Chapter 174 Real family members, excessive electrocoagulation

Author: Jiangbian Yuweng

Chapter 174 Real family members, excessive electrocoagulation

Of the five patients under his care, three were awaiting surgery and two were in the post-operative recovery period. Overall, they were pretty relaxed.

It was rare for him to be so relaxed. With a learning and responsible attitude, he began to check the patient's examination report bed by bed to understand the patient's current symptoms. Now he has rich experience in how to communicate with family members or patients.

After all, I have been training for so long.

When chatting, start with the issues that patients or family members are concerned about, and you can easily open up the topic and gain their favor and trust.

The patient in bed 16 had a thoracic duct ligation two days ago. Currently, his physical signs are quite stable and he is recovering well. There are no complications after the operation.

The patient in bed 17 had a cardiac aneurysm.

Judging from the inspection report, the diameter of the aneurysm is quite large. There are many surgical options for treating aneurysms, such as aneurysm embolization, stent placement, blood vessel replacement, and clipping.

If it is an aneurysm of the ascending artery of the heart, a stent cannot be placed.

Director Xue’s treatment plan for this patient was to surgically clip the aneurysm. The lesion should be unsuitable for interventional surgery.

"I'm afraid the clipping of aortic aneurysm is not that easy to perform!"

After Zhou Can read the inspection report, he thought the operation was quite difficult.

He had never performed a clipping operation on a cardiac aneurysm, but had performed an intracranial aneurysm clipping operation.

And I have done many of them.

He has relatively rich surgical experience regarding the technical difficulties of clipping hemangioma.

Director Xue is the chief physician, and she dared to decide on the operation. She must have made a comprehensive assessment of the risks and difficulty of the operation. This shows that she is confident.

Zhou Can doesn't need to worry about this matter.

The most powerful surgical expert in cardiothoracic surgery should be the ‘most stable scalpel’ – Director Hu Kan.

Zhou Can is particularly looking forward to seeing Director Hu Kan’s surgical style.

"Xiao Zhou, the department has arranged an emergency operation for bed 19, and sent the patient to the operating room at 9:50! Please follow up!"

Is this related household going to have surgery right after they move in?

Although it is just a simple pectoral muscle suturing operation, it is not done in such a way, right?

Even in the emergency department, it is very cautious to perform surgery under general anesthesia on patients.

"Didn't he just move in? How do you fast for 12 hours before the operation?"

Zhou Can asked.

General anesthesia surgery for adults often requires fasting 12 hours before surgery and no drinking 4 hours before surgery. Otherwise, if the patient's gastric contents reflux and are aspirated into the respiratory tract after general anesthesia is performed, it is no joke.

"The attending doctor has already asked, and the patient has not eaten since 5 o'clock last night."

Dr. Zhao explained rather impatiently.

"That's okay!"

Zhou Can began to follow up the operation of 19 patients.

Preoperative understanding and necessary examinations are very necessary to help patients prepare for surgery and be in the best condition for surgery.

I have to be sent to the operating room at 9:50, so time is very tight.

Zhou Can can only do this first.

Walking directly to bed 19, three family members gathered around the bed, waiting on the man on the bed.

It can be seen that this man must have been pampered by his parents since he was a child.

An average adult man, even if he is injured and in severe pain, cannot cry out like a girl.

At this moment, the man took a painkiller injection and was lying on the bed with his eyes closed.

His beautiful wife took a small plastic stool and sat in front of the bed, playing with her mobile phone non-stop.

Zhou Can glanced at it and fainted.

She was actually on Baidu, asking what to do if her chest muscles were injured?

What they are most afraid of are the patients who seek popular science on the Internet on their own. They like to use the popular science knowledge on the Internet to judge whether the doctor's operation is correct and whether there is anything fishy.

"Hello, please show me the patient's examination report!"

With the inspection report in her hand, Zhou Can could only ask her for it.

The woman looked up at him and asked reluctantly.

"Is it necessary?"

Zhou Can has been making rounds in front of the hospital bed, they must have noticed him a long time ago.

Ordinary patients' families will respect doctors very much.

But this family of four is not an ordinary person.

They felt that they knew the chief physician of the cardiothoracic surgery department, and they were somewhat powerful, so they did not take "convenient" doctors like Zhou Can seriously.

"The patient will undergo surgery at 9:50 and must make preoperative preparations immediately! We need your active cooperation."

Zhou Can said to her seriously.

"How should I perform an operation on my husband? Who is the surgeon? Even if it is a pre-operative conversation, shouldn't it be the surgeon who comes to talk to us in person? We are very familiar with you, Director Xue!"

After she asked a series of questions, she even revealed her relationship with Director Xue.

Doctors and nurses are very troubled when encountering such patients.

Because it is difficult to deal with.

She thinks she is familiar with the hospital's procedures and routines, and she shows off her intelligence and sense of superiority at every turn.

Of course, their original intention is to obtain better medical resources.

"The surgeon will discuss the surgical plan with you. I am the bedside doctor and am responsible for following up on the surgery and helping the patient make the necessary preparations before the surgery." Zhou Can felt a little pained by this woman's question.

The patient's parents stood aside and said nothing, allowing their daughter-in-law to do whatever she wanted.

It is estimated that this woman also wanted to show off her knowledge and abilities in front of her parents-in-law.

That's why it's so difficult.

"Okay, okay, I just know that you, a bedside doctor, don't know anything! When your surgeon comes later, I will ask him to find out more about the situation." The woman reluctantly gave the examination report to Zhou Can.

The contempt for Zhou Can in his eyes and tone was really not concealed at all.

Zhou Can concluded for this woman that being beautiful does not necessarily mean she has qualities.

Maybe it's just a nice-looking skin.

Read the examination report carefully. Before the operation, you need to at least check whether the patient has done any necessary examinations such as routine blood tests.

There is also whether the patient has infectious diseases, inflammation, etc.

Follow-up of a surgery by a graduate student may seem simple, but there are actually a lot of things to do.

If there are any major omissions, you will be scolded by the superior doctor and the chief surgeon.

When he first started his internship, he was scolded many times.

Almost every doctor grew up like this.

The patient's condition is okay and there are no contraindications to surgery.

"You don't have any symptoms like cold or fever now, do you?" Zhou Can began to ask the patient some basic information.

Some patients may find it annoying, but these must be asked clearly.

Before surgery, patients should avoid respiratory diseases, such as colds and inflammation.

"No no!"

She answered very simply.

"Do you have a cough?"

"I definitely have a normal cough, but I definitely don't have the cold cough you mentioned."

"Do you have any underlying diseases such as high blood pressure or diabetes?"

"My husband is so young, do you think he might have diseases that only the elderly suffer from? Otherwise, you should wait until the surgeon arrives before coming over! My husband needs a good rest now."

She was annoyed by Zhou Can's questions.

"Don't eat and drink water before the operation! If you need to go to the toilet, go to the toilet in advance!"

Zhou Can was too lazy to ask any more questions.

If the family members do not cooperate, they will most likely be scolded if they continue to ask questions.

If something really happens, the patient himself will definitely suffer.
To be continued...