Chapter 596: Do your best and leave the rest to fate; the emergence of a medical miracle
If Lin Aixi had been willing to take some risks and accept Zhou Can's advice on the night he was transferred to Tuya, his daughter might have been saved.
Although Lin Jinzhi is a member of the medical system, he is not a doctor and has no idea how terrible the disease progression could be.
There are many chronic diseases that can be fatal if not treated late.
Even for gastric cancer, a day earlier or later may mean the difference between stage II and stage III. This is why doctors try every possible means to help patients arrange beds, get them admitted to the hospital as soon as possible, and do various tests as soon as possible when they encounter patients who they suspect have malignant diseases.
Sometimes people even take risks and take medication before waiting for the test results.
This is truly a kind heart of a bodhisattva.
For doctors, treating one more patient or one less patient has almost no impact.
The reason they work so hard is definitely not to earn the little money from the patient's treatment fee. In fact, even if the patient's treatment fee is as high as one million, only a small amount can go into the pocket of the doctor who receives the patient.
At that time, Zhou Can strongly suggested that the little girl undergo a laparoscopy, out of his sense of responsibility as a doctor and full of goodwill.
Unfortunately, the family was unwilling to take the risk and the case was delayed again and again.
A minor illness can be delayed into a major one, let alone the terrible intestinal malignancy.
Many people only know that cancer is terrible, but they don’t know that there are many diseases whose survival period is much shorter than that of cancer. For example, if effective treatment is not given in time, the survival period of intestinal malignant tumors is unlikely to exceed two months.
In the cases Zhou Can had seen, the patients basically died within a month.
Faced with Director Lin’s earnest pleas, Zhou Can also wanted to help, but he knew that he was powerless.
"Doctor Zhou, why don't we help think of a solution? It's also good to do our best and leave the rest to fate. I'm a mother, and I feel very sad every time I see this kind of situation."
Director Tang Fei said from the side.
She has a very close relationship with Zhou Can, and has been taking good care of Zhou Can since the first day Zhou Can started working in the pediatric department.
Later, even when Zhou Can took the lead in protesting the hospital's disregard for the safety of clinical medical staff in the emergency department, she still rushed to provide support with pediatric medical staff.
When people get along with each other, the heart is the most important.
People with similar personalities, levels and moods can get along happily with each other only if they are the same type of people.
The same principle applies to people being grouped together and birds of a feather flock together.
It is difficult for people of different levels to get along with each other sincerely. Even if they are of similar levels but have very different personalities, they cannot pee in the same pot.
Zhou Can is willing to stay in pediatrics and work hard. It is very important to have a good leader like Director Tang Fei.
At this moment, she has spoken, and Zhou Can will naturally consider it carefully.
"When I examined Lin Yuxi just now, I found that she was sweating profusely, her abdominal muscles were tight, and the tenderness was extremely obvious. Then I also looked at the results of the emergency peritoneal dialysis, which showed free gas under both diaphragms, indicating intestinal perforation. To be honest, this is already a terminal illness!"
Even though it's cruel to tell the truth, it must be said.
"Doctor Zhou, Director Tang, please do your best. As for the result, I can accept any result. I can sign the agreement and the waiver of liability immediately."
Lin Jinzhi felt extremely regretful, but unfortunately there was no medicine for regret in this world.
This case also left a particularly deep impression on Zhou Can.
"Let's do a laparotomy first! Intestinal perforation definitely requires surgery, and after laparotomy, we can handle it on the spot."
Zhou Can gave diagnosis and treatment advice.
"Okay, I agree!"
This time, Lin Jinzhi agreed without even thinking about it.
Unfortunately, there is a huge difference between agreeing now and agreeing six days ago.
Being able to become the boss of the Health and Family Planning Bureau, there must be nothing wrong with one's mind, and one would not be fussy when encountering problems. But in many cases, it is because of caring too much that one becomes confused.
It concerns his daughter's life, which makes him indecisive.
Now that death has come, he has no choice.
Next, an emergency laparotomy was performed on the little girl. During the operation, a pale yellow turbid fluid was found in the abdominal cavity. After suction, it was found to be as high as more than 700 ml. Zhou Can found multiple peanut-sized lymph nodes at the root of her mesentery, and a mass of 12 cm long and 9 cm in diameter in the ileocecal region.
This lump is exactly the cord-like lump felt in the patient's abdomen during physical examination.
It was seen to be tightly adhered to the retroperitoneum.
After discussion, Director Xiao from the Department of Digestive Surgery was invited over.
Under the on-site "guidance" of Director Xiao, Zhou Can personally performed intestinal mass resection, lymph node clearance, and ileocolic end-to-side anastomosis on the little girl.
After the operation, Zhou Can couldn't be happy.
He is always confident when performing surgery.
This time, I felt particularly heavy-hearted.
With his current level of surgical skills, he is actually able to sense the patient's physical condition during surgery and even have a relatively accurate prediction of the prognosis.
The operation went well, but he had a bad premonition.
I'm afraid this little girl is in great danger.
"The patient's intestines are already extremely fragile, especially the ascending colon, which is like rotten wood. Special attention should be paid to intestinal perforation and peritonitis during postoperative care," Zhou Can warned.
"OK."
The circulating nurse had great respect for Zhou Can, because this was the first time she had witnessed Zhou Can's abilities in the operating room.
In the operating room, the nurses can basically tell at a glance who is capable and who is poor.
Many young doctors of Zhou Can's age are still complacent about getting a chance to sew the skin and close the cavity. They spend more than an hour to sew it up, and then feel that they have made great progress in surgery.
Zhou Can, however, was already able to hold a scalpel and move freely in the patient's abdominal cavity, performing incision, separation, resection, bleeding control, debridement, lymph node removal, anastomosis, and cavity closing. All the steps were completed in one go and with ease.
The level and strength he displayed are even better than those of some chief physicians.
Faced with such a super genius, the nurses naturally respect him from the bottom of their hearts.
If they didn’t know that Zhou Can was married, there would definitely be a long line of surgical nurses chasing after him.
You know, the nurses in the operating room are all very good-looking.
After coming out of the operating room, Lin Jinzhi was waiting anxiously outside.
"Doctor Zhou, how is my daughter doing?"
"The operation went smoothly, but your daughter's ascending colon is extremely fragile and in very bad condition. I am particularly worried that there will be a secondary perforation. During the laparotomy, 700 ml of turbid fluid was extracted from her abdominal cavity. Those were the contents that flowed out after the intestinal perforation. This can easily lead to peritonitis, especially for patients like her who are in poor physical condition. They are more likely to suffer from peritonitis."
Zhou Can's tone was solemn and his expression was serious.
"Thank you, thank you! Thank you for your hard work!"
Lin Jinzhi naturally knew that Zhou Can had basically performed all of his daughter's surgeries. During these six days, he had experienced his daughter's condition worsening, missed the opportunity for treatment, and the treatment experience at the Provincial Children's Hospital, which made him realize that professional titles and titles were nothing but empty talk.
The most important thing is real ability.
He had no idea how capable the young man in front of him was.
He only knew that this was the first time in all these years that he heard so many experts, professors, ordinary medical staff, family members, and patients all praising a doctor. Even Professor Wei Zhengru from the other hospital, colleagues and friends from the Health and Family Planning Bureau and the Center for Disease Control and Prevention all spoke highly of Zhou Can.
This is enough to show that Zhou Can is extraordinary.
"There is a very capable nurse in my team. She learned a lot of advanced nursing knowledge while studying abroad and has been trained in many large hospitals in China. I am really moved by the fatherly love you have shown. Okay, I will call and see if I can ask that nurse to come over. With her help, the chances of survival after the operation will be higher."
Zhou Can's team only has this one treasure.
In order to keep Jiang Wei, he did a lot of work.
"Great! Thank you Dr. Zhou for your concern."
Lin Jinzhi agreed repeatedly and was full of gratitude to Zhou Can.
Zhou Can did not shy away from calling Jiang Wei directly.
After ringing for a long time, the phone was finally connected.
It was the dead of night, she must be sleeping soundly.
Frontline medical staff are already very tired from working, and they often have to rush to the hospital in the middle of the night to rescue patients, so they never get enough sleep.
"Hello!"
A lazy and slightly confused female voice came from the other end of the phone.
"Jiang Wei, it's me, Zhou Can!"
"Ah... Boss, it's you! Sorry, I slept so deeply that I didn't even look at the screen." When she heard that it was Zhou Can, she immediately woke up.
"I should be the one to say sorry for disturbing your sweet dreams in the middle of the night. There is a little girl here who just had surgery. She is likely to have intestinal malignancy and her condition is quite bad. I know that your nursing skills are very high, so I would like to ask you to come and help her and develop a nutrition plan and care plan. Do you think it is okay?"
"Now that you've spoken, I'll certainly go through fire and water!"
"It's inconvenient to take a taxi at night, and it's not safe for a girl like you. I'll come pick you up!"
"OK!"
There was no need for her to be polite with Zhou Can.
Ever since Zhou Can helped her get rid of the loan sharking and return to normal life, she has regarded Zhou Can as one of the people she trusts the most.
…
More than fifty minutes later, Zhou Can took Jiang Wei to the hospital.
Lin Aixi had just been transferred from the recovery room to the ICU not long ago, and she looked very weak.
He opened his lifeless eyes slightly and looked at the medical staff busy at the bedside.
After Jiang Wei read it, her expression became solemn.
Several people came to the lounge , and she said directly, "This little girl's condition is very bad. I'm afraid her chance of survival will not exceed 5%. I can prescribe a combination of medication and nutritional care for her, but the chance of survival will still not exceed 10%."
In clinical practice, her estimates of the survival rates of patients with this serious illness were almost always fulfilled.
The chance of survival is less than 5%, which means death is almost certain.
"Let's do our best!"
Zhou Can was also not optimistic about the little girl's prognosis.
Jiang Wei tailored a nutrition plan and postoperative care plan for Lin Aixi, but she didn't need to personally take care of the operation.
The next day, Zhou Can received news that Lin Aixi's condition had taken a turn for the worse. She developed abdominal pain, high fever, and signs of organ failure throughout her body.
He felt heavy-hearted, fearing that the little girl would soon pass away.
Two days passed in a row. On the fourth day after the operation, Lin Jinzhi called Zhou Can and his tone seemed quite excited.
"Doctor Zhou, I have good news for you. My daughter's condition has improved today. When I went in to visit her, the medical staff told me that my daughter's urine output has increased, and for the first time she asked for food. According to the nutrition plan formulated by Jiang Wei, she was given porridge, and she drank about half a bowl. Do you think a medical miracle will happen?"
After Lin Jinzhi finished speaking, he asked again with some trepidation.
"I'm hoping for a medical miracle."
This is the answer given by Zhou Can.
There is no point in deceiving the family members, but we cannot undermine their confidence either.
This was the only clever answer he could give.
According to his clinical experience, some seriously ill patients suddenly show signs of improvement, which may be a terminal recovery.
At least, he thought it would be difficult for a miracle to happen to Lin Aixi's condition.
In the blink of an eye, another five days passed.
This is the ninth day after Lin Aixi's operation. Lin Jinzhi calls Zhou Can almost every day to report on his daughter's condition.
He knew that Zhou Can was very busy at work and might not have time to take care of his daughter.
Moreover, Zhou Can was not afraid of power, and he did not fawn on the BOSS of the Health and Family Planning Bureau like other doctors did. He just treated him as an ordinary family member.
It was precisely this that made him feel that Zhou Can was particularly real.
According to Zhou Can's prediction, Lin Aixi would hardly live for a week. But now she has lived for two more days, and according to Lin Jinzhi's feedback, Lin Aixi's condition has surprisingly continued to improve.
This shows that it is not a last gasp.
Since the ICU implements sterile management, irrelevant personnel, including medical staff of our hospital, cannot enter to check on the patient's condition at will.
Zhou Can learned about Lin Aixi's condition only through Lin Jinzhi's description and by asking his colleagues working in the pediatric ICU.
On the tenth day, Director Tang Fei personally sent a WeChat message to Zhou Can.
"Doctor Zhou, you saved this little girl!"
Director Tang Fei also posted a picture of a happy jumping emoticon at the end.
You can see that she is in a very good mood.
From the casual photos she sent, we can see that Lin Aixi has been transferred to the general ward. She looks very different from ten days ago. There seems to be a little more color on her face.
Of course, it may also be the effect of camera beauty.
Smartphones these days all have an automatic beautification function for taking photos. It is also the high-definition photo and video functions of mobile phones that have directly defeated traditional cameras.
In the past, when traveling, many people would hang a camera on their chest.
Nowadays, no one uses cameras except journalists, professional camera enthusiasts and practitioners.
Instead, use a more convenient and faster mobile phone.
After get off work, Zhou Can took Jiang Wei to visit Lin Aixi who was transferred to the general ward.
Even he himself found it incredible.
How come the little girl who was obviously going to die survived?
This also made him look up to Jiang Wei even more.
The two came to the ward and saw Lin Jinzhi standing by the bed, feeding his daughter warm water.
Seeing Zhou Can coming, he immediately stood up and shook Zhou Can's hand affectionately.
"Dr. Zhou, thank you for saving my daughter. Thank you! I will never forget your kindness in my life."
Having experienced imminent loss, this boss of the Health and Family Planning Bureau cherishes the present even more.
"The real hero who saved your daughter was nurse Jiang Wei. Without her nutritional support, combined nursing plan, and chemotherapy medication suggestions, I think it would be difficult for such a medical miracle to happen."
Zhou Can gave all the credit to Jiang Wei.
