My medical skills add experience

Chapter 530 Troublesome things after becoming famous, hands-on diagnosis
It was not easy for senior officials to retire. After enjoying a few years of blessings, a major health problem occurred.If the right leg is amputated, whether the disease will be cured is still open to debate.

He can directly become a disabled person who can only travel in a wheelchair.

This veteran cadre has no history of smoking, travel, or special medical history, which shows that he takes great care of his body at ordinary times.As a cadre, entertainment and various banquets must be indispensable.

Being able to not smoke all the time and have no unclean behavior is definitely a clean stream.

But heaven failed to fulfill man's wishes, even though he had cherished his body so much, he was still plagued by strange illnesses and suffered a lot.

Now my right leg hurts not only during the day, but at night it hurts to the bone marrow, making it difficult to sleep.

What was even more frightening was that the fourth toe of the right foot began to turn black, and the pain became more severe.

Two times of anti-infection treatment was carried out in the best local people's hospital, and the pain improved slightly each time, but the condition was always serious.Later, he went to the Provincial People's Hospital for consultation. The strongest experts jointly consulted and gave him continued anti-infection treatment, but his condition still did not improve.

The opinion given by the experts is that because of gangrene in the right foot, it is better to amputate to save life.

In order to prevent harmful substances and toxins from flowing backward along the blood and entering the whole body, causing sepsis, organ failure and other problems.

This expert is afraid of being like the cross talk seen on TV.

The patient's feet turned black and went to the doctor for diagnosis and treatment.The doctor thought the condition was serious and needed to amputate the blackened toe.After a while, the patient went to see a doctor again and told the doctor that the other toes were also a little black.

The doctor suggested amputating the other toes as well.

After a while, the patient came to the doctor again and told the doctor that his feet were still black.

The doctor told the patient with a serious expression that the condition had spread beyond the ankle, and the condition was so serious that he had to amputate the whole leg to save his life.

And prepare patients for the worst.

It means that if the amputation still fails to control the spread of the disease, the patient will have to prepare for his funeral.

At this time, the nurse who helped the patient take off his socks noticed that his hands had turned black.

Exclaimed, "Why did my hands turn black?"

The eyes of the patient and the doctor suddenly widened, and they both looked at the black socks that had been taken off.It turned out that the color of the socks had faded, causing the feet to turn black.The patient was furious and raised his crutches to kill the quack doctor who had amputated five toes for no reason.

Although this is just a joke, such low-level mistakes rarely happen in reality.

However, some misdiagnosis may still occur, leading to patients cutting wrong organs, or medical accidents of hands and feet.

For example, the patient needs to be operated on the left leg, and the doctor turned the patient over during the operation.Then the doctor actually operated on the patient's originally good right leg.

In the end, the patient found something was wrong after waking up from anesthesia, and sued the hospital and the doctor involved.

The doctor involved expressed aggrievedly that when the patient turned over, he did not remind him which leg needed surgery.Such an explanation is obviously weak.The doctors involved were severely punished.

This incident shows the importance of drawing surgical markers in advance during surgery.

If the doctor who performed the operation or the nurse in charge of the bed can make more detailed preoperative preparations, and the surgeon in charge can learn more about the situation before the operation, then such ridiculous accidents will not happen.

Naturally, Zhou Can would not easily snap the patient's right leg like that careless doctor.

He concentrated on studying the patient's condition.

The patient's body temperature is 36.5 degrees, which is the standard body temperature, which is normal.

Pulse 81 beats/min, respiration 21 beats/min, blood pressure 118/85mmhg.

These signs and data are simply perfect.

It can also be seen that patients take special care of their bodies on weekdays, and the results are quite good.

At the age of 65, I still have no underlying diseases such as high blood pressure and chronic respiratory diseases.Many middle-aged and elderly people, after the age of 50, basically have various diseases.

This is a natural aging process of the human body.

As we get older, the body's metabolism slows down and blood circulation gets worse, especially the microcirculation in the distal extremities will become worse and worse.

The speed at which various toxins are excreted from the body slows down, coupled with the continuous aging of body cells, various diseases will naturally emerge.

This veteran cadre not only has excellent four basic signs, but also has a clear mind, no yellow stains on the skin and mucous membranes, and no superficial lymph nodes in the whole body.All preliminary examination data indicate that the patient is in good health.

"I want to go to the ward to see this veteran cadre, and check him again first, and then look at his spirit and limb lesions."

Zhou Can said to Director Xueyan.

"No problem, I will accompany you there now. I really hope that the illness of this veteran cadre can be found out as soon as possible. I wish the dean is very urgent about this matter."

Director Xueyan must have been under a lot of pressure from her superiors.

No matter which department, when such a distinguished patient comes, the department director is often the first to bear the pressure.

Because the dean usually assigns the task to the department director.

Then the director of the department called the experts in the department to concentrate on treating the patient.

"Obviously there is a disease in the right foot, how can we seek treatment from our cardiothoracic surgery department?"

Zhou Can asked curiously.

Logically speaking, this veteran cadre should see an internal medicine doctor.

Such as endocrinology, hematology.

"The impact of your live broadcast of the operation is too far-reaching! Now, whenever patients with some energy come to our hospital for treatment, no matter whether their disease is related to cardiothoracic surgery or not, they will be treated by our department anyway. Generally, I will treat them based on the actual situation." In the circumstances, it is obviously a respiratory disease, so he must be sent to the respiratory department for treatment! But you also know the rules of the hospital, some patients can't be rejected at all, they can only be accepted."

When director Xueyan mentioned the fact that the hospital department is famous, she was both a little troubled and happy.

Tuya's cardiothoracic surgery room can flourish in her hands, which is a supreme honor, and it is an achievement that she can't even imagine.

What worries me is the various difficult cases and human relationships brought about by the fame.

As the director of the department, no matter how busy she is, she has to spare some time every day to deal with those distinguished patients.People asked her for help through various relationships, which rarely happened before.

Now it has become a daily routine.

Even some important people who never wanted to see before, now greet her with a smile on their own initiative.

In such a situation, she, the little director of the department, really couldn't afford to offend anyone.

"When we are doctors, we are afraid of encountering these ignorant patients! They don't know that doctors treat diseases in many fields. If it is not the field that the doctor is good at, the level may not be as good as that of an ordinary resident doctor! "

After Zhou Can finished listening, he smiled wryly and shook his head.

Ordinary patients, just send them away.

Some status, but also particularly stubborn patients, can only use soft methods.You have to be careful not to offend people.

This also made him realize that the status of a doctor is much lower than he imagined.

"This way, the patient lives in a special ward."

"The treatment is really good!"

"Who would call someone an old cadre? This kind of ward is either for high-ranking cadres or very rich people. This old cadre is very easy to serve. The last time an old man came, he retired from the position of a certain deputy director. , very angry. Even to give him an injection and a change of medicine, he must ask a young and beautiful little nurse to serve him."

Xueyan only poured out bitter water when she talked with Zhou Can.

The forest is big and there are all kinds of birds.

"If there is another patient like this next time, leave it to me to take care of you."

Zhou Can hates those male patients who are still dishonest in hospital.

Both nurses and female doctors should be respected. This is a hospital, not a brothel.

"Why, you want to send people away directly?"

She tilted her head and asked with a smile.

When she said to send people away, she meant to put them to death directly.

When encountering particularly annoying patients, many doctors and nurses have this idea.But no one dares to actually implement it, and will not implement it.

With the system in place, there's no point in setting up a future for a scumbag.

Everywhere 'careless' care or diagnosis, that is the most common means of fighting back.

For example, taking painkilling injections, originally a single intravenous bolus would be enough.When encountering patients with dishonest hands and feet, nurses can use the little power of injections to change medicines, directly put painkillers into saline or glucose, and put them on drips.

Hanging up for two or three hours will kill those dishonest scumbags.

"Nowadays is a society ruled by law. If people play tricks on officials, or treat female nurses and doctors with unclean hands and feet, it's not enough to kill them. But it's okay to give them some pain. Good medicine tastes bad, these people want It’s not just about physical illnesses, but mental illnesses as well.”

"Haha, I'm relieved to hear you say that. Okay, next time I have that annoying patient, I'll leave it to you."

Director Xueyan showed a rare happy smile.

After her divorce, she actually seldom smiled.Originally a gentle and cheerful person, he was almost depressed by a failed marriage.

Fortunately, she was very busy at work during that time, which diverted her attention.

Now with the passage of time, the hurt in her heart has been healed a lot.

"Sister Yan, you look pretty when you smile. You should smile more. Divorce between men and women is actually very common these days. I think now that your children are grown up, you can adjust your mentality and find your own happiness."

Zhou Can took the opportunity to persuade her.

No one dared to say such words to her.

Only Zhou Can cares about her from the bottom of his heart and puts himself in her shoes.

"Let's talk about this later! I don't have this idea now. Fortunately, the two children are quite up-to-date, and they can understand that I divorced their father. Men are afraid of entering the wrong profession, and women are afraid of marrying the wrong man. I understand it deepest."

When it comes to the misfortune of marriage, her mood is obviously depressed.

Zhou Can didn't persuade him any more.

Whether it is a man or a woman, when the fate comes, it will naturally be a heartbeat.

At that time, there will be the impulse of love.

"The ward is here, let's go in!"

The two opened the door and entered the special ward.

For Tuya Hospital, which has always had a high shortage of beds, this kind of special ward, which is similar to a small single room or a double room, is an absolutely rare resource.

It used to be called the high-ranking cadre ward, but later it was changed to a special-grade ward or a special-needs ward because it affected the social atmosphere.

In fact, its function is not much different from that of the senior cadre ward.

There are two family members accompanying the patient in the ward.Also ask for a dedicated nurse.

The B rank of veteran cadres is still quite high.

A middle-aged couple in their 40s was chatting with the patient.Men are stable and majestic, while women are graceful and luxurious.Regardless of clothing or temperament, it is not ordinary people at first glance.

"Mr. Hu, are you okay? Is your right leg still hurting?"

Director Xueyan greeted the patients with a smile.

At the same time, he nodded to the middle-aged couple as a greeting.

"Thank you, Director Xue, for your concern. My other conditions are fine, but my right leg is still very painful. After you gave me the infusion, the pain has eased. But I am not at ease in my heart. Because my daughter-in-law told me that the pain It is a danger signal from the body, telling the owner that a serious disease is developing in the painful part of the body. I am afraid that the use of painkillers will cover up the danger signal from the body, and the course of the disease will continue to progress.”

Veteran cadres speak very calmly and logically.

And very sincere when communicating.

This is the self-cultivation that people have cultivated through years of training.

In our daily life, we will find that when we talk to some influential or successful people, the conversation and personality of the other party are very attractive.This is actually a concrete manifestation of self-cultivation.

At the same time, it also incorporates their knowledge, insights, perceptions and so on.

It is very difficult for a coolie carrying cement to say something rich in extremely high and profound philosophy.

Because the world struggles with food and clothing every day.

What I want is to carry more bags of cement and earn more than ten yuan.

"This is Dr. Zhou Can, a senior elite in our cardiothoracic surgery department. The hospital attaches great importance to your condition. After he came out of the operating room, he learned about your situation and came to the ward to give you a detailed physical examination."

When director Xueyan introduced Zhou Can's identity, he used the term "senior elite".

Under normal circumstances, senior experts are generally used.

Since Zhou Can's working years are still short and his academic qualifications have not been improved, his achievements in thesis can only be said to be very average.To be called an expert is to slap Zhou Can in the face.

At present, it is more appropriate to use the term senior elite.

But Zhou Can is also working hard silently.

Last time, he innovated the operation plan without aortic replacement. Based on this, he is already writing related papers.After it was published, according to Director Xueyan's conservative estimate, it would at least be included in SCI medical journals.

It may even be selected into the top national core medical journals in China.

SCI papers are world-class top journals. It is difficult to be selected, but the gold content is not bad.However, due to many reasons, national core medical journals have higher gold content.

At least that's how it is at home.

Some medical papers can be selected into SCI, but they cannot be selected into national core medical journals.

"Hello, Doctor Zhou! Your name has been heard by us for a long time!" The old cadre did not look down on Zhou Can just because he was young.

(End of this chapter)