MTL - My Medical Skills Give Me Experiences-Chapter 412 The true cause of gangrene

【My medical skills can add experience points】【】

I don't know what kind of surgery it is?

There are many major operations in cardiothoracic surgery, and most of them have extremely high risks.

To be honest, the doctors in the cardiothoracic surgery operating room are more than prudent in their work, but their hand speed is a serious flaw. Don't look at Director Hu Kan doing some difficult cardiothoracic surgeries without any accidents.

That's because director Hu Kan will do a lot of calculation work every time before the operation.

It can even be refined to what may happen to each surgical part, making emergency preparations in advance, or avoiding potential risks in advance.

Zhou Can got the true biography of Director Hu Kan, and he is very clear about Director Hu Kan's routines for dealing with those difficult and major operations.

Director Hu Kan can use this method of avoiding surgical risks well, but it doesn't mean that Xueyan, Director Le and others can also use it well.

Because this is a test of a doctor's experience, prognosis estimation, and flexible use of various techniques.

Director Xueyan's surgical experience is still far behind that of Director Hu Kan.

Some surgical skills are even only at the level of the deputy director. She is far from enough to flexibly use various medical skills in surgery, especially when patients are in emergency or critical situations.

Under such circumstances, taking the risk to challenge the difficult level 4 cardiac surgery, the result is almost predictable.

It's already so late today, Zhou Can plans to find out more about the specific situation tomorrow.

After all, the patient is dead.

Right now, the priority is to ensure that nothing happens in the operating room of the emergency department.

The patient who developed gangrene was not even dared to admit it to a specialist department. One can imagine how high the risk is.

He made his way to the inpatient ward.

The emergency department is really changing every month now, and it is not an exaggeration to describe it as changing with each passing day.

The inpatient ward changed from one to two.

There are five beds in each ward, and twelve temporary beds are added in the corridor. If there is an emergency, there is still room for movement in the observation area and the infusion room.

It is not a big problem to add another five or six temporary beds.

"Hey, Doctor Zhou hasn't got off work so late!" Jiang Shuangshuang is the doctor on duty in the ward tonight.

"There is a patient with gangrene in the leg wound. I just finished the operation. I am a little worried, so I came here to see. Has the patient been transferred to the inpatient ward?"

Zhou Can asked.

"Not long after he arrived, he has already been placed in bed No. 22. I checked just now, and the patient's signs are still stable. It's just that he still has a fever. His wife fed him a bowl of broken noodles."

Jiang Shuangshuang was full of respect for Zhou Can.

Doctors are like this. They respect those colleagues who are virtuous and skilled in medicine from the bottom of their hearts.

When Zhou Can came to make rounds, he had very brilliant and unique insights on some cases. Prescribed medical orders are often forward-looking. All these made Jiang Shuangshuang admire him from the bottom of his heart.

Sometimes when she encounters a problem that she doesn't understand, she asks Zhou Can for advice, and Zhou Can will patiently guide her.

And some of the explanations she gave were even better than her previous teachers.

This especially shocked and admired Jiang Shuangshuang.

Zhou Can went straight to bed No. 22.

Along the way, some family members recognized him and greeted him enthusiastically.

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【My medical skills can add experience points】【】

Zhou Can didn't put on airs either, and responded one by one in an approachable manner.

Pu Tong and others are all like the thoughts of close relatives, and these words are basically reflected in him.

This is the quality of a great doctor, which is difficult for ordinary doctors to achieve.

"Doctor, thank you for your help. This allowed my husband to undergo surgery and be hospitalized." The woman brought her son, who was a few years old, and when she saw Zhou Can approaching, she immediately knelt on the ground and was about to kowtow to Zhou Can.

This scene really scared Zhou Can.

Quickly help the female family members.

"Elder Sister, please don't be polite. I'm very happy to help you, and I don't expect anything in return. Have you had dinner?" Looking at the dry and white lips of the female family member, it is likely that she did not have dinner.

"I'm not hungry!"

The female family member said so, but at this moment, her stomach grunted uncontrollably.

"My mother said that the food outside is very expensive, and I should save the money for my father's medical treatment!" The little boy timidly interjected.

Children are the most innocent, and they generally don't lie.

Zhou Can glanced at a bag beside the bed, which contained an opened bag of instant noodles. The little boy was holding a stainless steel rice bowl with some leftover soup in it.

You can also see the residue of the fast food noodles, and the fragrance emanating from it also proves that the fast food noodles were soaked in this basin not long ago.

To save money, maybe only soaked half a pack.

Seeing this scene, Zhou Can understood everything. I just feel very uncomfortable.

This world has never been fair. People who live well can eat thousands of dollars for a single meal. People who have no money are reluctant to buy a box lunch outside.

Even a pack of instant noodles has to be soaked twice.

Zhou Can is a rich man, so he can't understand how difficult this family is.

All I know is that their family of three went to work in the city, and that her husband has been receiving treatment since he was injured while riding a motorcycle. Money must have been spent.

She had to take care of her children and take care of her injured husband, so she couldn't go out to work.

The daily rent, water and electricity, food and drink expenses, and the husband's medical expenses for a family of three are enough to quickly wipe out the family's small savings.

"Children, are you hungry?"

Zhou Can knelt down and touched the little boy's head.

Possibly due to malnutrition, the little boy's hair was thin, thin and yellow.

"I'm...a little bit hungry!"

The little boy peeked at his mother quietly, then whispered back.

"It's so cute! Uncle will bring you something to eat tomorrow."

Zhou Can gave the little boy a friendly smile.

"Our hospital has a love project to help some patients and their families from other places. I will ask tomorrow. If you meet the conditions, you can eat in the cafeteria for free."

This sentence was obviously directed at the female family members.

"Thank you! Thank you!"

The man on the hospital bed looked very weak when he spoke.

People's hearts are made of flesh.

There are unruly and difficult family members, as well as chilling family members and patients. Zhou Can has encountered many.

But he always maintained the kindness and enthusiasm in his heart.

Seeing such a patient in need of help, he will give some appropriate help within his ability.

"Brother, you are welcome. How do you feel now? Is there any discomfort?"

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【My medical skills can add experience points】【】

Zhou Can asked the patient.

"I feel much better, but I feel a little cold." The patient replied.

Chills, this is one of the more common symptoms of severe infection and extensive gangrene.

Sepsis can really kill people.

And it can easily kill people.

"I'll ask the nurse to bring another quilt later. Someone will come to give you an infusion later on. Let's see the situation tomorrow! I hope you can keep your leg."

Zhou Can didn't blame the patient and his family members for tossing around before. He took a wound that could be healed with sutures until it became infected, festered, and even gangrene occurred.

Because it doesn't make sense anymore.

I believe that if we can do it all over again, patients and their families will definitely go to a regular hospital to treat their wounds without hesitation.

Rather than rushing to a small clinic to save money.

Tragedy like this in order to save money, but end up with more serious losses, is performed in hospitals almost every day. Sometimes, even life is saved.

For example, a 41-year-old male patient felt that irregular labor pains would always occur in his abdomen. He was worried that going to the hospital for an examination would be too expensive, so he ignored it. Until one day, he fainted from the pain on the construction site.

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He was sent to the hospital for examination by his fellow workers, and it was already an advanced stage of colon cancer.

If you can go to the hospital for examination earlier, you may be able to kill cancer in its infancy.

There was also a patient who squeezed a red rash on the bridge of the nose, and found that the bridge of the nose was swollen and painful afterwards, and continued to be red and swollen. Then less than three days later, he was sent directly to the ICU of the hospital.

Think about it, the cost of living in ICU for one day is at least a few thousand more.

It is very common for someone like him to live in tens of thousands a day.

Zhou Can noticed a pained expression on the man's face.

This is by no means a sign of coldness.

"Are you in pain?"

"The leg undergoing surgery is a little swollen and sore. It should be fine, it has happened for a long time. Since the accident, it has been swollen and sore from time to time."

The patient replied indifferently.

"Do you often experience leg pain after injury?"

Zhou Can asked.

As a professional, he can keenly discover hidden dangers that some patients cannot discover.

"Well, it seems that this phenomenon has been happening after the operation." The patient nodded for confirmation.

"Is it a wandering pain, or a fixed position?"

Zhou Can asked again.

"It seems to be of the wandering type! The painful part is in this large area, and sometimes it seems that there is a drill bit in it."

The man thought about it carefully before answering.

Zhou Can has a bottom line in his heart.

"Okay, you can rest first! You can drink water and eat, and you can't move this leg. It's best to go to the toilet on the bed." Zhou Can made a request to the patient.

Walking and squatting may cause the wound to further crack, ooze blood, and exudate.

And now it is in the state of open drainage, and the first surgical debridement has just been completed, so it is necessary to prevent the wound from being polluted again.

"When he goes to the toilet, or helps him scrub his body, in order to prevent the gauze on the leg wound from being contaminated, you can protect it with plastic wrap, plastic bags and the like outside. You must not go into the water."

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【My medical skills can add experience points】【】

This water includes the patient's urine and feces.

After explaining, Zhou Can got up and left.

He frowned slightly, obviously thinking about the patient's condition.

Migrating pain occurred in the legs, and it happened from time to time, and it still exists.

Is there a certain connection with the patient's gangrene?

Zhou Can has rich experience in surgery and has encountered local gangrene caused by arterial embolism.

At this moment, he highly suspected that the patient's leg had a partial arterial embolism.

If this is the case, it is necessary to help the patient remove the thrombus or fat embolism in the artery, and the wound on the patient's leg can heal only after the blood supply is restored.

Zhou Can ran to the night market stall outside the hospital, bought three hot dumplings, and returned to the emergency inpatient ward.

"Hey, why is Dr. Zhou back?" Jiang Shuangshuang was still treating the patient with all her heart.

Injecting drips and changing medicines are basically the duties of nurses.

But it's like a husband and wife, if the distinction is too clear, it's boring. Doctors and nurses should work together with the same purpose. That is to find ways to help patients recover.

On this point, both Jiang Shuangshuang and Lin Ping are very competent.

"I saw a dumpling seller outside the hospital, so I bought some for the patients and their families who had an extra 22 beds. That child is too young, how pitiful it is to be hungry!"

Zhou Can replied with a smile.

"It's really pitiful. And I've never heard of any charity project in our hospital that will provide three meals a day for patients and their families. Dr. Zhou is really special!"

A beautiful arc appeared at the corner of her mouth.

"Haha, it's our adult rule to see through and not tell the truth! Help if you can, no one is in trouble yet!"

Zhou Can smiled and winked at her.

Only Jiang Shuangshuang was left looking at his back with a nice smile on his face.

Warmth can light up everyone's heart.

It can infect others and act as a role model.

Those who are virtuous can carry all things.

Needless to say, Zhou Can must have become taller in Jiang Shuangshuang's heart. Even this good impression will last a lifetime in her heart. It has always affected her medical practice career.

When Zhou Can delivered the dumplings, the nurse had already infused the patient with fluid.

"I went out for supper, and bought some for you, I don't know if it suits your taste."

"Thank you! Thank you so much! How much, I will pay you!"

The female family member was so moved that tears rolled in her eyes.

Only when you have experienced helplessness, despair, and indifference, can you know how warm and precious this kind of care from strangers is.

When she called to lend money to her husband to see a doctor, she ran into walls everywhere.

When she took her husband to see a doctor, the big hospital heard that she insisted on protecting her husband's leg and playing football everywhere, but refused to admit her. UU Reading www.uukanshu.com

Until I met Zhou Can, who helped their family too much.

"No money, I'll treat you to eat!"

Zhou Can refused to accept the money.

"Just now I thought about his cause carefully on the road. Logically speaking, he is so young, strong, and the wound has been treated in time, so gangrene should not have occurred. Thinking of the swimming in the leg he mentioned just now If you are in pain, I suggest you have a color Doppler ultrasound to see if there is a blood vessel embolism."

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【My medical skills can add experience points】【】

He made some new inspection suggestions to the family members.

"I'm sure you know how serious your husband's condition is. It's almost every second to save your leg. My personal opinion is that if you agree to do this test, I will ask the superior doctor for instructions and order an urgent color Doppler ultrasound. There are people on duty at night in the ultrasound room of our emergency department. If it is really a thrombus, there should be no delay, and the thrombus must be removed immediately..."

Zhou Can explained the reasoning carefully to the family members.

"Doctor Zhou, we trust you very much. Since you said so, let's do this examination!"

The female family members have a high degree of trust in Zhou Can.

This is also the ideal doctor-patient relationship for doctors. Patients can have a high degree of trust in doctors. Only in this way can doctors let go of their hands and try their best to treat patients.

"Okay, I'll go to the superior doctor for instructions first, and I will arrange for someone to do a color ultrasound for your husband after I issue a checklist."

After Zhou Can came out, he called Dr. Xu directly.

This must be reported to Dr. Xu.