insurance, a large part of it can be reimbursed."
Zhou Can told them in advance how much money they needed to prepare.
When it comes to treating cancer, the most important thing is money.
Gastric cancer resection surgery, if the tumor is small and the operation goes smoothly, may only cost about 6,000 yuan. If the tumor is large and requires open surgery, it will cost at least 20,000 yuan.
The girl didn’t even have enough to eat at her husband’s house and had to eat leftovers, and it’s almost certain that she didn’t pay for her medical insurance.
Without medical insurance, I have to pay for all the treatment costs myself.
This is why it is important to buy medical insurance. If you unfortunately get a serious illness, you can afford to treat it.
Some serious diseases cost hundreds of thousands of dollars to treat, which is really beyond the reach of ordinary families. Even if they can afford it, the family may fall back into poverty due to the disease.
After Zhou Can checked on the gastric cancer patient in bed 77, he also checked on the liver cirrhosis patient in bed 79.
Currently, the patient's condition is still similar to yesterday.
There was no significant deterioration of the condition.
I really hope Director Shang can agree to perform venous angiography on this patient as soon as possible.
Early detection of the cause allows for early treatment.
Chief physicians generally don't take care of patients like this whose conditions are not serious.
Because they are concerned about some key patients.
Wait a minute, Zhou Can will probably have to take the initiative to find Director Shang and mention the examination of the patient in bed 79.
After checking this ward, he went to the ward where the patient in bed 71 was located.
It was agreed yesterday that the patient would undergo surgery today.
Zhou Can specifically gave instructions to the family members before the operation.
As for the preoperative conversation and signature, they will have to wait until a later time.
Finished checking the beds under my charge.
Zhou Can also helped two other trainees in the group to check other beds.
The patient in bed 72 was still stable, and the patient in bed 73 was getting better, just as he had expected. The groaning was no longer going on.
This means that the patient's stomach pain is no longer as severe.
Instead, it was the patient's wife, the old lady who refused to listen, who lay on the edge of the bed, humming every few seconds.
His face looked particularly scary.
Pale white, without a trace of blood.
Even the groans of pain were weak and sounded very frail.
"Auntie, auntie, are you okay?"
Zhou Can pushed her gently.
"Oh... My stomach hurts so badly, I feel dizzy, and I have chills. Doctor, could you please get me a bottle of water? I really can't walk anymore."
She must have gone to the bathroom quite a lot every night.
Moreover, if severe diarrhea persists, people will quickly become dehydrated and weak.
"Okay! It's this kettle, right?"
"Yes! Thank you..."
The aunt nodded weakly.
Zhou Can helped her get a bottle of boiled water and poured a glass of water for each of the couple.
Seeing his aunt so sick, he couldn't help but feel worried.
Feeling cold is not a good thing.
In the terms of traditional Chinese medicine, this is called evil cold entering the body, which will cause qi stagnation, blood stasis, and imbalance of yin and yang in the body.
"You are so seriously ill, you should go and get an appointment right away! You can't delay treatment for this illness!"
Zhou Can urged again.
It really feels like history repeating itself, Bian Que meets Duke Heng of Cai.
It couldn't be cured the first time , and it couldn't be cured the second time. By the third time, it was already terminally ill and no medicine could cure it.
Normally, salmonella infection can cause diarrhea, fatigue, nausea, vomiting, etc. But in the case of the old lady, in just over a day, she became so sick that she couldn't turn on the water by herself and even had difficulty raising her head.
This is unimaginable.
It also means that her body's defense against Salmonella may have completely collapsed.
"It's okay. I'm in good health and I'll get over it. Hasn't my husband gotten much better today? I'll wait until tomorrow and he'll definitely get better."
The aunt still refused to seek medical treatment.
Zhou Can did not try to persuade him any further, but went directly to the corridor to check on the vomiting patient who was admitted yesterday evening.
The condition did not worsen further.
But since such a big worm is inside the patient's brain, it would be ideal to deal with it as soon as possible.
If it is delayed for too long, I am really worried that big problems will arise.
If the worms become agitated and move around in the brainstem area, the patient may need to be sent for emergency treatment at any moment.
Let’s wait and see the results of the coordination between Director Shang and the Department of Neurosurgery!
If that doesn't work, Zhou Can will probably have to risk his reputation and come out to help coordinate.
When I returned to the office, I ran into Yu Xin and Duan Zifu.
"Good morning, Doctor Zhou!"
"Good morning, everyone!"
Zhou Can found that there were already five doctors in the office, and even Dr. Chi was actively smiling and greeting him.
That was the only way he could respond.
"Doctor Yu, I just went to the ward for rounds and saw that the old lady in bed 73 was in a worsening condition and didn't even have the strength to lift her head. I advised her to make an appointment and see a doctor as soon as possible, but she refused. I think this is very dangerous and can't be delayed. You have to report the situation to the deputy director of the department or Director Shang. If the family member who accompanies the patient dies in the hospital, it will be a big deal."
Zhou Can had come all the way from the emergency department and had seen all kinds of strange things.
The patient was fine, but the family member who was accompanying him died suddenly in the hospital for no reason. This actually happened.
There was even a family member who was smoking in the elevator. A doctor from the cardiothoracic surgery department tried to persuade him, but the family member got very angry and started swearing at the doctor.
As a result, before he could even say a few words of scolding, the family member suddenly fell to the ground, holding his chest.
Afterwards, the family member died of a heart attack.
What’s even more ridiculous is that the family member’s relatives sued the doctor involved.
