My Medical Skills Give Me Experiences

For a young female patient like this who suffers from massive lower body bleeding for no reason, it must be suspected that she has a miscarriage at first.

Especially ectopic pregnancy is the most prone to miscarriage.

This is why the hospital will ask clearly before performing an operation on a patient. If a female patient is pregnant, they will try their best to postpone the operation. When an operation is necessary, a doctor from the obstetrics and gynecology department will also be invited to perform the operation together.

Because if the fetal gas is moved, or the patient has a miscarriage during the operation, no one can bear the responsibility.

The patient's lower abdomen is flat, but other parts of the body still show a more or less pregnant appearance.

Stretch marks on the stomach and thighs are not the only signs of pregnancy.

Darkening of some parts of the body, thick hair growing on the lips, dull skin on the face and even many acnes... are all symptoms of pregnancy.

In the first trimester, these features may not be so obvious.

If you reach the third trimester, the various characteristics are extremely obvious.

"I asked the patient himself and his family members before the operation, and they all said that he was not pregnant! It should be impossible!"

Tang Wangnian was obviously not too sure.

There are even suspicions of shirking responsibility and covering up the inadequacy of the preoperative inspection.

Zhou Can frowned slightly, now is not the time to pursue accountability.

The most important thing is to save the patient's life first.

"Did you have blood drawn before the operation?"

"Smoked!"

It is almost one of the necessary items to do a blood test before surgery.

What blood type is the patient? Are there any infectious diseases? Is there a major physical impairment?

There is a lot of information that can be found out through routine blood tests.

"Immediately ask the laboratory to check the blood hcg of this patient."

Blood hcg and progesterone are the gold standard for detecting pregnancy.

In clinical practice, HCG examination is the most widely used.

In theory, it is more accurate than progesterone testing.

hCG is also known as human chorionic gonadotropin, as long as the woman is pregnant, the test will be positive.

It takes a certain amount of time for the laboratory to check HCG, but the bleeding situation of pregnant women is very dangerous now, and I am afraid that they will be gone before the test results come out.

Internal hemorrhage, especially uterine hemorrhage in women, is extremely dangerous and the mortality rate is extremely alarming.

"Have you communicated with the family?"

Zhou Can asked Tang Wangnian.

"No, no!"

Tang Wangnian's face was pale, and his eyes were full of panic and fear.

The female patient was on the verge of death, and he, the chief surgeon, could hardly shirk the blame. It is unknown what punishment will be given at that time. The lightest thing is to suspend the job for investigation, and if it goes wrong, the operation authority may be revoked, or even the license may be revoked.

Medical accidents occur in Tuya Hospital every year, some of which are unavoidable.

Some medical accidents are caused by doctors or nurses who did not strictly follow the regulations. In this case, hospitals and higher authorities often impose severe penalties on the medical staff involved.

"Director Zhou, because the cause of the massive bleeding has not yet been identified, communicating with family members will easily interfere and hinder the rescue. It is more likely to cause misunderstandings."

Nurses Tang Ling and Zhou Can are old colleagues.

When Zhou Can first entered the operating room of the emergency department, she happened to be transferred to the operating room as a nurse.

A few years later, she became a nurse, and Zhou Can was promoted to the deputy director of the department, the deputy team leader of the operating room, and the first team member of the quality control department, which she could only look up to.

Behind every position is a height that many doctors can hardly achieve in their lifetime.

"The patient had massive bleeding during the operation. If the family members are not informed, the trouble will be even greater. The only thing to confirm now is whether the patient is pregnant." Zhou Can's face was as deep as water, and his attitude towards Tang Ling was quite gentle.

After all, she was a girl and an old colleague, so he really couldn't get angry because of such a trivial matter.

"Doctor Tang, I'm really not talking about you. When the patient shows signs of lower body bleeding, you should immediately think of taking a pregnancy test for her. If you don't do a pregnancy test before the operation, if there is a problem during the operation, you still only think about it." Shirk responsibility. If this patient dies on the operating table today, your future will be completely ruined, do you know?"

Zhou Can couldn't hold back his anger.

Vent to Tang Wangnian.

Although Tang Wangnian is a senior attending physician, he is in his forties and is much older than Zhou Can, but at work, Zhou Can is his superior and has the right to control him.

Officials crushing people to death at the first level is applicable anywhere.

"I, I thought the patient might just be on her period..." Tang Wangnian could only explain in a low voice with his head bowed under the scolding.

In fact, he also knew that there were negligence in this operation.

After the accident, the response was indeed a little slow, and it was not done well.

"Have you ever seen a woman who has her period, bleeding like a fountain? You are a senior attending physician, so you don't even have this experience? Get two pregnancy test strips right away. The tour teacher will get the catheter. It is too late to wait for the laboratory test results to come out, and the cause must be found out immediately and further treatment should be done. Otherwise, it will be difficult to rescue this patient."

Zhou Can's rescue experience is extremely rich, and he never plays cards according to routines.

Those rules and regulations, in his eyes, are just that, and he will break them without hesitation when they should be broken. Especially when saving a patient's life, if one's hands are bound, a fresh life will be lost.

As long as you do your best and do your best, if there is anything, leave it to the department and the hospital to help wipe your ass.

At least Tuya Hospital is currently doing a good job of protecting doctors.

Especially for the quasi-famous doctors who he focused on training, the hospital and departments love him very much.

This kind of good medical environment is very friendly to doctors. It can allow doctors to let go of their hands and feet during the rescue process, greatly improving the success rate of rescue.

In addition, the improvement of doctors' medical skills is definitely the fastest in the rescue process.

Because in such a highly tense situation, the doctor can't help but squeeze out all the potential.

Tang Wangnian and other doctors and nurses couldn't help seeing Zhou Can's quick inspection plan.

It is indeed much faster to check with a pregnancy test strip than a blood test.

It's just that the accuracy is difficult to guarantee.

Less than five minutes later, Tang Wangnian got the pregnancy test strips.

In order to save himself, he also worked hard.

I directly called a relative who opened a pharmacy next to the hospital, and asked him to hurry up and send a box of pregnancy test strips.

Under normal circumstances, this relationship would certainly not be easily exposed.

However, if you open a pharmacy, a hotel, a rehabilitation center, or a confinement center around the hospital, at least nine out of ten are inextricably linked to the doctors and nurses in the hospital.

Often they are their acquaintances or relatives.

It doesn't matter at all, not to mention anything else, soliciting business is a big problem.

For example, if you open a confinement center, if your relative is a chief physician in the obstetrics and gynecology department of Tuya Hospital. After receiving patients, as long as he meets a suitable patient, he will try his best to recommend it to the confinement center.

Out of trust in the doctor, patients will mostly go to the confinement center recommended by the doctor when they have this need.

Then the confinement center would tacitly give the recommended chief physician a commission.

Everyone benefits each other.

Only in this way can the business last for a long time.

There are also doctors who simply end up in person and ask their spouse or themselves to open a rehabilitation center.

As long as there is a steady stream of customers, the profits will be considerable.

The hospital turned a blind eye to this kind of thing.

As long as nothing happens, no one will take care of it.

Some attending physicians only earn tens of thousands of yuan a month, but their families have bought several houses and drive luxury cars worth hundreds of thousands. Children are sent abroad to study. With a serious salary, it is impossible to live so well.

It can only be said that after working for several years or more than ten years, such a doctor has made a fortune through his own accumulation.

After the pregnancy test strips arrived, Zhou Can had already inserted a urinary catheter for the patient, and dripped the dripped urine on the detection area of ​​the test strips.

Then just wait patiently.

Rescue work for patients has also continued.

It's just that the speed of blood transfusion couldn't keep up with the bleeding, and the situation became very dangerous for a while.

Now it is not known whether the patient is pregnant or not, Zhou Cankong has the ability to stop bleeding and dare not use it casually. For example, the commonly used hemostasis method, if you know it is intrauterine bleeding, you can use gauze filling to stop the bleeding.

If the patient is pregnant, this will not work.

The test results came out soon.

Pregnancy test was positive.

In order to ensure the accuracy of the test, the test was carried out on two test papers.

The results were all positive.

So far, Zhou Can has roughly guessed the cause of the patient's massive bleeding. While inviting experts from the obstetrics and gynecology department to participate in joint consultation and rescue, they also explained and communicated to family members.

The critical illness notice was also sent to the family members.

In this accident, the hospital has a certain responsibility, but the family members and the patient themselves also have great responsibility for concealing the fact of pregnancy.

Even if it is a lawsuit, the probability of the hospital winning the case is very high.

The obstetrics and gynecology department sent two doctors to participate in the rescue. One is Zhou Can's old acquaintance, old classmate, Yang Chan. The other is Zhao Zhisheng, the deputy chief physician of the Department of Obstetrics and Gynecology. Many people think that obstetrics and gynecology are all female doctors. In fact, this is a wrong perception.

There are also many male doctors in obstetrics and gynecology.

For example, this Zhao Zhisheng is one of many male doctors in the Department of Obstetrics and Gynecology. He can become the chief physician, so his strength and level are naturally very high.

After coming, through the examination, it is directly determined that the patient is an ectopic pregnancy, which is commonly known as an ectopic pregnancy.

It may be that during the operation, the drug causes uterine contraction, which leads to miscarriage and heavy bleeding.

Ectopic pregnancy itself is very dangerous.

This female patient concealed the fact of her pregnancy and asked the doctor to perform subcutaneous tumor resection on her unprepared. It was a joke with her life.

Zhou Can is very good at hemostasis and surgery.

But he is really not good at obstetric surgery.

Yang Chan, who hadn't seen her for a long time, seemed to have lost some weight, but she also became more beautiful. A trace of self-confidence can be felt from her eyebrows.

It seems that her medical skills should have improved a lot in the past few years.

In the following operation, she showed her hand very well, which really made Zhou Can look at her with admiration.

Her current level of surgery is not inferior to that of senior attending physicians. No wonder Director Zhang of the Department of Obstetrics and Gynecology fell in love with her at the first sight and devoted all his efforts to cultivating her.

Don't look at Zhou Can's current medical skills that have all reached the director's level, and she is several blocks away, it is because of the system's bonus.

She doesn't have a system, relying entirely on talent and sweat, she can improve her surgical ability to this level in just a few years, which is really amazing.

…

At the end of the rescue, the patient's uterus was not removed.

Postpartum hemorrhage is often forced to remove the uterus in order to save their lives.

In the event of intrauterine hemorrhage, after comprehensive consideration, the doctor will generally require the removal of the patient's uterus to save his life.

It is difficult to stop bleeding due to heavy uterine bleeding.

And extremely dangerous.

The patient's uterus and life were saved, which is a blessing in misfortune.

Zhou Can couldn't help but heaved a long sigh of relief when he saw the patient turned from danger to safety, and felt a chill on his back. Only then did I realize that I was busy saving people just now, and my back was already drenched with sweat.

Tang Wangnian took off his mask, showing a reborn expression.

The patient was barely saved.

This feeling of having your head pinned to your trouser belt is really frightening.

I believe that with this experience and lessons, he will be more cautious in practicing medicine in the future.

He had already received relatively reliable news a while ago, and the department gave him a place to evaluate the deputy senior professional title.

With this quota, as long as the hardware conditions in all aspects are qualified, it is basically a certainty.

When many medical students just graduate, they naively think that as long as they have enough ability, they can be rated as deputy high school or regular high school. In fact, they ignored the biggest influencing factor of the hospital.

As we all know, doctors work in the hospital where they are registered.

According to the size and comprehensive strength of the hospital, there are indicators for the titles of deputy senior and senior senior.

Obtaining the hospital's indicators will definitely get twice the result with half the effort.

In a compound like Tuya~www.readwn.com~ the deputy high school, the main high school, and the number of establishments will all be assigned to specific departments.

The emergency department has been blessed by Zhou Can in the past two years, and when allocating these places, it can be regarded as a small piece of meat.

In the past, it was hard to say whether I could have a sip of soup.

Tang Wangnian got a sub-high index in the emergency department, and he was somewhat flustered.

As soon as a person floats, he must be careful to be stabbed.

He inevitably had some negligence and carelessness in his work, which almost led to tragedy in the end. The lesson this time was very profound for him.

"Okay, the patient should be fine, so we will withdraw first."

Director Zhao Zhisheng took the mask and gloves and threw them into the trash can.

"Thank you, Director Zhao and Dr. Yang. I'll see you off."

Although Zhou Can has been trying his best to avoid contact with Yang Chan, but this time he has something to ask for, so he can't cross the river and tear down the bridge, right?

He could only bite the bullet and send the two of them away.

This is also a kind of respect.

"Director Zhou didn't call me that before!"

Yang Chan's bright eyes narrowed slightly, and a complicated expression appeared on that pretty face.

"Cough...Squad leader, don't make fun of me. You and I have always been old classmates."

When Zhou Can was told by her in front of colleagues in the department, he suddenly felt a little fever on his face.

Others showed weird smiles, somewhat gloating.

Everyone usually only sees that Director Zhou is invincible in the department. Whether it is the operating room, the emergency room, or the emergency room, he is always invincible. Now that Director Zhou is deflated, everyone feels very happy.

"You still recognize me as the monitor. You thought that you would stop playing with us old people after you became the director! Every time I come to the emergency department, I don't see you. Are you hiding from me on purpose?"

Yang Chan seems to have had a grudge for a long time, and she has no intention of letting him go easily today.