Chapter 648 Accident, No Longer Needed
In Zhou Can's opinion, Mr. Song's condition is very consistent with the characteristics of neuroatrophy.
Even though he has at least four caregivers taking turns to massage his muscles and stretch his limbs every day, his neck and lumbar spine cannot turn and bend as flexibly as normal people's.
Because of his noble status, no one dared to turn his head left or right, and it was even more impossible to help him stand up and bend his waist forward, backward, left or right.
After all, in his current condition, any mistake would kill him.
No one can bear this responsibility.
A normal person's neck will turn more than a hundred times a day, and the waist will also bend many times.
For ordinary people, this is just everyday life.
But for Mr. Song, doing any exercise is a luxury. In the past ten years, he has never moved his neck or waist. Even with professional massage, there is no way to stop the natural atrophy of the nerves.
The circulation of Qi and blood will gradually be obstructed and weakened.
Life lies in movement.
If people do not exercise, they will become like the saplings that never get exposed to the sun, and will eventually become withered and skinny.
With the help of various high-tech and professional medical care, Mr. Song has maintained a good physical condition. However, he still has a lot of problems.
After careful consideration, Zhou Can believed that in order to cure Mr. Song's illness, he needed to approach it from multiple aspects.
The first thing to do is to repair Mr. Song’s severed nerves.
This requires a craniotomy.
He is also a man of great skill and courage, so he decided to take things one step at a time.
First, a craniotomy is performed to ensure that the nerve signals between the brain stem and the spinal cord are completely unobstructed, and then subsequent rehabilitation training is carried out to strive to create a medical miracle.
There are definitely risks.
However, judging from the many extremely difficult neurological cases treated by Zhou Can, all three parties, including patients, doctors, and family members, need to have confidence and persevere, and carry out scientific and reasonable rehabilitation training after surgery, as well as cooperate with medication and examinations.
This is the only way to ultimately succeed.
For example, the paralyzed man whose lumbar spine was injured by a steel bar piercing his body at a construction site, with the help of his wife and the encouragement of his children, the doctor and the patient worked together and he finally stood up successfully.
"Mr. Song, I just checked you and your overall condition is pretty good. However, due to long-term bed rest, some of your nerves and functions have degenerated and atrophied. Before coming here, I specifically looked at all the records of the operation you performed ten years ago. Director Xu helped you completely remove the malignant tumor in your skull, which was not easy. At least in the eyes of us medical juniors, even today, it can be regarded as the swan song of medical neurosurgery."
What Zhou Can said was not entirely one-sided in speaking well of Dr. Xu.
But it has certain factual basis.
The patient had a malignant tumor in his head, which was basically a death sentence.
Because it grows in the brainstem area.
Even today, it would be extremely difficult to remove that malignant tumor.
No hospital dared to take it.
Including top hospitals in the Imperial Capital and the Magic Capital.
Although Dr. Xu never said why he took on this risky operation, Zhou Can knew Dr. Xu must have been soft-hearted.
The patients or their families begged desperately, which moved him to pity.
No one expected that after the accident, the patient's family would turn against them.
If the family members could really have a little empathy, they could at least take the initiative to remove the shackles from Dr. Xu's body, considering that he has donated most of his salary to patients for ten years.
Instead of letting Dr. Xu continue to live a miserable and humble life.
"I have carefully studied your surgical records. Combined with the physical examination I just gave you, I think your nerves should be able to be repaired. As long as you and your family are willing to cooperate, I am confident that I can get you back on your feet."
Zhou Can told Mr. Song about this matter directly because he had no choice.
So far, no family members have shown up, and only the housekeeper is allowed to receive him.
I can't find anyone to discuss it with.
The moment he came to pay a visit and revealed his identity, I believe his family and housekeeper Bian had already checked his information.
Otherwise he wouldn't be allowed in at all.
This kind of powerful family made Zhou Can feel awe at the unfathomable majesty of the emperor.
“Mmmmm…”
After listening to this, Mr. Song suddenly became excited.
"Get out! Get out now!"
The doctors and nurses were horrified.
While frantically taking measures to stabilize Mr. Song Dingxian's vital signs, he yelled at Zhou Can to get out quickly.
"Mr. Song, I am a new famous doctor at Tuya Neurosurgery Hospital. I have cured many extremely difficult cases of severe paralysis. Please trust me."
Zhou Can was pulled out by Butler Bian while speaking to Mr. Song again.
“Mmm…”
Mr. Song responded with an indistinct and strange sound.
After being 'invited' out, Butler Bian looked unhappy.
"Young man, you are too reckless. Mr. Song cannot be provoked. If something happens, can you bear the responsibility? Not only you, but all of cannot bear this responsibility."
Butler Bian knew very well how powerful the Song family was.
I also know the importance of Mr. Song Dingxian.
Zhou Can was brought in by him. If he caused a big disaster, would the master of the house forgive him as the butler?
By then, not only Butler Bian, but even the two medical staff will be in trouble.
"I'm sorry for frightening you and others. But don't worry, as long as I'm here, nothing will happen to Mr. Song. I believe you have also learned about my information. My success rate in emergency and critical care rescue is currently ranked first in Tuya Hospital."
Zhou Can is not bragging.
It really has such a high ranking rate.
Of course, it is also related to the fact that he has rescued fewer critically ill patients.
In any case, it is true that they are extremely strong in this area.
Even the directors of critical care medicine departments often call Zhou Can for help when they encounter emergencies.
The emergency department is also close to the critical care medicine department itself.
Whenever something happened and Zhou Can received a request to save someone, unless he really couldn't leave, he would rush over to save the person at the speed of a 100-meter sprint.
"You...are truly ignorant and fearless! What kind of person is Mr. Song? How could you allow him to be in danger and need to be rescued?"
Butler Bian was so angry that his hands were shaking.
Whatever you worry about, it will come true.
The nurse in the room opened the door, looking panicked.
"Quick, prepare an ambulance to take him to the hospital for emergency treatment. Mr. Song has serious problems with his breathing and heart rate."
After the nurse finished speaking to Butler Bian, she glared at Zhou Can fiercely.
Her job was lost and she might even face greater risks.
After all, she should know what happened to Dr. Xu after the accident.
"It's a twelve-minute drive from here to the nearest hospital. The Provincial People's Hospital and Tuya have the strongest rescue capabilities in the province, and the drive takes more than twenty minutes. If there is really a problem, it will be too late. I have worked in critical care medicine, and I can help you with the rescue."
Zhou Can said to the female nurse.
"Humph, who do you think you are? I have won the nursing championship of the Department of Critical Care Medicine three times. Director Cheng is a leader in the Department of Critical Care Medicine and is well-known in the country."
Although the female nurse didn't continue speaking, I could hear the implication of her words.
There are such talented critical care medicine professionals like her and Director Cheng trying to rescue the patient, but even they can't do it. How can a young man like Zhou Can do it?
"I am just an ordinary doctor. At least according to the medical regulations, when someone needs emergency treatment at the scene, I have the obligation to intervene."
Zhou Can said this and went into the room with her.
Butler Bian did not stop him this time.
I can't take care of it anymore.
He was so panicked that he called the ambulance urgently and then reported to the host family.
Bringing Zhou Can in today must have been agreed by the host.
Now that something has happened, it's a big disaster.
He was terrified that his job as a butler would be ruined.
"Why did the blood oxygen saturation suddenly become so low? Quickly measure the central venous pressure!"
After Zhou Can went in, he took a look and first looked at the settings of the ventilator parameters.
Director Cheng is indeed very good at critical care medicine. Setting the parameters of the ventilator may be easy under normal circumstances. But in this emergency, the most correct adjustments need to be made, and each one is a fine-tuning, which is a great test of the doctor's level.
At least from Zhou Can's perspective, he felt that the parameter adjustment of the ventilator was great.
Director Cheng just glanced at him indifferently and ignored what Zhou Can said.
What a joke, asking him, a senior director of the medical critical care department, to listen to the orders of a young boy?
"You have no objection to me measuring the patient's central venous pressure?"
Zhou Can had to do it himself.
This operation is actually quite difficult and involves certain risks.
"Get out!"
Director Cheng only said three words.
"Mr. Song is in such a condition that he will die before the ambulance arrives at the hospital. Your jobs will still be at risk, and you may even be implicated. I will measure his central venous pressure. It is very important to understand his right atrial pressure. Based on experience, there must be some problem with his right atrium. I don't know what the problem is, it could be a valve problem, or it could be excessive myocardial hypertrophy..."
Before Zhou Can could finish his words, Director Cheng looked at him with a slightly different look this time.
"What is the purpose of measuring central venous pressure?"
Obviously, Zhou Can was able to directly point out that there was a problem with the patient's right atrium, which made Director Cheng look at him with admiration.
They are all top experts in the field of critical care medicine, and an expert can tell whether a patient is effective or not with just one look.
Zhou Can was able to point out that there was a problem with the patient's right atrium with just a few casual glances. This is definitely not a skill that an ordinary chief physician can possess.
"Get the real data on right atrial pressure."
Zhou Can answered simply and concisely.
"Then what?"
"Of course, it's to understand circulating blood volume and cardiac function!"
"And then what?"
Director Cheng asked again.
"Give appropriate treatment and save the patient's life. Decide whether the patient needs a heart booster."
Zhou Can added another sentence.
The nurse just looked at Zhou Can with surprise, and then calmly assisted Director Cheng in the rescue, demonstrating her strong nursing expertise.
The medical staff who were invited to take care of Mr. Song are all amazing people!
How much does it cost per month to hire these two people?
"Come and take over my job. I'll measure the central venous pressure."
Director Cheng was persuaded by Zhou Can.
The female nurse looked at the two of them in surprise again.
After Zhou Can took over, he immediately showed his extremely high professional rescue level, which made the female nurse and Director Cheng look at him with new eyes again.
Central venous pressure was measured quickly.
Zhou Can took a look, and then spoke immediately in less than half a second.
"Use the cardiotonic drug immediately! Increase the dosage by 0.5 times!"
At this moment, the patient's SCVO2 has dropped to around 40 and is still falling. According to critical care experience, the mortality rate when SCVO2 is below 40 is very high.
It’s no wonder that the two powerful medical staff were so nervous and asked Butler Bian to call an ambulance and go to the hospital.
When Zhou Can came in, he saw an ambulance parked in the garage.
I can only say that the Song family is really arrogant and they are a truly powerful family.
"Are you sure that pushing the strong heart won't have the opposite effect?"
"If anything goes wrong, I will take the responsibility alone."
Zhou Can said firmly.
When rescuing critically ill patients, doctors and nurses often have no choice.
If you are unwilling to take the risk, even if you hesitate for just one or two seconds, the patient's life may be lost.
Director Cheng didn't say anything else and signaled the nurse to prepare the cardiac stimulant immediately.
"I'll push it."
Zhou Can almost snatched it from the nurse.
Then push directly into the jugular vein.
The nurse next to her wanted to stop it but it was too late. The woman, who was in her forties, turned pale with fear.
Normally, the drug is injected intramuscularly into the buttocks or pushed into the radial vein.
Directly puncturing the jugular vein is not only extremely difficult but also very risky.
The benefit, of course, is that it takes effect faster.
Needless to say, intramuscular injection into the buttocks has the slowest effect.
The radial vein is a vein in the hand, and it is a certain distance away from the ventricle. In addition, the patient has lost a lot of nerve function, and the blood circulation in the hand is much slower than that of normal people.
" In serious cases , strong medicine must be used. If the jugular vein is not pushed, the person will die."
Zhou Can only said one sentence.
After saying this, the cardiac stimulant had been used up and the needle was not removed immediately.
Instead, he waited for about two seconds before removing the needle, and then pressed it gently with his hand.
The entire process of puncture and injection was completed in less than a second. The injection skills she displayed were even better than those of the nurse who had won three consecutive skill competitions.
In addition to shock, she felt more admiration.
This young man is amazing.
The strength in all aspects is so strong that it is breathtaking.
“SCVO2 is rising, rising!”
Director Cheng shouted excitedly.
Zhou Can seemed to have known this would be the result.
He walked to the front of the ventilator and calmly adjusted the ventilator parameters in real time according to the patient's condition.
This time, unexpectedly, neither Director Cheng nor the nurse stopped him.
But just watched quietly.
At any time, strength determines everything.
There is no need to explain the skills Zhou Can just displayed.
This will directly make Director Cheng and the nurses trust his ability and level.
The patient's vital signs fully recovered, and Zhou Can remained calm. Director Cheng and the nurses breathed a sigh of relief as if they had survived a disaster.
At this time, Butler Bian had hurried in.
"The ambulance is ready and can be transferred to Mr. Song."
“There’s no need to move anymore!”
Director Cheng replied.
"Ah... Could it be, could it be that Mr. Song has..." Butler Bian's face instantly turned pale and his heart sank to the bottom.
He thought Mr. Song was dead.
