My Medical Skills Give Me Experiences

If Lin Anxi was willing to take some risks and accept Zhou Can's suggestion on the night when he was transferred to Tuya, his daughter might still be saved.

Although Lin Jinzhi is a member of the medical system, he is not a doctor, and he does not know the horror of the progress of the disease.

There are many chronic diseases, and it is also fatal if the treatment is delayed.

It is also gastric cancer, one day earlier and one day later may be the difference between the second stage and the third stage. This is also why doctors try their best to arrange beds for some patients when they suspect malignant diseases, admit them to the hospital as soon as possible, and do various examinations as soon as possible.

Sometimes it is even risky to start taking medication before the test results come out.

This is really the heart of a Bodhisattva.

For doctors, treating one more patient and one less patient has almost no effect.

The reason why they work so hard is definitely not to earn the patient's treatment fee. In fact, even if the patient's treatment fee is as high as one million, what can fall into the pocket of the receiving doctor is very limited.

At that time, Zhou Can strongly suggested to give the little girl a laparoscopy, which was completely out of the doctor's sense of responsibility and full of goodwill.

It is a pity that the family members were unwilling to take this risk, and finally delayed again and again.

Minor ailments can turn into serious illnesses, not to mention the terrible intestinal type evil group.

Many people only know that cancer is terrible, but they don't know that there are many diseases with a much shorter survival cycle than cancer. For example, in the intestinal type malignant group, if effective treatment is not given in time, the survival period will hardly exceed two months.

Among the cases that Zhou Can has seen, he basically died within a month or so.

Faced with the begging of Bureau Forest, Zhou Can also wanted to help, but he knew that there was nothing he could do.

"Doctor Zhou, why don't we help you find a way! It's good to do your best and obey the destiny. I'm a mother, and I feel very uncomfortable every time I see this situation."

Director Tang Fei said beside him.

She has a very close relationship with Zhou Can, and she has taken care of Zhou Can a lot since the first day he entered the pediatric clinic.

Later, even though Zhou Can took the lead in protesting the hospital's disregard for the safety of clinical medical staff in the emergency department, she rushed to support with the pediatric doctors and nurses.

When people get along with each other, the heart is the most important thing.

Similar character, level and state of mind are relatively close, only the same kind of people can get along happily.

This is also the reason why things are judged by their kind and people are divided by groups.

People who are not on the same level, it is difficult to get along with each other sincerely. The levels are similar, but the character is too different, and they can't urinate in the same pot.

Zhou Can is willing to stay in the Department of Pediatrics and work hard. It is very important to have a good leader like Director Tang Fei.

Now that she has spoken, Zhou Can will naturally consider it carefully.

"When I checked Lin Yuxi just now, I found that she was sweating profusely, her abdominal muscles were tense, and her tenderness was extremely obvious. Then I also saw the results of the emergency peritoneal dialysis. There was free gas under the double diaphragm, suggesting that the intestinal tract There are piercings. To be honest, this is already terminally ill!"

As cruel as it is to tell the truth, it has to be said.

"Doctor Zhou, Director Tang, I beg you to do your best. As for the result, I can accept any result. I can immediately sign the agreement and sign the release agreement."

Lin Jinzhi regretted it very much, but it's a pity that there is no regret medicine in this world.

Zhou Can was also particularly impressed by this case.

"Let's do an exploratory laparotomy first! Intestinal perforation definitely requires surgical treatment. After laparotomy, it can be treated on the spot."

Zhou Can gave a diagnosis and treatment opinion.

"Okay, I agree!"

Lin Jinzhi agreed this time without even thinking about it.

It's a pity that there is a big difference between agreeing now and agreeing six days ago.

To become the boss of the Bureau of Health and Family Planning, one must have no mental problems, and one cannot be a mother-in-law in case of trouble. But many things, if you care about it, you will be chaotic.

His daughter's life was at stake, which made him indecisive.

Now that the **** of death has come, he has no choice.

Next, an emergency laparotomy was performed on the little girl. During the operation, it was found that there was light yellow turbid fluid in the abdominal cavity, which was as high as 700 ml after suction. Zhou Can found multiple peanut-sized lymph nodes at the root of her mesentery, and a 12cm-long, 9cm-diameter mass in the ileocecal.

This mass is exactly the cord-like mass that was touched in the patient's abdomen during the physical examination.

I saw it tightly adhered to the retroperitoneum.

After discussion, Director Xiao from the Department of Digestive Surgery was invited over.

Under the on-site "guidance" of director Xiao, Zhou Can performed the surgery himself, and performed intestinal mass resection, lymph node removal, and end-to-side anastomosis of the ileocolon for the little girl.

After the surgery, Zhou Can couldn't be happy.

He usually has full confidence in surgery.

This time it felt very heavy.

With his current level of surgical skills, he is actually able to perceive the patient's physical condition during the operation, and even have a more accurate prediction of the prognosis.

The operation went well, but his premonition was bad.

This little girl is afraid that something bad will happen.

"The patient's intestine is already extremely fragile, especially the ascending colon is like a rotten wood. Postoperative care should pay special attention to intestinal re-perforation and peritonitis." Zhou Can warned.

"OK."

The itinerant nurse has great respect for Zhou Can. Because it was not the first time she had seen Zhou Can's ability in the operating room.

In the operating room, the nurses can basically tell at a glance who is capable and who is not.

Many young doctors of Zhou Can's age are still complacent about getting a chance to have their skin closed. It took more than an hour to suture the most precious thing, and then I felt that I had made great progress in surgery.

Zhou Can, however, is already able to hold a scalpel and maneuver vertically and horizontally in the patient's abdominal cavity, incision, separation, resection, hemostasis, debridement, lymph node removal, anastomosis, and cavity closure. All steps are performed in one go and operated freely.

The level and strength displayed are even better than some chief physicians.

Facing such a super genius, the nurses naturally respect from the bottom of their hearts.

If it weren't for knowing that Zhou Can was married, the surgical nurses chasing after him would definitely have formed a long queue.

You know, the nurses in the operating room are all very good-looking.

Coming out of the operating room, Lin Jinzhi waited anxiously outside.

"Doctor Zhou, how is my daughter?"

"The operation went well, but your daughter's ascending colon is already extremely fragile, and the condition is very bad. I am particularly worried that there will be a second perforation, and during the laparotomy, 700ml of cloudy fluid was drawn out of her abdominal cavity. The contents that flow out after the perforation of the tract. This is prone to peritonitis, especially for patients with poor physical condition like her, who are more prone to peritonitis."

Zhou Can's tone was dignified and his expression serious.

"Thank you, thank you! Thank you for your hard work!"

Lin Jinzhi naturally knew that Zhou Can basically completed his daughter's surgery. During these six days, his daughter's condition worsened and he missed a good opportunity for treatment, coupled with the treatment experience in the Provincial Children's Hospital, he realized that professional titles and titles are just floating clouds.

The most important thing is the real ability.

He didn't know how capable the young man in front of him was.

All he knew was that in so many years, it was the first time he heard many experts, professors, ordinary medical staff, family members, and patients praise the same doctor at the same time. Even Professor Wei Zhengzheng from the Outer Academy, many colleagues and friends from the Bureau of Health and Family Planning and the Center for Disease Control and Prevention all spoke highly of Zhou Can.

This is enough to show that Zhou Can's ability is extraordinary.

"There is a nurse in my team who is very good. He has learned a lot of advanced nursing knowledge during his overseas study and has practiced in many large hospitals in China. I am really moved by the fatherly love you show. That's good, I Call to see if I can get that nurse to come over. With her help, the chances of survival after surgery are better."

Zhou Can's team is just such a baby bump.

In order to keep Jiang Wei, he did a lot of work.

"Great! Dr. Lao Zhou will take care of you."

Lin Jinzhi repeatedly agreed, and was even more grateful to Zhou Can.

Zhou Can didn't shy away from it, and directly dialed Jiang Wei's phone in person.

After ringing for a long time, the phone was connected.

In the middle of the night, she must be sleeping soundly.

The front-line medical staff are very tired at work, and they often go to the hospital in the middle of the night to rescue patients, and they never get enough sleep.

"Hello!"

A lazy and somewhat lost female voice came from the other end of the phone.

"Jiang Wei, it's me, Zhou Can!"

"Ah...boss, it's you! I'm sorry, I slept too deeply and didn't even look at the screen." When she heard that it was Zhou Can, most of her sleepiness immediately woke up.

"I should be the one to say I'm sorry for disturbing your dreams in the middle of the night. There is a little girl here who has just undergone surgery and is likely to be an intestinal type. The situation is very bad. I know your nursing level is extremely high, I want you to come over and help her take a look and make a nutrition plan and care plan. Can you see it?"

"You have already spoken, I will definitely go through fire and water!"

"It's inconvenient to take a taxi at night, and it's not safe for you as a girl. I'll go pick you up!"

"OK!"

She and Zhou Can are welcome.

Since Zhou Can helped her get rid of loan sharks and return to normal life, she has regarded Zhou Can as one of the most trusted people.

…

Fifty minutes later, Zhou Can took Jiang Wei to the hospital.

Not long after Lin Yanxi was transferred from the recovery room to the ICU, she looked very weak.

He opened his dull eyes slightly, looking at the busy medical staff in front of the hospital bed.

After Jiang Wei looked at it, her expression was serious.

Several people came to the waiting room, and she said directly, "This little girl's condition is very bad, and the chance of survival may not exceed 5%. I can give her a combination of medication and nutritional care, but the chance of survival is still not more than 10%. "

In clinical practice, she estimated the survival rate of such seriously ill patients, and it came true almost every time.

The survival rate is less than 5%, which is almost a certain death.

"Let's do our best!"

Zhou Can is also not optimistic about the little girl's prognosis.

Jiang Wei formulated a nutrition plan and postoperative care plan for Lin Aixi. The operation does not require her to take care of it personally.

The next day, Zhou Can got the news that Lin Aixi's condition took a turn for the worse, with abdominal pain, high fever, and signs of organ failure.

His heart is heavy, the little girl is afraid that he will die soon.

Another two days passed, and on the fourth day after the operation, Lin Jinzhi called Zhou Can, his tone seemed quite excited.

"Dr. Zhou, I have good news for you. My daughter's condition has improved today. When I went in to visit, the medical staff told me that my daughter's urination had increased and she was crying for food for the first time. According to The nutrition plan formulated by Jiang Wei made porridge for her, and she drank half a bowl. Do you think there will be a medical miracle?"

After Lin Jinzhi finished speaking, he asked again with some trepidation.

"I hope for a medical miracle."

This is Zhou Can's answer.

It's no fun to deceive family members, but it can't undermine the confidence of family members.

He could only answer with this kind of ingenuity.

According to his clinical experience, some seriously ill patients suddenly show improvement, which is likely to be a flashback.

At least, he thinks that it is difficult for Lin Yanxi's condition to be a miracle.

In the blink of an eye, another five days passed.

This is the ninth day after Lin Aixi's surgery, and Lin Jinzhi calls Zhou Can almost every day to report on his daughter's situation.

He knew that Zhou Can was very busy with work and might not have time to take care of his daughter.

Moreover, Zhou Can is not afraid of power, and he is not as flattering as other doctors to him, the boss of the Bureau of Health and Statistics. Just treat him as an ordinary family member.

It was this that made him feel that Zhou Can was very real.

According to Zhou Can's prediction, it would be difficult for Lin Aixi to survive a week. But now he has lived two days longer, and judging from Lin Jinzhi's feedback, Lin Yanxi's condition has continued to improve in an unbelievable way.

This shows that it is not a flashback.

Since the ICU implements aseptic management, irrelevant idle personnel, including the medical staff of this hospital, cannot go in at will to check the patient's condition.

Zhou Can could only understand Lin Aixi's condition through Lin Jinzhi's description and his colleagues who worked in the pediatric ICU.

On the tenth day, Director Tang Fei personally sent Zhou Can a WeChat message.

"Doctor Zhou, this little girl was saved by you!"

Director Tang Fei also posted a cheerful and jumping emoticon in the back.

It can be seen that she is in a very good mood.

From the random photos she sent, it can be seen that Lin Yanxi has been transferred to the general ward. The whole person looks very different from ten days ago. There seemed to be a little blood on his face.

Of course, it may also be the effect of camera beauty.

Smartphones these days all come with automatic photo beautification functions. It is also the high-definition camera and video recording function of the mobile phone that directly puts the traditional camera on the ground.

In the past, when traveling, many people would hang a camera on their chest.

Except for journalists, professional photographers and practitioners, no one uses cameras anymore.

Instead, use a more convenient and faster mobile phone.

After get off work, UU Reading www.uukanshu.com Zhou Can took Jiang Wei to visit Lin Aixi who was transferred to the general ward.

Even he himself felt incredible.

How could the little girl who was destined to die survive?

This also made him look at Jiang Wei even more highly.

The two came to the ward, and Lin Jinzhi was standing in front of the bed, feeding his daughter warm water.

Seeing Zhou Can coming, he immediately stood up and held Zhou Can's hand tightly.

"Doctor Zhou, thank you for saving my daughter, thank you! I will never forget your great kindness in my life."

Having experienced the imminent loss, the boss of the Health and Statistics Bureau cherishes the present even more.

"The hero who really saved your daughter's life is the nurse Jiang Wei. Without her nutritional support, combined care plan, and chemotherapy drug advice, I think it would be difficult for such a medical miracle to happen."

Zhou Can gave all the credit to Jiang Wei.