Chapter 282 You think too highly of me, choose the team leader
Such a competitive and self-reliant girl, if she had not been impressed by Zhou Can's attacking skills, it would have been impossible for her to put aside her pride and take the initiative to ask him for advice.
After listening to Zhou Can's explanation, Yang Chan nodded.
"So that's how it is! Do you think the female patient's tumor is malignant?" She seemed to be reluctant to see the female patient suffer from a terminal illness at such a young age.
"Although I particularly hope that her tumor is benign, all signs indicate that it is likely to be malignant. And...it is very likely that the opportunity for surgery has been lost."
Before the test results came out, Zhou Can would definitely not say these words to the patient and his family.
Discussions between doctors do not need to be so serious.
"Ah... It's so serious! What a pity." Yang Chan's expression became gloomy and a little sad. After a moment, she looked up at Zhou Can and said, "You have such a high talent in medicine. Have you ever thought about conquering tumors, the most ruthless killer in the world?"
Zhou Can was stunned for a moment, then smiled bitterly and said, "There are many doctors in the world who are more talented than me, but no one has conquered cancer. To this day, cancer is still synonymous with terminal illness. The squad leader asked me to do this, he thinks too highly of me."
He never brags.
There are countless doctors who want to conquer cancer, but so far no one has succeeded.
"No, I think as long as you have the determination, you can do it."
Yang Chan looked at him with a strange look.
It was also the first time that he took the initiative to make eye contact with Zhou Can for a long time.
"Squad leader, if I say you are naive, you will probably scold me! Nowadays, to conquer a serious disease, it is no longer the kind of single-handed hero of ancient Chinese medicine. Instead, it requires a team, or even the cooperation of multiple excellent teams to succeed. Besides, I am not very talented, really!"
Zhou Can said very seriously.
Yang Chan actually asked him to conquer cancer, which was simply a little girl's fantasy.
Foreign countries began researching a cure for cancer many years ago. No one knows how much money has been spent and how much energy and time of countless teams have been consumed, but to this day no hospital dares to say that it can cure cancer.
"If you are willing to do this , I can follow you unconditionally."
She looked at Zhou Can boldly, with a firm gaze and a resolute expression.
She doesn't look like she's joking.
Zhou Can couldn't help but ask with some concern, "Squad leader, are you okay?" He really doubted whether she was stimulated and mentally ill.
At this moment, she gave people a very abnormal feeling.
She is always very careful about what she says in public and is very intelligent.
Du Leng tried to target her several times, but she always managed to fend them off effortlessly, which shows how smart she is.
"I'm serious. I didn't say I wanted to follow you to do this on a whim, nor was it inspired by the female lymphoma patient. It was a decision I made after careful consideration. Since I started my internship at Tuya Hospital, I have seen many patients lose their lives to cancer. Especially uterine cancer and breast cancer. Our obstetrics and gynecology department sees such patients every day."
"Do you know how pitiful those children who lost their mothers are? Some children were less than one year old when their mothers passed away due to breast cancer. There were also couples who loved each other deeply, but the wife had advanced uterine cancer and the husband could only watch his beloved wife die bit by bit, with no way to help. Every time I see such scenes, I think, how great it would be if someone could cure cancer! These tragedies would not happen in the world."
Yang Chan's tone was full of sadness when she talked about the painful memories.
"What is the purpose of studying medicine? Isn't it to relieve patients' suffering? I know I don't have the ability to do this, but you are constantly making your mark and showing extraordinary talents in many medical fields, which gives me hope. As long as you regard conquering cancer as your goal, I am willing to follow you and be your helper."
When she said the word "helper", she showed a hint of embarrassment.
Zhou Can had pursued her before.
The two are of similar age.
Her role as helper may also have some connotations of being a good wife.
At least, if Zhou Can pursued her now, she would most likely agree to be Zhou Can's girlfriend.
"This goal is too ambitious, let's talk about it later! But I really admire you for having such great feelings and ambitions."
Zhou Can declined politely.
We are still interns now and there is still a lot to learn!
Not to mention conquering cancer, we are not even qualified enough to conquer some difficult surgeries or difficult diseases.
Men are more rational in this regard.
Women are more emotional.
Director Zhang was seeing a patient in front, and she obviously heard the conversation between the two.
But she didn't say anything.
Not long after, the female patient who had undergone curettage and had polydipsia, quadriplegia, and impaired consciousness returned after having an MRI examination of the sellar region.
The timing was just right.
It's almost time to get off work here, so I just finished the inspection and came back.
"Professor Zhang, I have completed all the examinations according to your requirements. Please help my wife take another look."
The patient's husband placed the test results on Zhang Bihua's desk.
"Wait a moment, I'll show you the prescription after I write it for this patient." Zhang Bihua said, lowering her head and writing the prescription carefully.
Since it was already time to get off work, there were few patients in the outpatient hall.
After Director Zhang writes the prescription, he asks the patient to go to the pharmacy to pay and get the medicine, and then take the medicine according to the doctor's instructions.
Now there is only one last tough bone left to chew.
"Directors, please come over and help this patient and try to find out the cause of her illness." Zhang Bihua called to several other chief physicians who were on duty.
Except for Du Leng who is at the attending physician level, the others are at least associate chief physicians.
There were eight people in total, and the other seven directors and deputy chief physicians all gathered around Director Zhang Bihua's table.
Du Leng had had an argument with the patient's husband and was too embarrassed to save face, so he just sat in his seat without moving.
Zhou Can was not good at this kind of obstetrics and gynecology disease. In addition, all the chief physicians and deputy chief physicians gathered together for joint diagnosis, so he did not join in the fun. He just listened to the chief physicians' diagnostic opinions.
After some discussion, considering that the patient was currently experiencing many adverse symptoms, Director Zhang was worried that something might happen and decided to admit the patient to the hospital.
First give treatment measures such as fluid replacement and intravenous insulin infusion.
First stabilize the patient's vital signs, then observe further and try to find out the cause of the patient's illness as soon as possible.
When the family members saw that the doctor agreed to use the medicine and admitted his wife to the hospital, their resentment was greatly reduced.
"Okay, everyone has worked hard all day, so let's end today's consultation here! In view of the fact that a lot of things happened today, I think it is necessary to hold a short meeting to discuss some areas in our work that need improvement."
Director Zhang Bihua swept the entire audience with a dignified gaze.
Then he looked at the person in charge of contacting this group of experts at Xinxiang Maternal and Child Health Hospital.
"Chief Tang, can you arrange a meeting room for us? It will only take about half an hour."
"No problem! There is a medium-sized conference room on the second floor. I'll take you up there."
Chief Tang represents the Xinxiang Women's and Children's Hospital and will coordinate in a timely manner any issues that arise during the consultation process of Tuya's experts.
If the problem cannot be solved, then it will be Dean Tian's turn to step in.
His main task is to entertain Tuya's experts and medical staff and ensure the smooth progress of the expert outpatient activities.
Everyone followed Section Chief Tang into the conference room on the second floor.
The hardware facilities of Xinxiang Maternity and Child Health Hospital are quite good.
The tables and chairs in the conference room are of high quality, and the interior decoration is simple and luxurious. All necessary conference equipment is available.
"Director Zhang, you guys hold the meeting here first. I'm going to the WC. I'll come back in half an hour to take you all to the cafeteria for lunch." After Section Chief Tang brought them into the meeting room, he probably realized that it was inappropriate for them to stay here, so he immediately found an excuse to leave.
The two most serious things that happened during today's expert consultation were that the sick child almost died, and Du Leng quarreled with the family in public.
The child with bronchitis almost died, and the medical staff were not at fault.
The sick child is suffering from a serious illness, and the doctor only has the obligation to rescue him. No one can guarantee that the patient will not die.
The most we can do about this matter is to reiterate that safety is above all else.
The quarrel between Du Leng and his family members was more serious.
If it weren't for Du Leng's special status, Director Zhang would have asked him to go back to Tuya Hospital long ago.
"Everyone, take a seat! Behind closed doors, we are a family. This time we come to Xinxiang Women's and Children's Hospital to see patients, and we represent Tuya Hospital. We prosper together and suffer together."
Zhang Bihua raised her hand and pressed it downwards. Everyone sat down one after another and looked at her.
"Overall, our work today was quite good. For example, the child with severe bronchitis suddenly stopped breathing during the examination and was in danger. Doctor Zhou Can, Director Dai, and I worked hard to rescue the child and successfully saved his life. Another example is that the real cause of the SAS disease of the extremely obese female patient was found out... All these show the extremely high level of medical skills of our Tuya Hospital. I believe that the leaders of Tuya Hospital will be happy when they learn about the situation."
"Director Tian of Xinxiang Women's and Children's Hospital is very satisfied with us and is already preparing to promote us vigorously."
When talking about these achievements, the medical staff all showed relaxed smiles on their faces.
I feel proud and happy from the bottom of my heart.
Many people intentionally or unintentionally turned their attention to Zhou Can. Basically, they knew that Zhou Can had contributed to the several medical records that brought glory to Tuya.
And this contribution is a very great one.
There is no doubt that Zhou Can, through his consultation in the external hospital today, is like a new superstar rising into the sky and shining in all directions.
"In addition to the good parts, there are also some shortcomings. For example, we were not thoughtful and did not fully assess the risks. We cannot control how the doctors at Xinxiang Women's and Children's Hospital carry out their diagnosis and treatment. But we must be strict and careful. If Zhou Can had not removed the scab from the patient's trachea at the critical moment, the consequences would have been disastrous."
After talking about achievements, the next step is to reflect on one’s own mistakes.
Zhang Bihua's expression and tone were extremely serious.
The other medical staff didn't dare to say a word.
Especially Director Dai, who was the one who treated the patient and wrote the application for the examination. She failed to do a good job and was not aware of the potential risks involved. This was her mistake in her work.
"There are still six days of expert clinics to come. I hope everyone will be extremely careful. Not only should we be brave enough to diagnose and treat, but we should also always remember that safety is above all else."
After scolding everyone for a few words, Zhang Bihua changed the subject.
"There is another incident that has a very bad impact. During the consultation, Dr. Du had an argument with the family members and cursed at them in public. This behavior must be stopped. We must pay attention to the reasonable demands of the family members and patients and should be able to empathize with them. We must never be arrogant and ignore the lives of patients and their families. It is even more unacceptable to be perfunctory to the family members and patients."
Zhang Bihua criticized Du Leng by name in public, and this incident indeed had a very bad impact.
To put it bluntly, it is a disgrace to Tuya Hospital.
"But what the family members said was so harsh. Don't we doctors even have the right to refute?" Du Leng said angrily.
"Some family members have bad tempers and insult medical staff, which does make the doctors or nurses feel wronged. But if the family members are uncivilized, do we as doctors and nurses also have uncivilized qualities? Moreover, Dr. Du himself did something wrong in this matter. After you receive the patient, if you feel that the patient's disease is beyond your diagnostic ability, you can tactfully think of ways to let them find another doctor for diagnosis! Or you can directly ask other experts for help."
"But you prescribed this and that test for the patient, and kept talking about your medical knowledge to the patient and his family. But you never gave a clear cause and treatment method. If you were in my shoes, would you be happy?"
Zhang Bihua asked Du Leng a soul-searching question.
"I... I just want the family members and patients to better understand their condition." Du Leng argued with a red face.
"There is nothing wrong with providing some medical knowledge to patients and their families. But I personally think it is totally unnecessary to give a long speech about some knowledge that is irrelevant to the patient's disease. The education level of family members and patients varies. Besides, they are not medical professionals, so they may not understand a lot of medical knowledge."
Zhang Bihua was quite polite and spoke in a very tactful way.
"Doctor Du, your extensive medical knowledge should be used to diagnose the cause of the disease and treat the disease. It should not be used to popularize science to patients and their families. They come to the hospital to treat their illnesses, not to listen to your popular science."
Director Zhang Bihua has said this, and if Du Leng still insists on his own opinion, there will be nothing that can be done.
The hardest thing for adults is change.
No one should think about changing other people's habits and thoughts. Even if you have good intentions, others will not appreciate it and may become your enemies.
"In addition to the above mistakes, I found through observation that there are still areas that need improvement in my work. For example, when I left for something, the reception work at my desk also stopped. This greatly affects the patient's treatment experience. My personal opinion is that a team should be formed to deal with various emergencies at any time. If there are urgent rescue matters, this team can go there immediately to deal with them. In this way, it will not affect the normal reception work of the expert clinic."
After Zhang Bihua made this suggestion, she immediately received responses and support from other experts.
"To form a crisis management team, we must have strong critical care and response capabilities. Such people are not easy to find. Even among the chief physicians present here, only a few have such capabilities."
Director Jiang made some suggestions.
"In fact, as long as we find a capable team leader and lead two or three excellent nurses and doctors, it will be enough to deal with most dangerous situations." Director Zhang Bihua seemed to have considered this aspect long ago and answered calmly.
"It's hard to find a team leader with such strong abilities! Excuse me, but I can't think of anyone else who can take on this important task except you. We are all only good at a certain medical field, but the patients who need emergency treatment may have any disease. For example, if I encounter a woman who is bleeding during labor, which I am not good at, and you let me lead the team to rescue her, nine out of ten times, one will die if I treat her."
Director Jiang's words made the whole audience burst into laughter.
The serious and tense atmosphere became much more relaxed.
"Ahem... Director Jiang's words make sense, but the team leader I want to recommend has rescue experience in multiple medical fields. I believe he can do a good job."
Zhang Bihua kept it a secret.
