Chapter 245 Mr. Luo’s problem is difficult for those who don’t know how to solve it, but it is not difficult for those who do know how to solve it.
When Yu Xin heard Zhou Can speak so seriously, she suddenly became nervous.
"I, I'll go to the ward right away! That old lady is really something, why doesn't she listen to my advice!" She raised her foot and walked out.
"Doctor Zhou can't persuade her, and it's useless for you to go. Mr. Luo is more experienced in handling this kind of thing, you can ask him for help."
Doctor Chi said to her.
The hospital chief is responsible for almost everything. Dealing with various medical disputes and eliminating potential risks are what he often does.
Luo Shengsheng must have rich experience in dealing with such family members.
Logically speaking, Luo Shengsheng lived in the hospital all day and night on duty, and he must have known about the situation of the family of bed 73. But he did not take care of it.
In the final analysis, it is none of your business, so just ignore it.
Even if something happens to his family members, he has no responsibility.
"Hey, if you mention the devil, he'll appear! Isn't Mr. Luo here?"
Luo Shengsheng walked into the office quickly, looking tired and a little unhappy.
"Is there something wrong with the patient in any bed again?" Luo Shengsheng picked up his cup and took a few big gulps.
"The family member of bed 73 is infected with salmonella and is in a serious condition, but he refuses to see a doctor and keeps lying on the bed. What do you think we should do?"
Duan Zifu rushed to help Yu Xin explain the situation.
After Luo Shengsheng heard this, his expression did not change . As expected, he had known about this for a long time.
Come to think of it, this is what the resident doctor does.
There are more than a hundred beds in the Department of Gastroenterology. Which bed doesn’t Luo Shengsheng know about?
"What else can we do? If a 300-pound buffalo refuses to drink water, can you push its head down? The family members themselves are not worried, so there is really no need for us doctors to worry about it. When the female family member can't stand it anymore, she will naturally register for treatment."
Luo Shengsheng said nonchalantly.
"But...what if a family member dies in the hospital? Will it affect the doctor in charge?"
Duan Zifu really thinks about Yu Xin everywhere.
Asked her what she was most worried about.
"It will have some impact, but not much. After all, as doctors, we can only advise patients to seek medical treatment as soon as possible. If the patient does not listen to our advice, there is nothing we can do. You don't have to worry about the family member. She will find a solution herself when the time comes."
The solution Luo Shengsheng gave was just two words: lie down.
Just let the family member die in the hospital.
"Boss Luo, is there a better way?"
Yu Xin couldn't help but ask.
Duan Zifu's brain was not working well, and she almost agreed to lie down. But she was an ambitious doctor and was unwilling to watch the family members get into trouble.
She believed that Luo Shengsheng must have a better way.
I just don't want to help her.
"Yes, there are certainly better ways than this. For example, we can continue to persuade the family members to seek medical treatment, or think of other ways to help them correctly understand the current condition, etc."
Luo Shengsheng said a few simple words, drank some water, operated a few times on the computer, and then checked it carefully.
After watching for less than a minute, he got up and walked out.
"The patient in bed 16 needs an abdominal puncture, but it's not going well. I have to go over there and continue the fight. If you have any problems, try to find a way to solve them yourself, understand?"
After saying that, he ignored Yu Xin and Duan Zifu and walked to the office door in a few steps.
Luo Shengsheng probably returned to the office and temporarily checked the Internet for information related to puncture, either to learn the techniques of puncture or to look up the diagram of the abdominal organ structure.
Seeing this situation, Yu Xin could only find a solution on her own.
But she had no good solution at all.
You can't force family members to see a doctor, right?
I'm afraid I'll have to ask Mr. Luo for help on this matter.
"Wait a minute. Mr. Luo needs to perform abdominal puncture on the patient, right?"
Zhou Can called Luo Shengsheng.
"Doctor Zhou also has something he wants to ask me to solve?"
Luo Shengsheng stopped and looked at Zhou Can.
His attitude was much more polite than that towards Yu Xin and Duan Zifu.
"I happen to be more experienced in punctures. I will go with Mr. Luo and help."
Zhou Can smiled and offered to help Luo Shengsheng.
Normally he wouldn't be so proactive, this time he did it to help Yu Xin, a trainee in the same group.
That old lady was really hard to persuade, so only Mr. Luo could handle it.
"This patient has a serious abdominal effusion, but the effusion is located close to the chest cavity, where organs are densely packed, making puncture extremely difficult."
Luo Shengsheng didn't really trust Zhou Can's puncture skills.
Although trainees must learn the four major puncture techniques, most people end up failing when performing them in practice.
Many people have undergone three years of regular training and still cannot master the puncture technique.
Thoracopuncture, abdominal puncture, lumbar puncture, bone marrow puncture, none of them is easy to perform. They are all extremely difficult, which makes newcomers afraid.
Zhou Can's puncture skills are now at level five, which is two levels higher than Luo Shengsheng, the resident doctor.
Luo Shengsheng’s inability to pierce the body may be a small matter in Zhou Can’s eyes.
"It's okay. Let's go with Mr. Luo and take a look. Even if we can't help, at least we can gain some experience, right?"
Zhou Can followed Luo Shengsheng out.
When we arrived at the ward, we saw an old lady with a big belly lying on bed 16. She was skinny except for her frighteningly big belly.
People who didn't know the truth thought that the old lady had a medical miracle and was pregnant.
At this moment, the old lady's abdomen still had the marks of disinfection. A nurse was busy at the bedside, and the patient looked extremely painful.
There were scars on the abdomen from the puncture, but the bleeding had stopped.
The puncture itself is a very small wound.
"Doctor Luo, can you give her another puncture now? The patient keeps saying that she is in so much pain."
The nurse said to Mr. Luo.
Two family members stood by the bed and watched anxiously.
"Okay! Don't worry. The location of her abdominal effusion is very special. It squeezed her organs and caused them to shift. The puncture is also very difficult. I can only say that I tried my best. If any other doctor came to perform the operation, the result would be the same."
As Luo Shengsheng agreed, he began to put on sterile gloves and gently pressed the patient's abdomen again.
Zhou Can took the film and looked at it.
The effusion was not only serious, but also close to the chest cavity. As Luo Shengsheng said, some organs were affected by the effusion and were squeezed and displaced.
No wonder Luo Shengsheng said that puncture was difficult.
Luo Shengsheng, wearing sterile gloves, was looking for a suitable puncture site. After Zhou Can looked at the film and checked the patient's actual condition, he already had an idea in his mind.
However, it would definitely not be a good idea to steal Luo Shengsheng's limelight at this time.
A tree needs bark, and a person needs face.
Always pay special attention to protecting others' dignity and face.
If you embarrass others and make them lose face, even if you help them, you will only gain hatred.
Zhou Can has to wait for a suitable opportunity.
Finally, under the anxious gaze of his family members, Luo Shengsheng once again began to perform the puncture. With one injection, he successfully drained the abdominal effusion, and a happy smile immediately appeared on his face.
Thought it was a success.
The result was the same as last time, only a small amount of accumulated fluid was drained out and then the process stopped.
The patient's abdomen was bulging so high that she looked like a pregnant woman about to give birth. Only a few milliliters of fluid were drained out, which had no effect on alleviating the condition.
"Boss Luo, can you let me try? You can guide me."
Zhou Can felt that the time was almost right.
Seeing that Luo Shengsheng's face showed complete loss of confidence and frustration, he had only one way to go, which was to ask a senior doctor to come and help.
If it was that easy to invite, he would have asked Dr. Chi to come over for help when he returned to the office.
If a resident or intern like Zhou Can fails in a puncture, he can ask a senior doctor for help. As a senior resident who has already challenged the attending physician, he can't even do a abdominal puncture. If it gets out, people will laugh at him.
Senior doctors will also have a lower impression of him.
Everyone will think that his operational ability is weak.
This is a very disadvantageous thing.
"You...operate carefully and don't rush."
Luo Shengsheng hesitated for two or three seconds and finally agreed.
He had also heard about Zhou Can's work in other departments. He only knew that Zhou Can was very good and was highly regarded by the chief physicians in many departments. Currently, he had become the key training target of the hospital.
In fact, as early as when Zhou Can rotated to the Department of Critical Care Medicine, he had already been designated as a key training target by the hospital.
The last time I finished my rotation in general surgery, it was even more amazing.
He has been included in the program for developing famous doctors from ordinary key training targets.
In the past, when he was rotated to the surgical department, Director Xie could still do something to suppress him. Now, as long as Director Xie's brain is not burned out, he will never do such a thing.
It’s not that I don’t want to, but that I can’t do it.
If Zhou Can is suppressed again, it will be a slap in the face of the hospital's top management. The director of a major surgical department is half a level lower than the vice president.
He is really ignorant and tactless. His removal is just a matter of discussion.
So, Director Xie has been very well behaved recently.
"Can't you ask an experienced older doctor to do the operation? My mother has already received two injections, but the puncture was still not successful. You let an intern do it. This is too disrespectful to the patient."
The family members protested with dark faces.
Luo Shengsheng's family members were already quite dissatisfied because of the two failed punctures.
Now they have agreed to let a young doctor whose position is lower than Luo Shengsheng to perform the operation. This is clearly using patients as guinea pigs for training.
The family members were immediately angry.
"This is Dr. Zhou Can who has been assigned to our department. He is not an intern, but a legitimate doctor with a medical license. Also, he is very famous in the field of surgery and is stronger than me, so I asked him to do the puncture. As for what he said about letting me guide him, it was to save my face."
Luo Shengsheng is very good at dealing with family members.
The family members' anger was calmed down with just a few words.
"Doctor Zhou, please operate!"
Luo Shengsheng was already in a difficult situation at this point, and he just hoped that Zhou Can would not frame him.
Otherwise, it will be difficult to explain to the family members.
Zhou Can nodded without hesitation, but calmly held the needle and stabbed at the puncture point that had been selected long ago.
Fast and fierce.
Luo Shengsheng's heart almost jumped out of his throat.
It's really scary.
This is not a puncture at all, it's clearly an injection for pigs and cows, which is why it's so powerful.
This is a human being!
Moreover, the puncture site is close to the chest cavity, where important organs are densely populated.
What would happen if this caused liver bleeding, gastric bleeding or something like that?
The family member's expression, which had originally calmed down, had become extremely frightening, and anger was surging on his face once again.
But before they could get angry and curse, the nurse beside them shouted in surprise, "It's out, it's out, the accumulated fluid has been drained out."
After successful puncture, bright yellow liquid flowed out of the catheter.
When it flowed out, it was almost in the shape of a jet, which was completely different from Luo Shengsheng's previous puncture results.
After Luo Shengsheng performed two punctures, bright yellow liquid began to flow out of the catheter, but the rate of flow was extremely slow.
[Injection skill experience +1.]
[You have successfully completed an extremely difficult abdominal puncture, and you will be rewarded with +100 injection experience points. ]
The system never seems to be stingy.
When it is time to reward 100 experience points, there will be no discount.
"What kind of magical operation is this? It succeeded right away?"
Luo Shengsheng was stunned, and felt that the puncture techniques he had learned before were all fake medical skills. On the contrary, Zhou Can's seemingly fierce operation, in retrospect, was handsome and efficient.
Should the correct operation of puncture be as vigorous as Dr. Zhou just did?
It seems that next time I perform puncture on a patient, I won’t be so delicate.
But when Luo Shengsheng calmed down and saw clearly where Zhou Can had punctured his body, he started to lose his composure again.
This puncture point is where important organs intersect and large blood vessels pass through.
It was not that he had not thought about puncturing this area at the time, but when he considered the danger, he gave up.
If he were to perform the puncture at this point, even if he was as fierce as a tiger, he might damage the organs or blood vessels even if he performed the puncture carefully.
How did Zhou Can do it?
The discharge from the catheter was indeed fluid, without any blood, which indicated that there was no damage to the organs or blood vessels.
The most terrifying thing about doing abdominal puncture in this area is that as soon as the needle is inserted, red blood spurts out of the catheter.
When this happens, it’s a lottery win.
A large blood vessel was pierced.
This is also the reason why teaching teachers are reluctant to let interns and trainees engage in any higher-risk practical operations.
If something goes wrong, the teacher won’t even have time to cry.
"Is that all?"
The family members also had complicated expressions and were filled with emotion.
Seeing that the doctor named Luo failed twice, they knew that the puncture must be very difficult. But they didn't expect that the younger doctor Zhou would succeed with just one shot.
And the speed was so fast that there was no time for people to stop it.
And it happened to be successful.
They all began to wonder if Luo Shengsheng had acted there before?
The looks the family members gave Zhou Can had changed from doubt and anger at the beginning to respect and gratitude.
For family members, whoever can cure their loved ones' illness is their benefactor.
"This is the first time I've seen Dr. Zhou perform a puncture with such ease! His skills are so high that I'm afraid he's not inferior to those chief physicians!"
Most of the nursing nurses are young girls.
The female nurse was about twenty-three or twenty-four years old, very young.
Seeing Zhou Can's amazing piercing skills, she developed admiration for him.
He even smiled and took the initiative to talk and show goodwill.
"Haha, you're too kind, beautiful nurse! I'm still far from the director's level."
Zhou Can's current injection skills are at the level of deputy chief physician. If he wants to be promoted to chief physician, he needs 100,000 experience points. This is an extremely terrifying number.
If you want to move up, you still have a long way to go.
As his many medical skills were promoted to level five, the speed at which these skills were upgraded began to become very slow.
This is normal .
It takes many doctors 20 to 30 years to reach the level of chief physician, and this refers to a small number of very outstanding doctors.
As for those doctors with dull talents, they can only be attending physicians throughout their lives.
"I just looked at the patient's film. Her abdominal cavity will continue to accumulate fluid until the lesion is resolved. It is best to keep this drainage tube. However, during the nursing process, special attention must be paid. When there is no fluid flowing out of the drainage tube, the tube should be removed in time to avoid abdominal cavity infection."
Zhou Can reminded the nurse.
When it comes to patient care, hospitals have never clearly stipulated that only nurses can perform the care.
Basically, doctors and nurses work together to manage patients and ensure that they are discharged smoothly after recovery.
"Mr. Luo, the puncture of this patient is completed. I'm afraid I'll have to trouble you to help with the family of the patient in bed 73!" Zhou Can made a request to Luo Shengsheng.
