Chapter 609: The consequences of hiding the doctor's secrets, the impressive squad leader
For a young female patient like this who suffers from heavy bleeding from her lower body for no apparent reason, the first thing that should be suspected is that she is experiencing signs of miscarriage.
Ectopic pregnancy is especially prone to miscarriage.
This is also why hospitals ask patients clearly before performing surgery. If a female patient is pregnant, they will try to postpone the surgery. If surgery is necessary, they will also ask obstetricians and gynecologists to perform the surgery together.
Because if the fetus is disturbed or the patient suffers miscarriage during the operation, no one can take the responsibility.
The patient's lower abdomen is flat, but the rest of the body still shows some signs of pregnancy.
It's not just the appearance of stretch marks on the belly and thighs that indicates pregnancy.
Some parts of the body turn darker, thick fuzz grows on the lips, the facial skin becomes dull and even many pimples appear... these are all signs of pregnancy.
In early pregnancy, these symptoms may not be obvious.
If it reaches the late stage of pregnancy, various characteristics will become extremely obvious.
"I asked the patient and her family before the operation, and they all said they were not pregnant! That shouldn't be possible!"
Tang Wangnian was obviously not sure either.
There is even suspicion of shirking responsibility and covering up the inadequate preoperative examination work.
Zhou Can frowned slightly. Now was not the time to pursue accountability.
It is most important to save the patient's life first.
"Did you draw blood for examination before the operation?"
“I smoked it!”
A routine blood test before surgery is almost a must.
What is the patient's blood type? Does he have any infectious diseases? Does he have any major physical defects?
A lot of information can be obtained through a routine blood test.
"Immediately ask the laboratory to check the patient's blood hcg."
Blood hcg and progesterone are the gold standard for detecting pregnancy.
In clinical practice, HCG examination is the most widely used.
In theory, it is more accurate than progesterone testing.
hCG is also known as human chorionic gonadotropin. As long as a woman becomes pregnant, this test will be positive.
It takes a certain amount of time for the laboratory to check HCG, but the pregnant woman’s bleeding condition is very serious. She may die before the test results come out.
Massive internal bleeding, especially uterine bleeding in women, is extremely dangerous and has an alarming mortality rate.
"Have you communicated with the family members?"
Zhou Can asked Tang Wangnian.
"No, no!"
Tang Wangnian's face was pale and his eyes were full of panic and fear.
The female patient was on the verge of death, and he, the surgeon in charge, was to blame. It was unknown what punishment he would receive. At the very least, he would be suspended for investigation, but if things went wrong, his surgery privileges might be revoked, or even his license might be revoked.
Medical accidents occur in Tuya Hospital every year, some of which are unavoidable.
Some medical accidents are caused by doctors or nurses not strictly following the regulations. In this case, the hospital and higher authorities will often impose severe penalties on the medical staff involved.
"Director Zhou, because the cause of the massive bleeding has not yet been determined, communicating with the family members could easily interfere with and hinder the rescue efforts. It could also lead to misunderstandings."
Nurse Tang Ling and Zhou Can are old colleagues.
When Zhou Can first entered the operating room of the emergency department, she was transferred into the operating room as a nurse.
A few years later, she became a nurse, and Zhou Can was promoted to the positions of deputy director of the department, deputy team leader of the operating room, and member of the first team of the quality control department, positions that she could only look up to.
Behind every position is a height that many doctors will never be able to reach in their lifetime.
" The patient suffered heavy bleeding during the operation. If we don't inform her family, it will cause even greater trouble. The only thing we need to confirm now is whether the patient is pregnant." Zhou Can's face was as dark as water, but his attitude towards Tang Ling was relatively gentle.
After all, she is a girl and an old colleague. He really can't be fierce to her over such a small matter.
"Doctor Tang, I'm not saying anything bad about you, but when the patient showed signs of bleeding from her lower body, you should have thought of giving her a pregnancy test immediately. You didn't do a pregnancy test before the operation, and you only thought of shirking responsibility when something went wrong during the operation. If this patient died on the operating table today, your future would be completely ruined, do you know that?"
Zhou Can couldn't hold back his anger.
Vent it out towards Tang Wangnian.
Although Tang Wangnian is a senior attending physician in his forties, much older than Zhou Can, at work, Zhou Can is his superior and has the power to manage him.
A higher-ranking official can crush a person to death, and this applies everywhere.
"I, I thought the patient might have her period..." Tang Wangnian lowered his head after being scolded and could only explain in a low voice.
He actually knew that there were negligence in this operation.
After the incident, the response was indeed a bit slow and inadequate.
"Have you ever seen a woman bleed like a fountain during her menstrual period? You are a senior attending physician, but you don't even have this much experience? Go get two pregnancy test strips immediately. The roving teacher, get the catheter. It's too slow to wait for the laboratory test results. We need to find out the cause immediately and take further measures. Otherwise, it will be difficult to save this patient."
Zhou Can has extremely rich experience in rescue and never plays by the rules.
In his eyes, those restrictions and constraints were just that, and he would break them without hesitation when necessary. Especially when saving a patient's life, if he was tied up, a life could be lost.
As long as you have done your best and tried your best, if anything really happens, leave it to the department and the hospital to clean up the mess.
At least Tuya Hospital is doing a good job protecting its doctors.
Especially for a famous doctor like him who is being trained as a key person, the hospital and the department are very caring.
This kind of good medical environment is very friendly to doctors, allowing them to relax their hands and feet during the rescue process, greatly improving the success rate of rescue.
In addition, the doctor's medical skills improve fastest during the rescue process.
Because in this highly tense situation, doctors can't help but squeeze out all their potential.
Tang Wangnian and other medical staff were inspired after hearing Zhou Can's rapid testing plan.
It is indeed much faster to check with a pregnancy test strip than with a blood test.
It's just that accuracy is difficult to guarantee.
Less than five minutes later, Tang Wangnian got the pregnancy test strip.
He tried his best to save himself.
I directly called a relative who ran a drugstore next to the hospital and asked him to send a box of pregnancy test strips over as soon as possible.
Under normal circumstances, this kind of relationship would not be easily exposed.
However, among the drug stores, hotels, rehabilitation centers, and maternity centers that open around hospitals, at least nine out of ten have close ties with the doctors and nurses in the hospitals.
They are often their acquaintances or relatives.
Without any connections, attracting business would be a big problem, not to mention anything else.
For example, if a relative is a chief physician in the Department of Obstetrics and Gynecology of Tuya Hospital, he will try every means to recommend the patient to the confinement center if he finds a suitable one.
Because of their trust in doctors, patients will most likely go to a confinement center recommended by their doctors if they have this need.
Then the confinement center will tacitly give a commission to the chief physician who recommended it.
It's mutually beneficial for everyone.
Only in this way can the business last long.
Some doctors even take matters into their own hands and ask their partners or themselves to open a rehabilitation center.
As long as there is a steady stream of customers, the profits will be considerable.
The hospital also turned a blind eye to such things.
As long as nothing goes wrong, no one will care.
Some attending physicians only make a few thousand yuan a month, but their families have bought several houses and drive luxury cars worth hundreds of thousands of yuan. Their children are even sent abroad to study. It is impossible for them to live such a comfortable life with a regular salary.
All we can say is that such doctors, after working for several years or more than ten years, will be able to make money through their own accumulation.
When the pregnancy test strip arrived, Zhou Can had already inserted a urinary catheter into the patient and dripped urine onto the detection area of the test strip.
Then just wait patiently.
Rescue work for the patients is also ongoing.
However, the speed of blood transfusion could not keep up with the bleeding, and the situation became very dangerous at one point.
Now he didn't know whether the patient was pregnant or not, so Zhou Can didn't dare to use his hemostasis skills. For example, if he knew it was intrauterine hemorrhage, he could use gauze to fill the bleeding.
This cannot be used if the patient is pregnant.
The test results came out quickly.
Pregnancy test positive.
In order to ensure the accuracy of the test, the test was carried out on two test strips.
The results were all positive.
At this point, Zhou Can had roughly guessed the cause of the patient's heavy bleeding. He invited experts from the Department of Obstetrics and Gynecology to participate in joint consultation and rescue, while explaining the situation to the family.
The critical illness notice was also sent to the family members.
In this accident, the hospital bears some responsibility, but the family members and the patient herself also bear a great deal of responsibility for concealing the fact of the pregnancy.
Even if a lawsuit is filed, the hospital has a high chance of winning.
The obstetrics and gynecology department sent two doctors to participate in the rescue. One was Zhou Can's old acquaintance and old classmate, Yang Chan. The other was Zhao Zhisheng, the deputy chief physician of the obstetrics and gynecology department. Many people think that all obstetrics and gynecology doctors are female, but this is actually a wrong perception.
There are also many male doctors in obstetrics and gynecology.
For example, Zhao Zhisheng is one of the many male doctors in the obstetrics and gynecology department. He can become a chief physician, so his ability and level are naturally very high.
After arriving, through examination, it was determined that the patient had an ectopic pregnancy, commonly known as an ectopic pregnancy.
It is possible that during the operation, the drugs caused the uterus to contract, leading to miscarriage and heavy bleeding.
An ectopic pregnancy is inherently dangerous.
This female patient concealed the fact that she was pregnant and allowed the doctor to perform a subcutaneous tumor removal surgery on her without any preparation. She was simply playing with her life.
Zhou Can is very good at stopping bleeding and performing surgery.
But he was really not good at obstetric surgery.
Yang Chan, who I hadn't seen for a long time, seemed to have lost some weight, but she also became more beautiful. A hint of confidence could be felt between her brows.
It seems that her medical skills have improved greatly in recent years.
In the following operation, she performed very well, which really made Zhou Can look at her with admiration.
Her current surgical skills are in no way inferior to those of senior attending physicians. No wonder Director Zhang of the Obstetrics and Gynecology Department took a liking to her at first sight and devoted his full efforts to her training.
Even though Zhou Can’s multiple medical skills have now reached the director’s level, far ahead of her, that’s because of the bonus from the system.
She has no system, but relies entirely on talent and hard work. She has been able to improve her surgical skills to this level in just a few years. It is truly amazing.
…
The rescue was over and the patient's uterus was not removed.
In order to save lives due to severe postpartum hemorrhage, women are often forced to have their uterus removed.
When massive uterine bleeding occurs, doctors will generally request removal of the patient's uterus to save her life after comprehensive consideration.
Because heavy uterine bleeding is difficult to stop.
And it is extremely dangerous.
The patient's uterus was saved and her life was saved, which was a blessing in disguise.
Zhou Can heaved a sigh of relief when he saw the patient was out of danger, and felt a chill on his back. It was then that he realized that his back had been soaked with sweat from saving lives.
After taking off his mask, Tang Wangnian showed an expression of relief.
The patient almost died.
The feeling of having your head hanging on your belt is really terrifying.
I believe that after this experience, he will be more cautious in practicing medicine in the future.
He had received relatively reliable information a while ago that the department had given him a spot for the associate senior professional title.
With this quota, promotion to associate senior professor will basically be a sure thing as long as all the hardware conditions are met.
When many medical students first graduate, they naively believe that as long as they have enough ability, they can be promoted to associate senior or senior professor. In fact, they ignore the biggest influencing factor, which is the hospital.
Everyone knows that a doctor works in the hospital where he is registered.
Depending on the size and overall strength of the hospital, there are quotas for associate senior and senior professional titles.
Getting the hospital's indicators will definitely make things twice as easy.
In a large hospital like Tuya, associate professors, senior professors, and staff positions will be assigned to specific departments.
It was only in the past two years, thanks to Zhou Can, that the emergency department was able to get a small piece of the pie when the quotas were distributed.
In the past, it was hard to say whether I could have a sip of soup.
Tang Wangnian was given a deputy senior position in the emergency department, and he felt a little bit proud.
When a person is floating, he has to be careful of getting stabbed.
He inevitably made some mistakes and mistakes in his work, which almost led to tragedy. This lesson was a profound one for him.
"Okay, the patient should be fine, we will leave first."
Director Zhao Zhisheng took the mask and gloves and threw them into the trash can.
"Thank you for your hard work, Director Zhao and Doctor Yang. I'll see you off."
Although Zhou Can has been trying hard to avoid contact with Yang Chan, he can't just burn his bridges after crossing the river since he needs help this time, right?
I had no choice but to send them away.
This is also a kind of respect.
"Director Zhou didn't call me that before!"
Yang Chan narrowed her bright eyes slightly, and a complicated expression appeared on her pretty face, which was so beautiful that it could captivate all creatures.
"Ahem... Class monitor, don't make fun of me. What's the point of being a dean or not? You and I have always been classmates."
When Zhou Can heard her say this in front of his colleagues in the department, he suddenly felt his face getting hot.
The others showed strange smiles, with a bit of gloating in their hearts.
Everyone usually only saw Director Zhou being invincible in the department, whether in the operating room, the emergency room, or the emergency room, he was always successful. Now seeing Director Zhou being humiliated, everyone felt very happy.
"You still recognize me as the squad leader? I thought you would no longer play with us old friends after you became the director! Every time I come to the emergency department, I never see you. Are you deliberately avoiding me?"
Yang Chan seemed to have been harboring a grudge for a long time and had no intention of letting him go easily today.
