My medical skills add experience

Chapter 592 Go directly to the ICU to solve the difficult disease of vomiting blood and blood in the stool

Director Tang Fei spoke, and the experts in the department could only fully cooperate.

Excellent leaders often have strong cohesion and appeal.

Even though they knew Director Tang Fei had picked up a hot potato, everyone rushed to the hospital as soon as they got the news to prepare for a tough battle.

After seeing the last patient, Zhou Can was going to see the child who had a severe cold and was almost killed by his mother.

Although after a series of rescue measures, the child's vital signs have stabilized for the time being.However, there is still a greater risk of death.

As soon as he left the outpatient clinic, Director Tang Fei called.

Tell him not to get off work, and a seriously ill child who vomits blood will be sent over later.

Zhou Can is a sharp spear in pediatrics to overcome difficult and miscellaneous diseases, especially in the diagnosis of difficult cases, emergency rescue, and most operations, including cardiothoracic surgery, which is a sophisticated operation.

It can be said that the presence of Zhou Can is the greatest confidence for Director Tang Fei to take over this hot potato.

When Director Tang opened his mouth, Zhou Can naturally would not refuse.

Before the child arrived, he decided to eat something before going to the ward to see the newly rescued child.

He wolfed down two pieces of bread and drank a glass of milk.

My hungry stomach finally felt better.

He hurried to the ward, and heard the nurse and the patient's mother explaining the work from a long distance away.

"Any questions?"

Zhou Can came to the hospital bed and asked in a gentle voice.

To be honest, he didn't have a good impression of this kind of thing.

No matter how much they love their children, it is extremely stupid to question the medical staff's treatment during the treatment process, and even secretly make some substantive small actions.

"Doctor Zhou, you came just in time. My son has a high fever of 41 degrees. Why don't you give him anti-fever drugs, but a lot of anti-viral, anti-infection, anti-inflammatory and calming drugs?"

The child's mother was clearly preventing the nurse from administering the drug.

Zhou Can found that the child's face became cyanotic again, and his breathing was abnormally rapid.

After careful inspection, he found that the child's clothes had three buttons unbuttoned, and there was an obvious smell of alcohol coming out.There was a bottle of suspected alcohol beside the bed, and a wet towel was in Baoma's hand.

"Did you use a wet towel to cool down the child just now?"

Zhou Can asked questions instead of answering.

"That's right! The nurse and the doctor in charge of the bed did not agree to give my son antipyretics, saying that it was done according to the doctor's instructions. I heard many experts say that children with a high fever exceeding 39.5 degrees can easily burn out the brain and cause excessive physical activity. Consumes energy and causes organ failure. Experts also say that ice cubes, alcohol, and wet towels can be used to physically cool down the armpits, neck, groin, etc. They also say that physical cooling has no side effects on the body and is safer than drug cooling... "

Baoma said it was more 'professional' than Zhou Can.

"Don't take the medicine yet. Measure the child's heart rate and breathing quickly, and then measure the finger oxygen."

The easiest way to clinically test blood oxygen saturation is to measure finger oxygen.

Can be measured with a fingertip.

The data is fairly accurate.

"Heart rate 195 beats/min, respiration 61 beats/min, finger oxygen 91%."

The nurse reported to Zhou Can after the test.

"Your child's life may not be saved!"

Zhou Can looked directly at the family members and said in a serious tone.

"Ah... After your rescue, didn't it mean that my son's physical signs have stabilized for the time being?" Bao's mother became anxious when she heard this.

"That's right. Your child has been rescued before, and his vital signs finally stabilized, but you used alcohol to lower his temperature. Because the child is still young and has a strong skin absorption ability, he has already shown alcohol poisoning. And you also prevented our nurses from The teacher’s drug administration is a double fatal injury to the child. You should take the child to those experts for treatment! There is nothing we can do here.”

Zhou Can really wanted to scold this female family member.

But he resisted.

Contradictions between doctors and patients must be avoided.

Mother Bao was completely panicked after hearing this, and said in panic, "Well, what can I do? I heard from experts that alcohol can be used to quickly lower the body temperature, and the effect is much better than water. How could you be poisoned by alcohol?"

"Hurry up and go through the hospital transfer procedures! I'll do it for you personally!"

Zhou Can looked indifferent.

The nurse stood beside her silently, but it could be seen from her expression that she was very relieved.

No nurse wants to wait on this kind of thing.

The work is already hard enough, and a lot of time and energy have to be wasted to explain the work to such family members.Anyone will be annoyed.

What's even more frightening is that these family members are prone to petty tricks.

For example, when infusions are given to patients, some drugs need to be dripped slowly.The family members waited impatiently, and simply thought that it would be enough to inject the medicine into the body anyway.So I turned up the infusion switch privately, and the medicine that was supposed to be instilled in four hours was finished in half an hour by the family members.

In this case, if the patient's body goes wrong, or even dies, whose responsibility is it?
As long as the patient dies or has a problem, the family members guarantee that they will be the first to make a scene in the hospital and seek justice for various claims.

When it's over, I have to scold you, quack doctor.

Zhou Can resolutely transferred the child to another hospital precisely because this precious mother was too scary.

"Doctor Zhou, I know I was wrong, please save my son..."

When it was over, the precious mother knelt on the ground again.

Faced with such family members who love to kneel down, Zhou Can is very helpless.

"It's not that I don't save you, it's that you have tormented your baby like this! Transfer to another hospital!"

Zhou Can refused with a cold face.

"I was ignorant, I was wrong..."

Pop, pop, pop!
Bao Ma frantically slapped herself, her face was swollen.

"Hey, don't do this! Don't do this!"

The nurse quickly put down the plate and pulled it back.

"I beg you guys, save my child. I only have such a child, woohoo... I know I'm wrong, I really know I'm wrong, and I won't listen to what those experts say..."

She cried very sadly.

After getting this far, I regret it in my heart for sure.

This kind of person should teach her a lesson.

"If you insist on letting your child continue to be treated in our hospital, that's okay. Because the child's condition is extremely critical and his life may be in danger at any time. Our hospital will immediately issue a critical illness notice to your child, and at the same time, the child must be taken to hospital immediately. The cost of transferring to the ICU for emergency treatment is very high. At least seven to eight thousand yuan a day, you have to be mentally prepared. And even so, it may not be able to save life."

Zhou Can explained the situation to his family members.

It's all serious.

"I agree, I agree. As long as I can save my son, even if there is only one percent hope, I am willing to pay any price."

When the child's mother heard that the hospital promised to continue treating her son, she agreed without any hesitation.

Next, go through the formalities of transferring to ICU.

This mother's financial conditions are very good, and she directly deposited [-] in advance.

It stands to reason that people with good economic conditions have high-paying jobs.Ability, insight, intelligence, experience, all aspects should be excellent.But this treasure mother is not like that at all.

Zhou Can secretly guessed that she might have money in her family.

There is a good father, or the husband is rich.

Zhou Can can't and won't take care of other people's private affairs.

The money is in place and the child is transferred to the ICU, which is enough.

"Doctor Zhou, is that child's illness really that serious?" the nurse asked Zhou Can in a low voice.

"It's serious. With our hospital's technology, it should be no problem to revive it. But you have also seen that if the child's mother continues to accompany the child, the child will definitely be killed. You give the child an infusion and an injection. It takes a long time to talk about needles. Putting the child in the small ICU of the pediatric department is good for everyone."

Zhou Can blinked.

The nurse smiled and nodded understandingly.

"It's still Dr. Zhou's thoughtful thinking. When encountering this kind of patients in the future, your method is definitely worth learning and learning from."

In the face of such family members, it will be a great trouble not to let the child be admitted to the ICU.

As for the cost of treatment will increase a lot, there is no way.

It was made by the family members themselves.

If the money is gone, you can earn it again. If the child's life is gone, you have nothing.

It could have been cured with [-], but now it may cost [-].It is also a profound lesson for the family members, so that this precious mother will no longer be "experts say" in the future.

After dealing with the child, Zhou Can went straight to the consultation room.

Because Director Tang called him ten minutes ago to ask him to come over for a consultation, and the daughter of the boss of the Bureau of Health and Family Planning has already transferred over.

In the past two years, Tuya Hospital and the Provincial People's Hospital have conducted many mutual learning exchanges. The relationship between the two hospitals has grown from being unfamiliar and hostile at the beginning to being quite close now.

The communication facilitated by Zhou Can has a far-reaching impact on the two hospitals, and it is a win-win situation.

However, Tuya Hospital has no contact with the Provincial Children's Hospital.

Like the Provincial People's Hospital, the Provincial Children's Hospital is also a well-established and strong hospital with many experts and profound heritage.

Such a veteran strong courtyard, each has its own arrogance.

Pediatrics is originally a difficult medical field, and Tuya's pediatrics is considered top-notch.However, in the eyes of the Provincial Children's Hospital, it is the leader in the province, and it has never recognized the status of the Pediatrics Department of Tuya Hospital.

Even a few years ago, Zhou Can cured an intractable disease that was not cured by experts from the Provincial Children's Hospital, it still could not change the situation.

The special expert Wei Zhengzheng of the Provincial Children's Hospital is still in close contact with Zhou Can.

In addition to mutual blessings and greetings during the New Year and holidays, there are also occasional medical and academic exchanges.

Academically, Zhou Can usually asks each other for advice.

As for medical skills, there are discussions with each other.

Zhou Can rushed to the consultation room and found that many experts from the Department of Pediatrics were present.It is already past nine o'clock in the evening, and these experts usually get off work early and go home to sleep.

It's really not easy to get together now.

In almost every consultation, Zhou Can was the last one to arrive.

It's not because he deliberately put on a show, but because he is really too busy.

"Dr. Zhou, after the discussion just now, there is a very controversial issue. When the child was admitted to the Provincial Children's Hospital for the first time, the main complaints were fever, abdominal pain, and blood in the stool. In fact, he was treated in the Provincial Children's Hospital for six days. No effect, the patient suddenly vomited blood this afternoon, and the person is still sane. Now the focus of everyone's controversy is whether it is upper gastrointestinal bleeding or lower gastrointestinal bleeding?"

Director Tang Fei is knowledgeable, has status, and looks very good-looking.

Excellent temperament.

Even people in their 40s are still very beautiful.

At this moment, she was sitting on the main seat in the consultation room, her face was radiant, and she looked really seductive.

Seeing Zhou Can arrive, she immediately introduced the condition of the child to Zhou Can.

It can also be seen that she relies heavily on Zhou Can.

"What color is the blood in the stool?"

"Jam color!"

"Is there a lot of bloody stools a day? Is there a lot of bloody stools?"

"Before admission to the hospital, he had blood in the stool two to three times a day, with a high fever of 39.6 degrees. After the treatment by the Provincial Children's Hospital, he now has intermittent blood in the stool, and when it is more, it is still two or three times a day. When it is less, there may be no blood in the stool, or only a small amount of blood in the stool The body temperature is also repeated, obviously it has been controlled, and the body temperature has dropped. But after a day or two, the body temperature will rise again."

Zhou Can frowned slightly after listening to director Tang Fei's introduction.

This recurrent disease is the most difficult to diagnose.

Because after treatment, the condition recurs, the most common situation is that the real cause of the disease cannot be found out.

For example, it is obviously a malignant tumor and treated as enteritis.

When the drug is administered, the condition will improve somewhat.Then as soon as the drug was stopped, the condition rebounded immediately and became more violent.

This is the cause of the disease could not be identified.

"Is this the first time the child vomits blood this afternoon? Is there a lot of blood?"

Zhou Can continued to ask.

"It should be the first time to vomit blood, and the amount of vomited blood is not large."

Director Tang Fei didn't seem to know much about these details.

"If not, I'll invite the family members over and let him answer everyone's questions face to face. After all, it's getting late, and everyone has work tomorrow, so we can't delay you for too long."

After finishing speaking, she sent someone to go outside to invite family members over.

Director Zhuang passed on the sick child's information to Zhou Can.

"Doctor Zhou can take a look at the child's examination report and treatment first. The child's disease may be Crohn's disease."

Intestinal diseases are very numerous.

Crohn's disease is notoriously difficult to diagnose and treat.

With the current medical level, this disease must be treated for life.

Its pathogenesis, so far, there is no clear conclusion in the world.

Some people are hereditary, some people get sick after eating seafood, and some people get sick after a common cold.There are also people who get sick just because they are overworked after returning home from mountain climbing.

The only consolation is that although the disease cannot be cured, it can be controlled by drugs.

It's just that imported medicines are a bit expensive, and the curative effect of domestic medicines is not satisfactory.

For patients, this is a very large financial burden.

After Zhou Can received the documents, he checked them carefully.

As expected of a sick child at the VIP level, all the examinations, tests, treatment medications, and nursing records from the Provincial People's Hospital have been obtained.

When ordinary patients are transferred to other hospitals, it is difficult to obtain complete medication records and specific treatment data.

This involves possible medical disputes.

The hospital where I was treated must be on guard. What if the family members get the data and find a professional to pick a bone?
Just like domestic restaurants and food processing stores, they are afraid of inspection.

It's usually fine, but if you check it, you can always pick out some problems.

(End of this chapter)