Chapter 592: Go directly to the ICU to solve the difficult disease of vomiting blood and bloody stool
Director Tang Fei spoke, and the experts in the department naturally had to cooperate fully.
Excellent leaders often have strong cohesion and appeal.
Even though everyone knew that Director Tang Fei had taken on a hot potato, after receiving the news, they still rushed to the hospital as soon as possible to prepare for a tough battle.
After seeing the last patient, Zhou Can prepared to go see the child who had a severe cold and was almost killed by his mother.
Although the patient's vital signs have been temporarily stabilized after a series of rescue measures, there is still a high risk of death.
As soon as I walked out of the outpatient clinic, Director Tang Fei called me.
Tell him not to leave work yet, because a seriously ill child vomiting blood will be sent here later.
Zhou Can is a sharp spearhead in conquering difficult and complicated pediatric diseases, especially in the diagnosis of difficult cases, the rescue of critically ill patients, and most surgeries, including high-tech surgeries such as cardiothoracic surgery. He is extremely good at them.
It can be said that with Zhou Can around, Director Tang Fei has the greatest confidence to take on this hot potato.
Director Tang had spoken, so Zhou Can naturally would not refuse.
As the patient had not arrived yet, he decided to eat something before going to the ward to see the patient who had just been rescued.
He wolfed down two pieces of bread and drank a glass of milk.
My hungry stomach finally felt a little better.
He hurried to the ward and heard the nurse explaining things to the child's mother from a distance.
"Any questions?"
Zhou Can came to the bedside and asked in a relatively gentle voice.
To be honest, he has no good feelings about this kind of thing.
No matter how much they love their children, it is extremely stupid for them to question the medical staff's treatment during the treatment process or even secretly make some substantive small actions.
"Doctor Zhou, you came just in time. My son has a high fever of 41 degrees. Why don't you give him antipyretic medications instead of a bunch of antiviral, anti-infective, anti-inflammatory and sedative drugs?"
The child's mother was clearly trying to prevent the nurse from administering the medication.
Zhou Can found that the child's face began to turn cyanotic again and his breathing became abnormally rapid.
After a careful inspection, he found that three buttons of the child's clothes were unbuttoned and there was a clear smell of alcohol. There was a bottle of suspected alcohol beside the bed and a wet towel in the mother's hand.
"Did you just use a wet towel to lower the child's temperature?"
Zhou Can asked instead of answering.
"Yes! The nurses and the doctor in charge disagreed with giving my son antipyretics, saying that it was in accordance with doctor's orders. I heard many experts say that if a child has a high fever of over 39.5 degrees, it is easy to burn the brain, and it will also cause the body to consume too much energy and cause organ failure. Experts also said that you can use ice cubes, alcohol, wet towels to clamp the armpits, neck, groin and other parts of the body to physically cool down. And they said that physical cooling has no side effects on the body and is safer than cooling with drugs..."
Bao Ma said it was even more "professional" than Zhou Can.
"Don't use the medicine yet. Hurry up and measure the child's heart rate and breathing, and then measure the oxygen level on his finger."
The easiest way to test blood oxygen saturation clinically is to measure finger oxygen.
It can be measured using an oxygen finger clip.
The data is fairly accurate.
"Heart rate 195 beats/minute, respiration 61 times/minute, oxygen 91%."
After the test, the nurse reported to Zhou Can.
"I'm afraid your child's life may not be saved!"
Zhou Can looked directly at the family members and spoke in a serious tone.
"Ah... after your rescue, didn't you say that my son's vital signs are temporarily stable?" The mother became anxious when she heard it.
"That's right. Your child was rescued before, and his vital signs finally stabilized, but you used alcohol to lower his body temperature. Because the child is still young, his skin has a strong ability to absorb alcohol, and he is now showing signs of alcohol poisoning. In addition, you also prevented our nurses from giving him medicine, which is a doubly fatal injury to the child. You should take your child to those experts for treatment as soon as possible! We are powerless here."
Zhou Can really wanted to scold this female family member.
But he held back.
Doctor-patient conflicts must be avoided.
After hearing this, the mother was completely panicked and said in fear, "What should I do? I heard from experts that alcohol can quickly lower the body temperature, and the effect is much better than water. How can I get alcohol poisoning?"
"Hurry up and complete the transfer procedures! I'll do it for you personally!"
Zhou Can looked indifferent.
The nurse stood by and said nothing, but from her expression, you could tell that she felt relieved.
No nurse is willing to serve my mother like this.
The work is hard enough, and I have to waste a lot of time and energy explaining things to the family members. It would be annoying for anyone.
What’s even more frightening is that these family members are prone to making small moves.
For example, when giving an infusion to a patient, some drugs need to be dripped slowly. The family members are impatient and simply think that it is enough to just inject the drug into the body. So they secretly turn up the infusion switch, and the drug that should have been dripped in four hours ends up being dripped in half an hour.
In this case, if the patient has health problems or even dies, who is responsible?
As long as the patient dies or something goes wrong, the family members will be the first to make a scene in the hospital and demand justice in various ways.
After finishing, I have to curse him as a quack.
Zhou Can insisted on transferring the child to another hospital because the mother was so terrible.
"Doctor Zhou, I know I was wrong, please save my son..."
Damn it, this mom fell to her knees again.
Faced with such family members who loved to kneel down, Zhou Can felt particularly helpless.
"It's not that I didn't want to save him, it's that you tortured your child like this! Transfer him to another hospital!"
Zhou Can refused with a cold face.
"I was ignorant, I was wrong..."
Snap, snap, snap!
The mother slapped herself so hard that her face became swollen.
"Hey, hey, don't do that! Don't do that!"
The nurse quickly put down the plate and held it.
"Please, save my child. This is my only child. Wuwu... I know I was wrong, I really know I was wrong, and I will never listen to what those experts say again..."
She cried very sadly.
Having come to this point, I am sure I will regret it.
This kind of person should be taught a lesson.
"If you insist on having your child continue to receive treatment in our hospital, that's fine. Because your child's condition is extremely critical now, and his life may be in danger at any time. Our hospital will immediately issue a critical illness notice to your child, and you will also need to transfer your child to the ICU for emergency treatment, which is very expensive. At least 7,000 to 8,000 yuan a day , so you must be prepared. And even then, there is no guarantee that he can be saved."
Zhou Can explained the situation clearly to the family.
They are all exaggerating.
"I agree. I agree. As long as my son can be saved, even if there is only a one percent chance, I am willing to pay any price."
When the child's mother heard that the hospital agreed to continue treating her son, she agreed without any hesitation.
Next, go through the procedures for transfer to the ICU.
This mother's financial situation is very good, and she has directly saved up 100,000 yuan.
Normally, people with good economic conditions have high-paying jobs. They should be excellent in ability, knowledge, intelligence, and experience. But this mother is not like that at all.
Zhou Can secretly guessed that her family might be rich.
Have a good father or a rich husband.
Zhou Can can't and won't interfere in other people's private affairs.
The money was in place and the child was transferred to the ICU, which was enough.
"Doctor Zhou, is the child's illness really that serious?" the nurse asked Zhou Can in a low voice.
"It's definitely serious. With the technology in our hospital, it should be no problem to save the child. But as you can see, if the mother continues to accompany the child, the child will definitely die. You have to spend a lot of time talking to the child to give him an IV and an injection. It will be good for everyone if the child is admitted to the small ICU in the pediatric department."
Zhou Can blinked.
After hearing this, the nurse smiled and nodded in understanding.
"Dr. Zhou is really thoughtful. If I encounter such patients in the future, your method is definitely worth learning and drawing lessons from."
Faced with such family members, not allowing the child to be admitted to the ICU would be a huge trouble.
As for the treatment costs, they will increase a lot, there is nothing we can do about it.
It was done by the family members themselves.
You can earn money again if you lose it, but if you lose your child’s life, you lose everything.
It could have been cured for 5,000 yuan, but now it may cost 50,000 yuan. This is also a profound lesson for the family members, and it will prevent this mother from "experts say" in the future.
After treating this child, Zhou Can went straight to the consultation room.
Because more than ten minutes ago, Director Tang had called him to invite him to a consultation, and the daughter of the boss of the Health and Family Planning Bureau had been transferred here.
In the past two years, Tuya Hospital and the Provincial People's Hospital have conducted many mutual learning and exchanges. The relationship between the two hospitals has changed from initial unfamiliarity and hostility to a fairly close one now.
The exchange facilitated by Zhou Can has a profound impact on the two hospitals and is a win-win situation for both parties.
However, Tuya Hospital has never had any connection with the Provincial Children's Hospital.
Like the Provincial People's Hospital, the Provincial Children's Hospital is also an old and strong hospital with many experts and profound heritage.
These old and strong hospitals all have their own pride.
Pediatrics is a difficult medical field, and Tuya's pediatrics is considered first-class. However, in the eyes of the Provincial Children's Hospital, it is the boss in the province, and has never recognized the status of Tuya Hospital's pediatrics.
Even though Zhou Can cured a difficult and complicated disease that experts at a provincial children's hospital had failed to cure a few years ago, it still could not change the situation.
Wei Zhengru, the top expert at the Provincial Children's Hospital, is still in close contact with Zhou Can.
In addition to blessing and greeting each other during festivals, there are occasional exchanges of medical skills and academics.
Academically, it was usually Zhou Can who asked the other party for advice.
As for medical skills, they discussed with each other.
Zhou Can rushed to the consultation room and found that many pediatric experts were present. It was already past nine o'clock in the evening, and these experts usually went home to sleep after get off work.
It’s really not easy to get together now.
In almost every consultation, Zhou Can is always the last one to arrive.
It's not that he is deliberately showing off, but he is really too busy.
"Doctor Zhou, we just discussed a question that is quite controversial. When the child was first admitted to the Provincial Children's Hospital for treatment, his main symptoms were fever, abdominal pain, and blood in the stool. In fact, he was treated in the Provincial Children's Hospital for a total of six days without any effect. The patient suddenly vomited blood this afternoon, but his mind was still clear. Now the focus of the controversy is, is it upper gastrointestinal bleeding or lower gastrointestinal bleeding?"
Director Tang Fei is knowledgeable, has a high status, and is very beautiful.
Excellent temperament.
Even in her forties, she is still very beautiful.
At this moment, she was sitting in the main seat in the consultation room, looking radiant and indeed pleasing to the eye.
Seeing Zhou Can arriving, she immediately introduced the child's condition to Zhou Can.
It can also be seen that she relies heavily on Zhou Can.
"What color is blood in the stool?"
"Jam color!"
"How often do you have blood in your stools in a day? Is the amount of blood in your stools large?"
"Before being admitted to the hospital for treatment, I had blood in my stool two to three times a day and a high fever of 39.6 degrees. After being treated at the Provincial Children's Hospital, I now have intermittent blood in my stool. Sometimes it is still two or three times a day, but sometimes it is not, or only a small amount. The body temperature is also fluctuating. It has been clearly controlled and the temperature has dropped. But after a day or two, the temperature will rise again."
After listening to Director Tang Fei's introduction, Zhou Can couldn't help but frown.
This recurring disease is the most difficult to diagnose.
Because the disease recurs after treatment, the most common situation is that the true cause cannot be found.
For example, a malignant tumor is treated as enteritis.
When the drug is taken, the condition will show some improvement, but once the drug is stopped, the condition will rebound immediately and become more severe.
This is the case where the cause of the disease cannot be identified.
"Is this the first time the patient vomited blood this afternoon? How much blood did he vomit?"
Zhou Can continued to ask.
"It should be the first time that I vomited blood, and the amount of blood was not large."
Director Tang Fei doesn't seem to know much about these details.
"How about this, I'll invite the family member over and have him answer everyone's questions in person. After all, it's getting late, and everyone has work tomorrow. I can't keep you too long."
After saying that, she asked someone to go outside and invite the family members to come over.
Director Zhuang passed the patient's information to Zhou Can.
"Doctor Zhou, can you first look at the patient's examination report and treatment status? I'm afraid this child's disease is Crohn's disease."
There are many intestinal diseases.
Crohn's disease is notoriously difficult to diagnose and treat.
With the current medical level, this disease requires lifelong medication.
So far, there is no clear conclusion on its pathogenesis internationally.
Some people have genetic diseases, some people get sick after eating seafood, some people get sick after a common cold, and some people get sick simply because they are overworked after returning home from mountain climbing.
The only consolation is that although this disease cannot be cured, it can be controlled through medication.
It’s just that imported medicines are a bit expensive, and the efficacy of domestic medicines is somewhat disappointing.
This is a huge financial burden for patients.
Zhou Can took the information and looked at it carefully.
As expected of a VIP-level patient, all the examinations, tests, treatment medications and nursing records of the Provincial People’s Hospital were obtained.
It is difficult to obtain complete medication records and specific treatment data for ordinary patients transferred to other hospitals.
This involves possible medical disputes.
The previous hospital that provided treatment must be on guard. What if the family members take the data and ask professionals to find fault with the case? What should the medical authorities do in case of a disturbance?
It’s just like restaurants and food processing stores in China, they are all afraid of inspections.
It's usually fine, but when you check, you can always find some problems.
