My medical skills add experience

Chapter 591 Recognized, a dead mother
The creator Zhong Lingxiu, Zhou Can has seen all kinds of strange things.

In the obstetrics department, there was even a baby whose heart grew outside the chest cavity.Later, it was returned to its place through surgery, and the little baby survived tenaciously, and is now five years old.

The hemorrhage in this patient's body was extremely strange. It was obvious that the blood stagnated in the abdominal cavity, but the patient vomited a lot of blood from the mouth.

From a doctor's professional point of view, this situation is extremely abnormal.

"Is an autopsy necessary to determine the cause of death?"

Qin Yuanzhu is not a clinician, but he is also a medical professional.

It is natural to understand that the cause of death of this patient is like a mystery.

"Let's take a look at the image data of the CT room and the ultrasound room first! Maybe we can find clues from them and understand the cause of this patient's death."

Zhou Can replied like this.

Now there are two things that can be confirmed. First, the patient definitely did not die from bladder rupture and urine pouring into the abdominal cavity.The patient should be anuric before death.There are many reasons for anuria, and it is most common in the intensive care unit, mostly in the failure of important organs.Especially kidney failure.

This patient may have had anuria due to excessive blood loss.

It can only be speculated at present.

The second point is that the cause of death of the patient is likely to be massive hemorrhage caused by rupture of the aorta.Many symptoms before death are highly consistent with it.

The film taken by the patient before his death was quickly transferred out.

The images of the ultrasound department are generally recorded in real time, and the flexibility is very high. Reading, reporting, and diagnosis all need to be operated by a doctor alone.So when the report is issued, there are only a few sheets, and there are only a few sheets for archiving.

Fortunately, there are a total of six films kept in the CT room, some of which have not been reported, but are archived.

Zhou Can carefully checked them one by one.

"I found it!"

Zhou Can soon made a major discovery, and couldn't help pointing to a place in the film excitedly.

"Look here, there is obviously a hemangioma."

After careful identification by everyone, they found that it was really a hemangioma.

"This hemangioma should grow in the liver area, and it feels like an arterial hemangioma on the liver."

"It's not a feeling, it's just a hepatic artery hemangioma."

Director Shi and Director Shang both expressed their opinions after reading it.

Zhou Can frowned and stared at the film carefully for a while, then continued, "I feel that the location of the growth of this hemangioma is very strange, it is located in the lower right part of the liver. This location is close to the duodenum and colon." next to each other."

Having said that, Zhou Can didn't go any further.

Because doctors are a rigorous discipline, it is definitely not acceptable to just talk about it.

No matter what kind of diagnosis it is, it needs medical data to support it.

It is best to have a variety of clear inspection reports, whether it is laboratory inspections, imaging room inspections, or other unconventional special inspections, which can provide a basis for diagnosis.

With the current inspection report, there is no way to fully support Zhou Can's bold inference.

"What does Dr. Zhou mean? It doesn't matter if you say it. Anyway, everyone present is from his own hospital."

Deputy Section Chief Xiong is worthy of being Director Shang's friend, and he keeps leaning towards the Department of Gastroenterology at critical moments.

"I suspect that this hepatic aneurysm is intergrown with the duodenum. That is, the artery grows into the duodenum, and the vessel wall is symbiotic with the intestinal wall of the duodenum."

This is a bit like two houses next to each other. In order to save costs and increase space utilization, the two houses share a wall.

"It would be unbelievable if that were the case!"

For the first time this time, Director Shi did not refute, but marveled at the miraculous phenomenon in this patient's body.

"The aortic hemangioma of the liver grows together with the duodenum. When the blood tumor ruptures, a large amount of blood pours into the digestive tract. A large amount of bleeding follows the intestinal tract into the large and small intestine in the abdominal cavity. Some of it enters the stomach, It is not uncommon for a patient to vomit profusely before dying. Yes, that is likely to be the case."

Director Shang's eyes were bright, and he was happy to find the real cause of death of the patient.

"Although this kind of thing is a bit unbelievable, the facts speak louder than words. There is indeed such a possibility. There are almost no pain-sensing nerves in the liver area. Even if the aneurysm ruptures, the patient will not feel much. I support Dr. Zhou Can inference."

Director Shi has a high status in the first team of the quality control department.

Especially in the investigation of the cause of death, his words have great weight.

Now he publicly supports Zhou Can's inference, and the cause of the patient's death can basically be concluded.

The hospital handles the death process, while ensuring rigor, it can be simple and simple, and it can be advanced as soon as possible.

It is absolutely impossible for the family members of the deceased to drag the dead body to place wreaths in the hospital, burn paper money, and make all kinds of noise.

Because of this happening, the repercussions are very bad.

"Well, not bad! Everyone has worked hard. The discussion on the cause of the patient's death has come to an end. The rest of the matter will be handled by your medical department. You must appease the emotions of the family members and do a good job in explaining and publicizing. The hospital maintains the greatest goodwill, Do what you can to help your family.”

Assistant Qin made a concluding speech.

Most of them are said to the medical department.

"Zhou Can, you are doing well! It seems that the two vice presidents strongly recommended you to join the quality control department. It is a very wise decision. Work hard. The hospital needs a capable, courageous and careful employee like you."

Qin Yuanzhu praised Zhou Can and stood up.

"Dismiss!"

Zhou Canjin's first assignment in the quality control department made Yuanzhu Qin very satisfied with his performance.

The other two members of the quality control department also looked at Zhou Can with admiration.

"We can go!"

Director Ju greeted Zhou Can.

"Ok!"

Zhou Can nodded.

It is not clear the specific identity of Director Ju Shiman, but I think his status in the Nursing Department will not be low.

Now that she can take the initiative to express her enthusiasm to Zhou Can, it is also a kind of recognition for Zhou Can.

"The young man has quick thinking and solid professional knowledge, not bad!"

Director Shi also praised Zhou Can with a smile.

"You are too much! I should learn more from you seniors in the future."

Zhou Can didn't dare to raise his tail.

Director Shi's performance today is quite strong, and his status in the Institute's Infection Office should not be low.

The members of the quality control department are basically all part-timers, but the hospital inspection office is different, basically they are all full-time.That is to say, the leaders and ordinary commissioners of the Hospital Infection Office all take the work of the Institute Infection Office as their main duty.

Just like Zhou Can's work in the emergency department is his main job.

"Xiao Zhou, thank you! Thank you so much!"

Director Shang held Zhou Can's hand tightly.

If Zhou Can hadn't helped find out the cause of the patient's death today and cleared the Gastroenterology Department of his innocence, this matter must have been troublesome.

The little nurse looked at Zhou Can with a very grateful and respectful look.

Perhaps because of her low status, she didn't dare to speak up.

So he just dared to stand where he was, watching Zhou Can leave from afar.

……

Time flies, and more than eight months have passed in the blink of an eye.

Zhou Can's position in Tuya Hospital became more and more stable, and it grew steadily.From a well-known little doctor who could only hide behind the scenes, he has now become a middle-level person with a certain status in the hospital.

Whether in the clinical field or the field of hospital leaders, he has made certain achievements.

In the clinical field, he now spends half a day in the emergency department and half a day in the pediatrics every week.Although he is only a resident doctor, his account is more difficult to obtain than many expert accounts.

Director Tang from the Department of Pediatrics and Director Lou from the Emergency Department both talked to him.Tell him that you can find a way to upgrade his outpatient number to a special number, and the consultation fee can also be raised to 32 yuan per number.

This is equivalent to being at the same level as the deputy director.

This can increase Zhou Can's income a lot.Not all the consultation fees are given to the doctor personally, but a large part will be returned to the doctor.

Zhou Can can see fifty patients even if he only spends half a day in the pediatrics department.

People often ask him for plus signs and all kinds of pleadings.

He usually adds a number to others with a soft heart.Once I was in the pediatrics department. It was the flu season at that time, and there were a lot of children who fell ill.

Children, with weak resistance, are very susceptible to various viruses.

However, children have a fast metabolism and are full of vitality. As long as they are treated in time, they will recover soon.

That time, he added a full 31 numbers.

It was busy until after nine o'clock in the evening.

Including pediatric routine laboratories, ultrasound rooms, and CT rooms, he has been working overtime with him.

Because Director Tang personally made the scheduling, let these departments work hard and work overtime.

Otherwise, these departments are off work, and it is useless for the patient to order an examination from Zhou Can.

That overtime work left a deep impression on many pediatric doctors.

Even Director Zhuang and many famous experts in pediatrics did not have the treatment that Zhou Can did.

It was also working overtime that night that Zhou Can saved two young lives.One child had a persistent high fever and was treated in the local People's Hospital, Traditional Chinese Medicine Hospital, and Maternal and Child Health Care Hospital.

The family members are more picky and suspicious.

After two days of treatment at the People's Hospital, the fever did not subside, so she immediately went to the Maternal and Child Health Hospital.Because someone told the family members that the Maternal and Child Health Hospital specializes in treating pregnant women, female patients, and children, and it is more professional there.

The family members immediately transferred to another hospital and took the child there. After waiting in line for a long time, they finally received medication.

After one night, it still didn't work, and the family members believed other 'friends' and went to the hospital for treatment.It is said that the traditional Chinese medicine hospital mainly uses traditional Chinese medicine, which has no side effects.

After a day of treatment in the Chinese medicine hospital, there was still no obvious effect.

Moreover, after tossing and tossing back and forth, the child's condition worsened, his breathing became short of breath, and his face was cyanotic, which was very scary.

The family members were terrified, as were the doctors and nurses at the Hospital of Traditional Chinese Medicine.

What if the child dies in the hospital?
It happened that the family members were very suspicious, so the doctors and nurses took the opportunity to persuade her to take the child to a large provincial hospital as soon as possible.It was also the child who deserved to die, and the family members sent a circle of friends for help out of fear.

Someone told her that Dr. Zhou Can from Tuya Hospital is very famous and specializes in treating all kinds of emergency and severe diseases.

When the family members got the news, they hurried to the provincial capital with their children.

When she arrived at Tuya Hospital with her child, she had already left work.

However, I learned from the nurse that Dr. Zhou Can is still attending consultations, but the number is already full.Moreover, Dr. Zhou Can only sits in the pediatric department for half a day a week.

The family members felt both hopeful and desperate on the spot.

He carried the child to Zhou Can's outpatient room, forced his way in, and knelt on the ground as soon as he entered the door.

Or maybe it was limp on the ground.

Because the child was really in critical condition at the time.

"Doctor Zhou, help me, please save my son..."

Zhou Can has a lot of contact with family members who hug their children or bring patients and kneel down for help.

To be honest, he generally doesn't like this kind of family members very much.

Because he showed kindness several times and treated the patients.As a result, his family complained against him.Moreover, this kind of family members who like to kneel at every turn have a lot of things to do, and their thoughts are prone to extremes.

They never think about problems from a doctor's perspective.

Anyway, what they think is what they think.

Zhou Can worked overtime until after eight o'clock in the evening, and didn't eat any food.The whole person is actually quite tired.

But there are still seven or eight added numbers that have not been read.

He could only grit his teeth and persist.

At that time, when he saw the woman kneeling on the ground with the child in her arms, he was going to ask the guiding nurse to persuade her to go out.As a result, seeing the child's face turned purple, he immediately realized the seriousness of the problem.

Quickly explained a few sentences to other patients, and gave priority to rescuing the child.

Fortunately, after efforts to rescue, the child's vital signs stabilized.

Zhou Can also breathed a sigh of relief.

After questioning, I learned the reason why the child was seriously ill.

The child itself may just have a bad cold and a high fever, and the condition may be a bit tricky, but with the strength of the county-level people's hospital, it can be handled completely.The main reason is that the child's mother is too suspicious, and the doctor prescribed a medicine for the child. She asked friends about it and went online to Baidu for popular science.

After such a commotion, which doctor would dare to let go of his hands and feet to treat the child?

In fact, it started to take effect on the second day of treatment in the People's Hospital, but the family members are not professional in this field, and relying on subjective assumptions, they insisted on taking the child around.

This has serious consequences.

Zhou Can went back to the outpatient room and read all the remaining patients before getting off work.As a result, the five-year-old daughter of the No. [-] boss of the Health and Family Planning Bureau was also ill and was treated in the Provincial Children's Hospital for four days but did not improve.

He vomited blood that night.

The experts at the Provincial Children's Hospital were panicked. If such an important patient died in the hospital, wouldn't the boss of the Health and Family Planning Bureau hate them for the rest of their lives?
It's just that a group of experts really have nothing to do.

Later, the boss of the Bureau of Health and Family Planning might think that the level of Tuya Hospital is a little higher.

In desperation, he called Dean Zhu for help.

Dean Zhu himself has not been engaged in clinical work for a long time, so he can only ask the boss of the Health and Family Planning Bureau to ask Director Tang Fei of the Department of Pediatrics.

In fact, with Dean Zhu's wisdom, he naturally understands that if he takes over this kind of hot potato, he will easily get into trouble if he is not careful.

The intention is to push if you can.

After all, the child has been treated in the Provincial Children's Hospital, and the level there is not bad.

So many pediatric specialists can't cure them, and most of them still can't cure them when they come to Tuya Hospital.

At that time, the credit will not be reaped, and people will bear grudges.

Unexpectedly, director Tang Fei couldn't bear the pressure from the big boss of the Bureau of Health and Family Planning, so she promised to try.

At that time, she may also have considered that in the past two years, with the help of Zhou Can, the Department of Pediatrics has successfully diagnosed and treated many cases of intractable diseases.Especially in the past year or so, Zhou Can's level is obviously higher than before, and there are few difficult cases that cannot be resolved.

Unless it is a terminal illness that cannot be cured with the current medical level and drugs.Or for cases that are already terminally ill, there is no way.

As long as there are difficult cases with treatment opportunities, Zhou Can can usually work together with pediatric experts to overcome them.

(End of this chapter)