Chapter 30: Striving to Host Secondary Surgery
Although the old lady's forehead was sweating and her face was distorted due to the pain, she still tried to force out a smile that was uglier than crying.
"Young man, I was wrong this morning. Please don't bother with an old woman like me."
When you live under someone's roof, you have to bow your head.
When Zhou Can called her "Auntie" in the morning, it was like digging up her family's ancestral grave.
Now in order to seek Zhou Can's forgiveness, she calls herself an old woman.
The aunt's ability to seek profit and avoid harm is really not exaggerated.
His eyes were filled with a desire to survive.
In the morning, she was just trying to make herself feel good, so she said a lot of sarcastic words, which offended Zhou Can. If she didn't apologize quickly, Zhou Can might give her two more cuts if she went to the operating table.
What should I do then?
In fact, she was simply judging others by her own mean standards.
Zhou Can is not as petty as her. It is even more impossible for him to blaspheme the sacred profession of doctor and joke with the patient's life.
"Don't worry, it was just a misunderstanding this morning. I won't make a fuss about it."
Zhou Can waved his hand generously.
It is enough to get the patient to bow his head and apologize.
I felt quite happy to see this sarcastic old lady lower her head.
"Good man! You are such a good man! Can you please take special care of an old man like me and not ask my family to come over? Okay?"
The old lady acted pitiful and begged in a sad voice.
"How can you do this without a family member accompanying you? Who will take care of you in the hospital? Push her out first. This Xiao Luo is simply making a fuss. How can a patient who doesn't meet the surgical conditions be pushed into the operating room?"
Dr. Xu saw that Zhou Can was just a newcomer and had little experience in dealing with such difficult patients.
He acted like a villain with a dark face.
You know what, the auntie just falls for this.
When she heard that she was going to be pushed out, she panicked immediately.
From morning till now, she has been queuing and seeing a doctor. She dragged her sick body for nearly a whole day and finally begged Dr. Luo outside to agree to perform surgery on her in the emergency room.
Now that she could perform the surgery soon, she naturally refused to give up because she feared that the operation would fail due to lack of company.
"Hey, hey, I'll call, call now. Please, don't push me out!"
Seeing that the leading doctor was very stern, the auntie tried to act pitiful and beg but it didn't work, so she had no choice but to call her family members obediently.
The call got through.
"Daughter..." As soon as the aunt called her daughter, her emotions got out of control and she choked up and couldn't continue.
She was completely different from the strong and aggressive image she had in the outpatient hall in the morning.
"Mom, what's wrong?"
A young woman's soft voice came from the other end of the phone.
It’s hard to describe, the voice is sweet with a hint of laziness.
“I… wuwu…”
The aunt started crying first.
Zhou Can saw that this was not a big deal. The operating room of the emergency department was very busy. The old lady was out of control and it was difficult for her to express the matter quickly.
"Why don't I talk to your daughter?"
Zhou Can gestured with his hand.
The old lady pursed her lips and handed him the phone with red eyes.
"Hello, I'm a doctor from Tuya Hospital."
"Excuse me, what's wrong with my mother?"
The woman's voice was trembling, and she was obviously panicking.
When she suddenly heard that her mother was sick in the hospital, she must have been very nervous.
This also shows that the relationship between mother and daughter is not bad.
Why didn’t the aunt want to tell her daughter when her illness was so serious?
"Your mother has appendicitis and needs surgery urgently. But according to hospital regulations, considering that the patient needs to be hospitalized and the surgery is risky, she must be accompanied by a family member."
"Ah... Is my mother's illness serious? She didn't even tell me! Doctor, I'll come right over. Which department of Tuya Hospital is this?"
The aunt's daughter was very worried when she suddenly heard that her mother was seriously ill.
"We are in the emergency department of Tuya Hospital. When you arrive, you will go directly to the operating room. When can you arrive?"
Zhou Can asked.
"About two hours! I'll ask my boss for leave and come over right away."
The mother and daughter probably didn't live together.
The two-hour drive is at least a hundred kilometers away.
"Okay, be careful on the road."
Zhou Can hung up the phone.
After returning the phone to the aunt, he looked at Dr. Xu.
In this situation, if the family members agree to come over to accompany the patient, the surgery can be performed first, or it can be performed after the family members arrive.
"Doctor, I have already signed the consent form for the surgery, please do it for me quickly!"
The aunt begged again.
Doctor Xu did not agree immediately, but said seriously, "We can perform your surgery in the emergency department. But I want to tell you that from your examination results , although the intestinal obstruction is somewhat serious, it is far from being life-threatening. If you are not in a hurry, you can go to a specialist for treatment. The technology and instruments of the specialist are better, and they can perform laparoscopic surgery on you. The incision is smaller and the recovery is faster, but the price will be a little higher."
Laparoscopic surgery is already classified as level 3 surgery.
The technical requirements for doctors are higher and the instruments and equipment are more advanced.
From this point of view, since specialists specialize in a certain field, their medical skills are indeed much stronger than those of emergency departments.
"No, no, I'll do it here."
The aunt shook her head repeatedly.
She is a very suspicious person and probably thought that the doctor was trying to trick her into spending more money on the surgery.
So I refused without a second thought.
"If you insist on doing this surgery in the emergency room, we can only do the routine surgery here. Do you agree?"
"agree."
"Okay, I'll arrange it for you."
Doctor Xu said no more.
"Notify the anesthesiologist to come and prepare for the preoperative anesthesia, and call nurse Ye Tingting in to help. Tang Ling, you should prepare the patient for the operation first."
Although appendicitis surgery may seem like a minor level 2 operation, it requires at least five medical staff.
An anesthesiologist, the chief surgeon, an assistant, an instrument nurse and a patrol nurse.
Tasks like cleaning the skin of female patients would be better done by female nurses.
Soon, the anesthesiologist arrived, looked at the patient's information, had a brief conversation with her, confirmed that there was no problem, and asked her to sign.
The anesthesiologist
"The anesthesia was successful, the patient's vital signs are normal, and the operation can be performed."
Doctor Xu is already standing at the operating table.
Zhou Can felt jealous.
The two previous operations were minor ones.
Especially for the patient with a forehead injury, even the first-level surgery could only be the simplest.
The appendectomy surgery currently being performed is a real level 2 surgery.
It is also one of the more difficult secondary surgeries.
It would be of great significance to Zhou Can if he could get the opportunity to practice this operation.
According to the relevant regulations, there is a clause regarding the assessment of doctors’ surgical abilities: those who have completed 80% of the same level of surgical operations are deemed to have passed the surgical ability assessment and may be granted the same level of surgical authority.
What does it mean?
In other words, if Zhou Can can complete 80% of the appendectomy operation alone, he will be able to obtain the authority to perform a level 2 operation.
Of course, he cannot practice medicine on his own because he has not yet obtained a medical qualification certificate, let alone register for a practicing physician certificate.
But it’s nice to have a big tree to lean against and enjoy the shade!
There is no problem working under the guidance of a senior physician.
There are a lot of tricks involved here.
The hospital implements a three-level responsibility system.
Zhou Can is just a resident intern. The doctor in charge of him and the doctors above him are all responsible for his behavior.
If he killed the patient, the person who would bear the main responsibility would be Dr. Xu.
As you can imagine, since this concerns his future and destiny, Dr. Xu will naturally keep a close eye on him.
I definitely wouldn't dare let him do any job that's riskier.
It would be different if Zhou Can could show his ability to complete a level 2 operation independently.
At least in Dr. Xu's mind, he can obtain level 2 surgical access.
If I have this kind of work in the future, I will feel at ease to let him do it.
This is exactly what Zhou Can needs.
The emergency department's operating room basically performs level one and level two surgeries.
If you can only obtain the first-level surgical qualification, you will definitely miss many opportunities. For example, it is difficult to practice and improve medical skills such as dissection, separation, and anastomosis.
If you can also do a secondary surgery, that would be awesome.
It would be no problem for Zhou Can to earn two or three hundred experience points easily by spending a day in the operating room.
