My Medical Skills Give Me Experiences

There were many concerned family members guarding the corridor. They were either sitting, standing, or squatting on the ground.

Without exception, these people are staying here because their relatives or friends are in the intensive care unit.

Patients who need to be admitted to the intensive care unit are basically critically ill.

To put it bluntly, it is still unknown whether he can come out alive.

The person in charge rang the doorbell, and after a while, the door retracted to the left. A nurse stood inside the door.

Those anxiously waiting family members rushed forward immediately.

"Hey, hey, if the family members want to apply for a visit or know the situation, please go to the side door next to it. These are doctors who came to support, let them in first."

The nurse was fierce and very loud.

Not to mention, only she can hold back these anxious family members.

One by one obediently get out of the way.

Zhou Can and others followed the person in charge into the ward of the intensive care medicine department.

If you want to enter the ward inside, there are still two doors.

Including the person in charge of the team, there are a total of ten doctors, which is quite spectacular in number.

After they all entered, the outermost protective door was also quietly closed. The family members outside are isolated from all noises.

"Dr. Yu brought another batch of recruits here?"

The female nurse greeted the person in charge with a smile.

"Isn't that right! Welcome to see you off, this time a total of thirty-two Gui Pei students have come, you have something to teach!"

Doctor Yu, who was in charge of leading the team, responded with a smile.

After a brief exchange with the nurse, he looked at the nine Gui Peisheng students.

"Let me first introduce the main process of entering the ward. After entering the first door, wash your hands there first, and then go to the changing room to put on isolation protective clothing, including shoe covers. After coming out of the changing room, you can enter The second door. Do you see the big characters on the ground? After entering that door, pollution can still exist, so it is called a potential pollution area.”

"After entering the potential pollution area, your whole body will be sterilized, mainly with ultraviolet light. Then you can enter the third door. That is the real ward. Don't make loud noises in it, and pay attention to communicating with other people. The doctors and nurses cooperated closely and carried out various effective rescues for the patients."

These processes are basically the same as the specialist icu.

However, compared with the specialist ICU, the scale here is much larger.

It needs to look more professional in every way and be much more staffed.

Just in the polluted area inside the first gate, you can see many nurses busy.

"Over there is the duty room, over there is the temporary meeting room, there is the material room, and there is the sewage treatment room. The patient's feces, sucked pus, sputum and other dirt can be disposed of there."

Through the transparent glass wall, you can see several doctors and nurses sitting around their desks in the duty room, operating computers or discussing patients' conditions.

Zhou Can washed his hands, changed into his isolation suit, and walked out.

"Don't enter the ward, just wait here. When your superior doctor is not busy, he will come out and call your names. At that time, just follow the superior doctor's orders."

After bringing you here, the task of the person in charge is basically completed.

He walked to the duty room and knocked on the door.

"A new batch of regular trainees has been pulled over for you. The list is here, and each of you will bring one."

"Doctor Yu, Gui Peisheng will come and go one by one. When can we get a few regular ones? I just learned a little bit, and I was able to get started and help with some work, and then I ran away."

A younger doctor complained to the person in charge.

This problem is especially acute in the nursing department.

It takes only three to five years to train a nurse, and it is difficult to stand alone.

Just after being trained, the nurse resigned or changed jobs.

Because Tuya Hospital is well-known, the treatment, status, and room for growth are not bad, and the turnover rate of nurses is much lower.

Some small hospitals often experience labor shortages.

"You have to report this issue to the hospital. I'm the only one who regulates Pearson, and it doesn't work."

Doctor Yu smiled wryly.

"Hey, who is Zhou Can? This Gui Peisheng was taken by the attending doctor as soon as he arrived. Doctor Yu revealed to us, is he a related household?"

Doctors will pay extra attention when dealing with related households.

At work, I will try my best not to offend related households.

As the saying goes, it depends on the owner to beat a dog.

The people behind those related households can't afford to offend them.

"What kind of relationship households, they will be promoted based on their strength! The top students in this year's regular training students will be cultivated by the hospital." Dr. Yu explained to them.

"That's awesome! All right, these people can just throw it away, we will arrange it. Go and do your work!"

Several doctors and nurses heard that Zhou Can took the position based on his strength.

I couldn't help being a little more curious about him.

After Dr. Yu left, those doctors called their names one after another. Gui Peisheng, who was called by his name, happily followed the superior doctor who was teaching him into the ward to study.

Zhou Can was a bit miserable.

His superior doctor was at the attending level, and he hadn't seen him come out for a long time.

So just stand outside and wait.

"There is something wrong with bed 6, and your teaching doctor is busy dealing with it. If you want to go in, I can take you there."

A young doctor in his thirties said to him friendly.

"Okay, okay! Sorry to trouble you!"

Zhou Can smiled gratefully at the doctor.

"You're welcome. When I was Gui Peisheng, I was just like you. I was very cautious. After spending a few years in the hospital, you will find that the superior doctors are actually not that difficult to deal with. They curse because the patient has something wrong. Or worry about a junior doctor messing things up."

The doctor taught him in the tone of someone who had experienced it.

Zhou Can followed this person into the ward, where many doctors and nurses were busy busy.

Various machine alarms sounded one after another.

Once inside, it feels like being on a real battlefield.

The tense atmosphere brought Zhou Can an invisible psychological pressure.

"That's Dr. Hu, he already knows you, just go there."

Zhou Can looked over and found a middle-aged doctor in his forties on bed No. 6 who was bending over to treat the patients on the bed.

Nurses are there to help.

The patient's breathing was very poor, and his finger oxygen was alarmingly low.

His nails were cyanotic, his lips were black, and his complexion, including his face, was somewhat purple and blue.

Zhou Can walked to the hospital bed and saw that Dr. Hu was suctioning the patient carefully, so he didn't dare to disturb him.

"It's Zhou Can, right?"

Dr. Hu saw all directions and listened to all directions, and had already noticed Zhou Can's arrival.

"Yes!"

Zhou Can looked very cautious.

"You can't help this bed for the time being, go to bed 7 to help the patient turn over. Bed 7 is for patients with gastrointestinal bleeding, and the movements should be as gentle as possible when turning over."

Doctor Hu exhorted.

"OK!"

Zhou Can walked to the 7th bed behind him. This was a male patient with a thin face and a shriveled body.

Estimated age is thirty-seven or eighteen years old.

It looks bad.

Dying, wearing a non-invasive non-ventilator.

Gastrointestinal bleeding usually takes a long time to reach the hospital for treatment. Small problems eventually become big problems.

In addition, patients with gastrointestinal bleeding also have a notable feature, unexplained weight loss and melena.

If it is upper gastrointestinal bleeding, even vomiting blood is possible.

Zhou Can carefully turned the patient over.

"Uh, uh... just, defecate..."

The patient makes a weak sound.

Zhou Can seemed to understand.

This man wants to shit.

"Just use the bedpan for him!" A nurse came over, picked up the bedpan deftly, and held it for the patient.

As soon as he opened the patient's pants, Zhou Can felt nauseated and nauseated.

The patient is already pulled on the body.

Red.

"He seems to have blood in his stool." Zhou Can was a little at a loss.

"For a patient with gastrointestinal bleeding, hematochezia is normal. This patient's unexplained lower gastrointestinal bleeding has lasted for a long time. It was only sent for treatment when it developed to be very serious."

The nurse introduced the patient's situation and handled it skillfully.

I really admire the professionalism of the nurse sister.

Zhou Can watched how she dealt with it, secretly remembering. It's impossible to call other nurses to help every time, right?

"What's that? It's not stool and blood, it looks like intestines."

Zhou Can was terrified.

When the patient defecated, the intestines were pulled out.

In medicine, it can also be called rectal prolapse.

It's scary.

On the first day of the regular training in the intensive care medicine department, he felt like he had entered a **** world.

Every patient here has half a foot, or even more than half of his body, stepping into the gate of hell.

In the general ward, I can't feel this kind of severe fear of dying.

"Don't be afraid! When you encounter this situation, check it out. As long as there is no ulceration and bleeding, just help the patient put it back into the body."

Seeing Zhou Can's frightened look, the nurse couldn't help laughing at him for being timid.

She calmly and skillfully helped the patient deal with it, and put the intestines back into the body.

"The treated waste cannot be left in the ward, and needs to be taken to the waste treatment room in the polluted area for timely disposal," she said to Zhou Can.

Seeing her leaving quickly with the dirt on her back, Zhou Can was ashamed again.

At this time, I finally had the opportunity to take a good look at this dying patient with gastrointestinal bleeding.

Dr. Hu didn't arrange new tasks for him for the time being, so he simply checked the patient's examination report and other information.

According to the doctor's diagnosis opinion, the patient belongs to diffuse intestinal bleeding.

This bleeding is generally very troublesome.

If the bleeding site can be identified, and there are only one or two bleeding points, colonoscopy can be performed.

For unexplained bleeding like this, colonoscopic surgery is of little significance.

Traditional laparotomy and exploratory surgery are even more unnecessary.

With a patient like this, who dares to let him go to the operating table.

Zhou Can checked the patient's medical history and found that the black stool had lasted for nearly half a year.

In order to find out the cause of the ordinary postman's bleeding, the attending doctor even performed an X-ray barium test and an angiography test for the patient. Still not much to gain.

At present, it can only be determined that the patient has diffuse intestinal bleeding.

The patient can survive until now because of chronic bleeding.

"Tumors and polyps can basically be ruled out."

With Tuya's level of doctors and inspection equipment, tumors in the millimeter scale can be detected.

He was only thirty-six years old, and he was in his prime. What was the cause of the intestinal bleeding?

Zhou Can repeatedly studied the inspection report and inspection materials.

"Xiao Zhou, come and help!"

Dr. Hu called him over there.

I had no choice but to put down the materials and walk over quickly.

The patient in bed 6 seemed to be dying, and his face looked more cyanotic. It was as if an invisible hand had grabbed his neck.

Breathing also becomes very laborious.

It feels like pulling a bellows.

"what happened to him?"

Zhou Can looked at the patient with fear in his heart.

He didn't know if he had a sixth sense, but he felt that the patient was dying.

"Drinking pesticides, multiple organ failure, lung fibrosis!"

Dr. Hu was expressionless, frowning as he stared at the patient. It can be seen that he has tried his best to save the patient, but with little success.

A nurse is already nebulizing the patient's breath.

The effect is also not good.

Pulmonary fibrosis is an irreversible lesion that makes it increasingly difficult for a patient to breathe.

Normal human lungs are composed of many alveoli.

The total area of ​​the alveoli of an adult is about the size of a house, about 100 square meters when spread out flat.

When lung fibrosis occurs, the contraction and activity of alveoli will be seriously affected.

It is like a balloon made of soft rubber skin, which can be easily blown up.

But when the balloon wall becomes hard and its elasticity becomes poor, it will become difficult to blow it up or deflate it.

"Looking at the situation, this patient may not be able to survive. Paraquat is too harmful. Few patients who drink this pesticide can be saved. Patients who drink it are like activating Pandora's Box , the consequences are doomed and difficult to reverse."

Dr. Hu watched the patient's vital signs drop, and sighed.

The doctors have worked so hard to take care of the patients day and night, all kinds of rescue, medication, and careful nursing, in order to let the patients survive the most difficult time and transfer back to the general ward from the ICU alive.

But doctors are human beings after all, not gods. What they can do is to treat patients with the help of all kinds of professional medical equipment and medicines based on what they have learned all their lives.

In the hearts of ordinary people, paraquat is just a herbicide.

But in the minds of doctors, this pesticide is different from ordinary pesticides, it is synonymous with the devil, the **** of death.

When many patients drink it, they can't think about it for a while and act impulsively. When he entered the hospital, his relatives, wife and children were crying around the bed. He felt that his behavior was too impulsive.

Under the persuasion of his relatives, wife and children, he was determined to live on.

Two days before drinking paraquat, after gastric lavage, infusion and other treatments, the patient hardly felt much physical harm. Can eat and drink, and the spirit is quite good.

Just when they thought they could recover and leave the hospital soon.

The condition will keep getting worse.

And it's irreversible.

Kidney failure, lung fibrosis, and then systemic organ failure, breathing becomes difficult, and the body is destroyed step by step.

Gastric lavage, hemodialysis, everything the doctor could think of was used.

But this pesticide is terrible.

No treatment was effective. I can only watch helplessly as the patient's condition worsens day by day and eventually dies.

Fortunately, the country has attached great importance to pesticide safety and has banned the production of paraquat pesticide.

"Go and inform the family members! Let the family members see the patient for the last time. He is probably going to die soon."

When Dr. Hu said these words to the nurse, his tone was low.

"Hmm! I'll notify the family immediately!"

When the patient is dying, the hospital will allow the family members to meet with the patient in consideration of humanitarianism.

Say a dying farewell.

"Xiao Zhou, have you ever met a patient who died of illness?"

Doctor Hu looked at him.

"I've seen it!"

During Zhou Can's internship, UU read www. uukanshu.com saw it in the general ward. He just stood at the door and watched from a distance. The family members wept around the hospital bed and kept calling their relatives' names.

He will never forget that scene.

"That's good! When working in the ICU in the future, we often encounter situations where our doctors are powerless. Although human medicine is already very advanced, there are too many diseases that cannot be cured. I have heard some things about you, Excellent performance in all respects.”

Dr. Hu changed the topic and talked about Zhou Can himself.

"The rumors may not be credible. At best, I am a little bit better than other Gui Peisheng in some aspects." Zhou Can is not completely humble.

I really think so.

At present, his various medical skills are at the deputy director level. Others are mostly at the attending level, and some are at the resident level.

And to acquire new medical skills in the future, it is possible to upgrade from the practice level.

Therefore, he is still far from being good enough.

He put himself in the right place.

"You are quite humble. During the three months of ICU training, I should basically take you. If you perform particularly well in the later stage, there may be a chief physician who is willing to take you. No matter what, the hospital will focus on training you. , this is a good thing, I hope you can always maintain an open-minded and studious attitude."

Dr. Hu looked into his eyes and said.

"I will." Zhou Can nodded heavily.

"I really hope that our Tuya Hospital can train more and more excellent doctors. It is best that no patients will be admitted to the ICU forever. For all diseases, prevention is better than cure."

Dr. Hu talked about his inner feelings and vision.

There are so many patients admitted to the ICU, which only shows that today's medicine is still very backward, and there are still many life and health problems that cannot be solved.