Chapter 591: Recognized, the Suicidal Mom
The Creator is very smart and Zhou Can has seen all kinds of strange things.
There was even a baby in the obstetrics department whose heart was growing outside the chest cavity. Later, through surgery, it was put back in place, and the baby survived tenaciously and is now five years old.
The patient's massive internal bleeding was extremely strange. The blood was clearly accumulating in the abdominal cavity, but the patient was vomiting blood in large quantities from his mouth.
From a doctor's professional perspective, this situation is extremely abnormal.
"Does an autopsy have to be performed to determine the cause of death?"
Assistant Professor Qin is not a clinical doctor, but he also has a medical background.
Naturally, I understand that the cause of death of this patient is a mystery.
"Let's take a look at the imaging data from the CT room and the ultrasound room first! Maybe we can find some clues and solve the cause of death of this patient."
Zhou Can replied.
Now we can be sure of two things. First, the patient did not die from a ruptured bladder and urine entering the abdominal cavity. The patient should have been in anuria before death. There are many reasons for anuria, which is most common in intensive care units and often occurs when important organs fail, especially kidney failure.
This patient may have anuria due to excessive blood loss.
We can only speculate at this point.
Second, the patient's cause of death was most likely aortic rupture leading to massive bleeding, and many of the symptoms before death were highly consistent with this.
The films taken of the patient before his death were quickly retrieved.
Ultrasound images are usually recorded in real time, which is very flexible. Doctors are required to read the images, issue reports, and make diagnoses all by themselves. Therefore, the same number of images is saved for the report.
Fortunately, there were six films retained in the CT room, some of which were not reported but were archived.
Zhou Can checked them carefully one by one .
"I've found something!"
Zhou Can soon made a major discovery and couldn't help but point excitedly to a place in the film.
"Look here, there is clearly a hemangioma."
After careful examination, everyone found that it was indeed a hemangioma.
"This hemangioma should be growing in the liver area. It feels like an arterial hemangioma on the liver."
"It's not a feeling, it's a hepatic artery hemangioma."
After reading it, Director Shi and Director Shang both expressed their opinions.
Zhou Can frowned and stared at the film carefully for a while, then continued, "I feel that the location of this hemangioma is very strange. It is located right below the liver. This location is close to the duodenum and colon."
Having said this, Zhou Can did not say anything further.
Because medicine is a rigorous discipline, it is definitely not okay to speak nonsense.
No matter what kind of diagnosis is made, it needs medical data to support it.
It would be best to have various clear examination reports, whether laboratory examinations, imaging room examinations, or other non-routine special examinations, which can provide a basis for diagnosis.
Based on the current inspection report, there is no way to fully support Zhou Can's bold inference.
"What does Doctor Zhou mean? It doesn't matter if you tell me. Everyone present here is from our hospital anyway."
Deputy Section Chief Xiong is worthy of being Director Shang’s friend, and he constantly leans towards the Department of Gastroenterology at critical moments.
"I suspect that this liver artery aneurysm and the duodenum are interdependent. In other words, this artery has grown into the duodenum, and the blood vessel wall and the intestinal wall of the duodenum have coexisted together."
This is a bit like two houses next to each other. In order to save costs and maximize the use of space, the two houses share one wall.
"If that's true, it's incredible!"
This time, Director Shi did not refute it for the first time, but instead marveled at the miraculous phenomenon in the patient's body.
"The liver's aortic aneurysm grows together with the duodenum. When the aneurysm ruptures, a large amount of blood rushes into the digestive tract. A large amount of bleeding flows along the intestines into the large and small intestines in the abdominal cavity. Some of the bleeding goes into the stomach, so it is normal for the patient to vomit a lot of blood before dying. Yes, that is probably the case."
Director Shang's eyes were bright and he was happy to have found the real cause of the patient's death.
"Although this is a bit unbelievable, facts speak louder than words, and it is indeed possible. There are almost no pain nerves in the liver area, and even if the aneurysm ruptures, the patient will not feel much. I support Dr. Zhou Can's inference."
Director Shi holds a high position in the first group of the Quality Control Department.
Especially at a coronial inquest, his words carry great weight.
Now he publicly supports Zhou Can's inference, and the cause of the patient's death has basically been determined.
The hospital's death process is handled with rigor while being as simple as possible and proceeding as quickly as possible.
It is absolutely impossible to allow the family members of the deceased to drag the corpse inside the hospital to place wreaths, burn paper money and make all kinds of noise.
Because of this kind of thing, the impact is very bad.
"Well, that's good! Thank you for your hard work. We have come to a conclusion on the cause of the patient's death. The remaining matters will be handled by your medical department. You must comfort the family members and do a good job of explaining and publicizing. The hospital should maintain the greatest goodwill and provide the family members with some help within its capacity."
Assistant Dean Qin made a summary speech.
Most of them were said to the medical department.
"Zhou Can, you did a great job! It seems that the two vice presidents' recommendation that you join the Quality Control Department was a very wise decision. Do a good job. The hospital needs employees like you who are capable, bold and careful."
Assistant Dean Qin praised Zhou Can and stood up.
"The meeting is adjourned!"
It was Zhou Canjin’s first mission in the Quality Control Department, and his performance made Assistant Director Qin very satisfied.
The other two members of the quality control department also looked at Zhou Can with admiration.
"We can go now!"
Director Ju greeted Zhou Can.
"OK!"
Zhou Can nodded.
The specific identity of Director Ju Shiman is still unclear at the moment, but it is likely that her position in the Nursing Department is not low.
The fact that she can now actively express her enthusiasm to Zhou Can is also a recognition of Zhou Can.
"The young man has a quick mind and solid professional knowledge, not bad!"
Director Shi also praised Zhou Can with a smile.
"You are too kind! I should learn more from you seniors in the future."
Zhou Can doesn't dare to show off.
Director Shi was quite strong today, so his position in the hospital infection control office should be quite high.
The members of the Quality Control Department are basically all part-time, but the Hospital Infection Control Office is different, where they are basically all full-time. In other words, the leaders and ordinary specialists of the Hospital Infection Control Office all take the work of the Hospital Infection Control Office as their main job.
Just like Zhou Can’s main job is working in the emergency department.
"Xiao Zhou, thank you! Thank you so much!"
Director Shang held Zhou Can's hand tightly.
If Zhou Can hadn’t helped to find out the patient’s cause of death and clear the Department of Gastroenterology’s name today, this matter would have definitely been a bit troublesome.
The young nurse looked at Zhou Can with a look of gratitude and admiration.
Perhaps because of her lower status, she did not dare to step forward and speak.
I could only stand there and watch Zhou Can leave from afar.
…
Time flies, and more than eight months have passed in the blink of an eye.
Zhou Can's position in Tuya Hospital has become more and more stable and has been growing steadily. From a small doctor who could only hide behind the scenes and had a little fame, he has now become a middle-level manager with a certain status in the hospital.
He has made certain achievements both in the clinical field and in the field of hospital leadership.
In the clinical field, he now regularly sits in the emergency department for half a day and in the pediatric department for half a day every week. Although he is only a resident doctor, his appointment is more difficult to get than many specialist appointments.
Director Tang of the Pediatrics Department and Director Lou of the Emergency Department had talked to him and told him that they could find a way to upgrade his outpatient number to a special number and increase the consultation fee to 32 yuan per number.
This is equivalent to the same level as the deputy director.
This can increase Zhou Can's income. Not all the consultation fees go to the doctor personally, but a large part of it will be returned to the doctor.
Even if Zhou Can only sit in the pediatric department for half a day, he can still see fifty patients.
People often come to him for extra numbers and make various requests.
He would usually give them an extra number out of pity. Once when he was seeing patients in the pediatric department, it was the flu season and many children were sick.
Children have weak immunity and are very susceptible to various viruses.
However, children have a fast metabolism and are full of energy. As long as they are treated in time, they will recover quickly.
That time, he added a total of thirty-one numbers.
I was busy until around nine o'clock in the evening.
He has been working overtime in the routine pediatric laboratories, ultrasound room, and CT room.
Because Director Tang personally made the arrangements, these departments had to work harder and overtime.
Otherwise, these departments are closed and it will be useless for the patient to get examinations from Zhou Can.
That overtime work left a deep impression on many pediatric doctors.
Even Director Zhuang and many famous pediatric experts do not receive the same treatment as Zhou Can.
It was during that night's overtime work that Zhou Can saved two young lives. One child had a high fever and had been treated at the local People's Hospital, Traditional Chinese Medicine Hospital, and Maternal and Child Health Hospital.
The family members are quite picky and suspicious.
After two days of treatment at the People's Hospital, the fever did not subside, so she immediately went to the Maternal and Child Health Hospital. Someone told her family that the Maternal and Child Health Hospital specializes in treating pregnant women, female patients, and children, and it is more professional .
The family immediately transferred the child to another hospital and waited in line for half a day before finally receiving medication.
Then after one night, the treatment still didn't work, so the family believed the lies of other "friends" and went to a traditional Chinese medicine hospital for treatment. They said that traditional Chinese medicine was the main treatment and had no side effects.
After a day of treatment at a traditional Chinese medicine hospital, I still didn't see any obvious results.
Moreover, the child's condition worsened after being tossed back and forth. His breathing became rapid and his face turned cyanotic, which was very scary.
The family members were very scared, and the doctors and nurses at the Chinese medicine hospital were also very scared.
What if the child dies in the hospital?
The family members were extremely suspicious, so the doctors and nurses took the opportunity to persuade her to take the child to a provincial hospital. The child was not destined to die, and the family members were terrified and sent a message to their friends asking for help.
Someone told her that Dr. Zhou Can of Tuya Hospital was very famous and specialized in treating various critical and severe illnesses.
When the family members heard the news, they hurriedly drove to the provincial capital with their children.
By the time she arrived at Tuya Hospital with her child, it was already off work.
However, I learned from the nurse that Dr. Zhou Can was still seeing patients, but the appointments were full. Dr. Zhou Can only saw patients in the pediatric department half a day a week.
The family members felt both hopeful and desperate at the same time.
She carried the child to Zhou Can's outpatient clinic, forced her way in, and knelt on the ground as soon as she entered.
Or maybe he collapsed to the ground.
Because the child was in a very critical condition at that time.
"Doctor Zhou, help, please save my son..."
Zhou Can has come across many family members who are kneeling down and begging for help while holding their children or patients.
To be honest, he generally doesn't like this kind of family members.
Because he treated patients out of kindness several times, the family members complained about him. And family members who like to kneel down at every turn are very troublesome and tend to be extreme in their thinking.
They never think from a doctor's perspective.
Anyway, that's what they think.
Zhou Can worked overtime until 8:00 pm and hadn't eaten yet. He was actually quite exhausted.
But there are still seven or eight added numbers that I haven’t finished reading.
He could only grit his teeth and hold on.
When he saw the woman kneeling on the ground holding the child, he was about to ask the nurse to persuade her to leave. But when he saw the child's face was purple, he immediately realized the seriousness of the problem.
I quickly explained to the other patients that the child should be rescued first.
Fortunately, after rescue efforts, the child's vital signs stabilized.
Zhou Can also breathed a sigh of relief.
After questioning, we found out why the child was so seriously ill.
The child may have just had a severe cold or a high fever, and the condition may be a bit tricky, but with the strength of the county-level people's hospital, it can be handled. The main reason is that the child's mother is too suspicious. When the doctor prescribed medicine for the child, she asked all kinds of friends and searched Baidu for popular science.
After such a commotion, which doctor would dare to treat children freely?
In fact, the treatment at the People's Hospital had already started to take effect on the second day, but the family members were not professionals in this field and based on their subjective assumptions, they took the child around and caused him death.
This led to serious consequences.
Zhou Can returned to the outpatient department to see all the remaining patients and was ready to go home. As it turned out, the five-year-old daughter of the top boss of the Health and Family Planning Bureau was also ill and had been treated at the Provincial Children's Hospital for four days without any improvement.
Vomiting blood occurred that night.
The experts at the Provincial Children's Hospital were very panicked. If such an important patient died in the hospital, wouldn't the boss of the Health and Family Planning Bureau hate them for the rest of their lives?
But the experts are really at a loss.
Later, the boss of the Health and Family Planning Bureau may have felt that Tuya Hospital was of a higher standard.
In desperation, I called Dean Zhu for help.
Dean Zhu himself had not been engaged in clinical work for a long time, so he could only ask the boss of the Health and Family Planning Bureau to ask Director Tang Fei of the Pediatrics Department.
In fact, with Dean Zhu's wisdom, he naturally understood that if he took over this hot potato, he could easily get into trouble if he was not careful.
The original intention was to push it if possible.
After all, the child has been treated in the Provincial Children's Hospital, and the level of treatment there is not bad.
So many pediatric experts couldn't cure the disease, and even if we bring the patient to Tuya Hospital, it's likely that the disease still won't be cured.
By that time, you will not only not get any credit, but also be hated by others.
Unexpectedly, Director Tang Fei could not withstand the pressure from the big boss of the Health and Family Planning Bureau and agreed to give it a try.
She might have also considered that with the help of Zhou Can, the pediatric department had successfully diagnosed and treated many difficult and complicated cases in the past two years. Especially in the past year or so, Zhou Can's level was obviously higher than before, and there were almost no difficult cases that he could not handle.
Unless it is a terminal illness that cannot be cured with current medical technology and drugs, or a case that is already terminal, then there is nothing we can do.
As long as there is still a chance of treatment for a difficult case, Zhou Can can usually work together with pediatric experts to overcome it.
