My Medical Skills Give Me Experiences

Chapter 142: Leapfrog report, everyone has grown up

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Wu Baihe's status outside the gods is extremely respected, and doctors and nurses rushed to say hello to him, this is nothing more than normal.

I saw him wearing a stethoscope on his chest, holding a stack of materials in his hand, and walking in this direction.

Beside him is Dr. Du Leng, a newly recruited returnee from surgery.

After careful calculation, Du Leng has been working in Tuya for half a year.

There should be a difference between doctoral students and undergraduate students.

It is said that only two years of regular training is required for a master's degree, and one year for a postgraduate doctoral degree.

Du Leng's dazzling academic qualifications made him flourish in surgery.

At this moment, he was actually able to walk side by side with Wu Baihe, which showed his high status in surgery.

Wu Baihe was followed by several doctors.

One of them was Dr. Ou who had met once in the operating room.

Compared with Du Leng, Doctor Ou, who is over fifty years old, can only walk in the third row. It shows that his status in Wu Baihe's medical team is not high.

Zhou Can feels that now is a good opportunity to report to the next level.

The patient in bed 31 is in critical condition.

The longer it is delayed, the worse it is.

I don't know what Cheng Gang is thinking?

However, there are a small number of doctors who really don't put the interests of patients in their eyes. As long as no one is killed, or the doctor's own interests are not harmed, they sometimes behave very cold-blooded.

Even if they watched the patient die or the condition continued to worsen, they remained unmoved.

At this time, Wu Baihe was almost at the elevator.

It is about ten meters away from the EEG examination room.

Du Leng has rushed to press the up button of the elevator.

It looks like he won't be coming.

The opportunity is fleeting.

Zhou Can walked over quickly.

Both Wu Baihe and Du Leng have noticed Zhou Can.

After all, everyone is 'familiar'.

Needless to say, Du Leng and Zhou Can continued to have conflicts, and the two fought openly and secretly. Du Leng has never won.

He was jealous and hated Zhou Can.

"Hi Director Wu!"

Zhou Can's eyes collided with Wu Baihe's. Now that he has something to ask for, he doesn't dare to ask for anything.

What's more, he was facing one of the two most powerful famous knives in surgery.

It is the most basic courtesy to maintain respect for superior doctors.

"Hello!"

Wu Baihe was slightly surprised to see Zhou Can here.

But he was extremely impressed with the young doctor. In addition, Director Xie mentioned Zhou Can's name many times, and even put down his body to solicit, but then he failed to solicit, and suppressed Zhou Can again.

Therefore, the directors of various surgical departments are no strangers to the name Zhou Can.

"I have something to tell you, okay?"

Zhou Can is quite familiar with Director Yin in Shennei.

It should be the first time to formally deal with Wu Baihe.

"you say!"

Wu Baihe looked at him indifferently.

Du Leng was expressionless, pretending to be paralyzed in front of Zhou Can.

"There is a patient surnamed Luo in the 31st bed of the Shenwai Inpatient Department. He was hospitalized for a cerebral aneurysm. Not long ago, he developed severe vomiting, headache, and neck stiffness. I suspect that he may have a ruptured cerebral aneurysm. It's gone, it should be in the bleeding stage. The patient is still very young, about 38 years old, and he is the backbone of a family. His condition is critical, can you take the time to ask yourself?"

Zhou Can pleaded for mercy for a stranger he didn't know, because of the trace of conscience still in his heart.

He could have shrunk his head and ignored this matter.

Even if the patient dies, it will not affect him in any way.

If he did that, he would have a bad conscience for the rest of his life.

Asking Wu Baihe to intervene in person is the quickest and most effective way.

If Wu Baihe still doesn't care, Zhou Can can only communicate with the family members and let the family members figure out their own solutions.

In short, this disease must not be delayed.

"Why didn't you report to your superior doctor?"

Wu Baihe asked with a slight frown.

"Because I reported it to my superior doctor, but it was not taken seriously. I personally think that the patient's condition is critical and must be dealt with immediately. Oh, yes, the family members reported that the patient has not eaten since yesterday."

Zhou Can deliberately mentioned this matter, which can show that the patient's condition is far more critical than it appears on the surface.

At the same time, it can also create favorable conditions for arranging surgery as soon as possible.

Without fasting food and water, which anesthesiologist would dare to give patients general anesthesia?

No one dared to take such a risk.

In case the patient vomits during general anesthesia and the food in the stomach regurgitates, it is easy to block the trachea and cause the patient to suffocate to death.

"I have an important operation that needs to be performed immediately, and I don't have time to take care of other things. But since you reported that the patient's condition is critical, this matter cannot be delayed. Who is responsible for the patient in bed 31?"

Wu Baihe has agreed to take care of this matter.

"It's me! It's me!"

Doctor Ou quickly answered.

"Dr. Ou, you should immediately arrange for the 31-bed patient to undergo an intracranial angiography. If you find that the aneurysm is ruptured and bleeding, you can directly discuss with the family members whether to perform traditional craniotomy or interventional aneurysm surgery? Combine the two methods Explain the cost, advantages and disadvantages to the family members. After the family members make a choice, if my operation is not over, I will go to Director Wen."

Wu Baihe made detailed arrangements.

Enough to handle 31 patients in a timely manner.

"Let's do this for now! If you have major problems, you can report to me at any time."

After finishing speaking, Wu Baihe took Du Leng and others into the elevator.

Du Leng didn't say a word the whole time.

It may be because the last time I tried my best to belittle Zhou Can in the hospital cafeteria, but with little success. On the contrary, it made him fall behind.

So, he learned smart this time.

Just don't say anything.

Compared with Zhou Can, his advantage is already great.

Zhou Can is still rotating one department after another for standardized training.

Very low status.

At least Du Leng thinks so.

As for Du Leng himself, he has made great progress in various surgical departments, and his status can even surpass many attending physicians.

Zhou Can watched Wu Baihe and others enter the elevator, and then the elevator door closed, leaving only Doctor Ou to stay with him.

"Zhou Can, who did you report the situation of the patients in bed 31?"

Dr. Ou could have participated in an important operation with Wu Baihe, gained a lot of knowledge, and learned a lot of surgical experience and skills.

Unexpectedly, it was delayed by this sudden change.

He must be a little unhappy.

Zhou Can can't be blamed for this.

But the superior doctor who didn't do anything must have something to worry about.

"I reported it to Dr. Cheng Gang, and after he heard it, he scolded me instead. He said that he didn't have an angiography test, and told me not to talk nonsense. I really have no choice but to pretend to be deaf and dumb and not report it. , the conscience is really uneasy. If the patient really has a ruptured intracranial aneurysm, every second of delay will make the patient's situation more dangerous."

Zhou Can was also very helpless about this matter.

"You did the right thing. Doctors should care about their patients and pay attention to their lives, health and safety. This is also the minimum professional ethics."

After hearing this, Dr. Ou's face sank like water.

Zhou Can's behavior was affirmed.

"Doctor Jiang, I will leave it to you to do the EEG examination. I have something to do here."

Zhou Can shouted at Jiang Xiaohua.

"OK."

Jiang Xiaohua nodded at him.

Doctor Ou asked, "What's wrong with that patient?"

"Postoperative complications, severe epilepsy, coma. After consulting Director Wen for instructions, Dr. Cheng arranged for the two of us to bring the patient over for an EEG examination."

"oh!"

Doctor Ou nodded and said nothing more.

Take Zhou Can to the inpatient ward of Shenwai.

Came straight to bed 31.

The male patient was already lying on the hospital bed, and his condition worsened further. His wife needed to support him to turn his body sideways due to vomiting.

Dr. Ou is fifty years old and has rich experience in diagnosis and treatment. He immediately realized the seriousness of the patient's condition.

After asking a few words, he checked the extensor and flexor muscles of the patient's neck. When touched by hand, the patient complained of pain.

"Immediately send it for a cerebral artery CTA. I will apply for an examination right away. This matter cannot be delayed. Doctor Zhou, come with me to get the examination application form."

Requests for examinations are made in an office or outpatient clinic.

"OK!"

Zhou Can's heart fell to the ground.

Doctor Ou paid so much attention to it, the patient was finally treated in a timely manner.

This matter is afraid of procrastination.

Dr. Cheng Gang is examining a postoperative patient. Some postoperative patients need to undergo biochemical tests, and the corresponding data must be recorded after a period of time, which is very exhausting.

From a distance, he saw Zhou Can bring Dr. Ou into the 31-bed patient's ward.

After thinking about it for a while, his face immediately became ugly.

"This newcomer, Gui Peisheng, is really restless. He was asked to send the patient in bed 22 for an EEG, but Dr. Ou was called to check on the patient in bed 31. I'm not dead yet."

With a sullen face, Dr. Cheng rushed over immediately.

"Doctor Ou, you are here!"

Cheng Gang first greeted Dr. Ou, and then looked at Zhou Can extremely unkindly.

"What's the matter with you? Didn't you tell you to take the 22-bed patient for an EEG?"

In his words, there is the meaning of inspiring the teacher to ask the crime.

This is in front of the family members and Dr. Ou, otherwise it would definitely not be this attitude.

He will definitely grab Zhou Can and yell at him.

"I asked him to bring me here."

Doctor Ou's tone was cold, and his gaze towards Cheng Gang was even colder.

This is because he is extremely dissatisfied with Cheng Gang.

"Come with me to the office!"

Dr. Ou walked out of the ward first.

Cheng Gang gave Zhou Can a hard look, his face gloomy.

"You're really good. Playing leapfrog report, right?"

"The patient in bed 31 is already sick like this, can't Dr. Cheng see it?"

Zhou Can pushed back directly.

Not offending the superior doctor doesn't mean that you can't offend him.

To be honest, he couldn't see a doctor like Cheng Gang from the bottom of his heart.

Don't take patients seriously, only serve your own interests.

"Okay, you are really capable."

Cheng Gang had a cold face, already extremely dissatisfied with Zhou Can in his heart.

The two entered the office one after another.

Dr. Ou is already issuing an examination request form for the 31-bed patient.

After opening, hand it over to Zhou Can directly.

"Let the family members pay the fee quickly, and you assist the patient to do an imaging examination. I'll wait for the results here."

"OK!"

Zhou Can took the checklist, and as soon as he left the office, he heard Dr. Ou say to Cheng Gang in a cold tone, "The patients in bed 31 have already vomited so badly, why didn't they respond to me in time?"

"The patient had a vomiting reaction before being admitted to the hospital. I think it was the new doctor making a big fuss. There are so many urgent patients waiting to be treated outside. I thought about finishing the urgent patients first, and then going to the 31st bed to have a look. .”

Cheng Gang gave an explanation.

The inpatients outside of Shenwai do have many acute and severe illnesses.

However, it is impossible to stay in the general ward for really severe cases.

Most of them were admitted to the intensive care unit.

"Did Dr. Zhou tell you that the patient may have a ruptured cerebral aneurysm?"

Doctor O asked.

He's not that good.

It's not something that can be dismissed with just an excuse.

After seeing the patient in bed 31 just now, he secretly rejoiced that a conscientious and responsible doctor with a solid medical foundation came here.

Otherwise, the patients in bed 31 may be doomed.

Even if the patient dies, the hospital does not need to bear any responsibility as long as it fulfills its duty of rescue.

But this is a fresh life!

"That's purely the speculation of this newcomer, Gui Peisheng. I have checked all the patients in beds 21 to 31 on time, and I know their conditions well. The patient in bed 31 just had an admission examination yesterday. , if the cerebral aneurysm was really going to rupture, it would have ruptured long ago."

Cheng Gang is still making every possible sophistry.

Most irresponsible doctors are like this.

As long as there is something that is even slightly unfavorable to you, immediately try to get rid of it.

People eat whole grains, and when the forest grows, there are all kinds of people.

It would be naive to say that all of them are good doctors with noble medical ethics.

The dean also has affairs, embezzles and accepts bribes.

It is not uncommon for some department directors to sleep with nurses.

Zhou Can took the patient for cerebral angiography.

The technical difficulty of this inspection is very high.

It needs to be operated by a professionally trained doctor.

Shenwai and Sheninai share the same examination department.

The person in charge of the operation is the doctor in Shennei.

The test results came out soon.

The aneurysm ruptured and the amount of bleeding was not small.

Has spread to more than half of the brain area.

No wonder the patient would have a severe headache and vomit.

Bleeding causes meningeal irritation, causing intracranial hypertension, and finally a series of adverse physical reactions.

The human body has a set of self-protection mechanisms.

Vomiting, pain, are self-protection.

For example, eating poisonous food often causes vomiting. This is the body's self-protection.

Not to mention the pain.

Pain in a certain part of the body is a reminder that something is wrong with this part of the body.

Just imagine, if human beings don't feel pain, they would think it's okay to put their hands in the oil pan and fry them. A sharp sharp weapon cut a **** **** on his body, but he still didn't notice it.

It's scary just thinking about it.

Zhou Can trotted into the doctor's office.

"Doctor Ou, here is the angiography report. The patient's intracerebral aneurysm has ruptured and is bleeding continuously."

"Notify the patient immediately, fasting and drinking, and must find a way to arrange surgery immediately."

After Dr. Ou read the report, his face was serious.

Continued bleeding will cause continuous increase in intracranial pressure, and drainage and decompression are required if necessary.

The earlier the surgery the better.

"Forgive me for taking the initiative. I have explained to the patient and his family members that the patient is fasting. And I have seen the patient's vomit, which is full of acid and bile. After inquiry, the patient has not been admitted since yesterday. Eat."

Zhou Can explained.

"You did a great job!"

Doctor Ou looked at Zhou Can with admiration.

"Cheng Gang, now that the results are out, do you still think this young new doctor is making random assumptions?"

He looked at Cheng Gang who was busy writing the doctor's order over there~www.readwn.com~ This...he was right once. Medicine is a rigorous discipline, and I don't see myself doing anything wrong in the way I approach it. But next time I encounter this kind of thing, I will arrange for the patient to have an examination in time. "

Cheng Gang is a dead duck with a stubborn mouth.

Doctor Ou was extremely disappointed and angrily scolded him.

"Reflect on it! What would happen if this patient did not have Dr. Zhou Can's insistence and did not have a timely examination today?"

After speaking, Dr. Ou stood up and walked out of the office.

"I'll talk to the family members about the operation plan right away. Doctor Zhou, if you have nothing to do, go and listen to it with me. It will be good for you. When the operation will be performed, you can also participate together."

Doctor Ou obviously gave Zhou Can some rewards in this way.

The rewards that superior doctors can give are nothing more than key training, guidance, and promotion nominations.

"I'm fine."

Zhou Can immediately followed up.

He had never seen brain aneurysm surgery.

This is the most common surgery performed outside of the gods. It is said that the operation is extremely difficult and risky.

"Why are you alright? Have you finished with the 22-bed patient?" Cheng Gang must have hated being humiliated by a junior doctor.

Naturally, he didn't want to see Zhou Can follow Dr. Ou to reap the benefits.

As a senior resident doctor, he didn't even have the chance to be trained by Dr. Ou. But now, Dr. Ou is favored by a doctor who has just been here for a day.

"The 22-bed patient is accompanied by Dr. Jiang, so don't worry!"

After Zhou Can finished speaking, he followed Dr. Ou without looking back.

Cheng Gang was so angry that he scolded at the back, "You have grown up, everyone has grown up!"

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