Chapter 542 Tragic amputation, the consequences of not careful preoperative examination

Author: Jiangbian Yuweng

Chapter 542 Tragic amputation, the consequences of not careful preoperative examination

"Even the chief surgeon can't be faster than our boss!"

Yang Zhi said with a smile beside him.

Because the team leader must at least have the rank of deputy chief physician, and must also have the title of professor. Zhou Can has the actual power of the team leader, but does not have the title of team leader.

Everyone now habitually calls him boss.

This title was first called by Luo Shishen.

At that time, intern Luo Shishen was following Zhou Can and wanted to be Zhou Can's apprentice. Unfortunately, Zhou Can thought his talent was too ordinary and refused.

So Luo Shishen began to call Zhou Can the boss.

That kid is currently undergoing formal training. When the formal training is over, there is a high probability that he will come and beg to join Zhou Can's team.

I heard that he is doing well, and has been appreciated by two chief doctors, and he has been admitted into the key cultivation sequence.

Even though he is now forced to leave Zhou Can's team due to training requirements, he still often asks Zhou Can for medical questions via WeChat. Zhou Can treats him well, and this guy also knows how to be grateful.

During every year and festival, he would call Zhou Can to wish him well, and he would often say good things about Zhou Can in front of outsiders.

"It seems that I made a very wise decision to quit my job and join Dr. Zhou! Now I hope that Dr. Zhou will let me stay. You all can help me to put in a good word and I will treat you after get off work."

When she talked about treating guests, she was very confident.

With an annual salary of at least 300,000 yuan, a meal or two is really nothing.

"You are so good, Dr. Zhou may have already approved it in his heart!" Qiao Yu helped her with a smile.

"Sister Qiao Yu is right, I saw the word satisfaction in the boss's eyes!"

Ma Xiaolan is also very fond of Jiang Wei.

I don’t know what kind of ecstasy soup Jiang Wei poured into the two of them yesterday? That made them so willing to help Jiang Wei speak.

Especially Ma Xiaolan, she is like the evil mother-in-law of the old days. She likes to show off her authority to new people who join the team, whether doctors or nurses. This time, it's like she has changed her nature.

"Hurry up and do the surgery! As for Jiang Wei, she is indeed very good, but it depends on her next performance." Zhou Can did not let go easily. A gentleman has no jokes. He is the boss, so he must be careful when he speaks.

"Jiang Wei, there are three third-level surgeries today. I saw that your performance was pretty good just now. I think you should be able to do the third-level surgeries as well. You will perform well when the time comes. I have no say in the affairs of the operating room. I have to satisfy Dr. Xu.

It’s considered passed.”

No matter how evil Zhou Can is, he is still a junior after all.

All second- and third-level surgeries must be done under Dr. Xu’s name. He does not have the authority to independently conduct second- and third-level surgeries.

According to the surgical hierarchy system, at least the attending level is required to be qualified to preside over the second-level surgery and start to participate in the third-level surgery. Senior attending doctors can complete the third-level surgery under the guidance of the chief or deputy chief physician.

…

At close to eleven o'clock in the morning, a male patient in his forties was pushed into the operating room.

This patient's right lower limb had been diagnosed with varicose veins six years ago, and there was a certain degree of swelling. However, due to his busy work and low income, the family's financial burden was almost entirely supported by him working alone to earn money.

.

I was afraid of spending money, so I never had surgery.

It was not until recently that the pain became unbearable and it was difficult to walk, so I went to the hospital for treatment.

The local central hospital performed high ligation and stripping of the great saphenous vein on the patient.

This surgery is also the most commonly used method to treat superficial varicose veins in the lower limbs and unblock deep veins. The vast majority of varicose veins in the lower limbs occur in superficial veins, and few patients also develop varicose veins in the deep veins.

After examination, as long as the surgical requirements are met, high saphenous vein ligation and stripping can be performed.

The treatment effect is often good and can significantly improve the swelling and pain of the lower limbs.

After the patient underwent surgery at the local central hospital, the doctor used an elastic bandage to apply pressure from the top of his foot to his groin.

This is also a commonly used method after surgery.

After all, superficial vein stripping has been performed, and pressure is necessary.

As a result, the patient soon discovered that the toes of the affected limb were very swollen and the pain was very severe.

The family members quickly rang the bell and called a nurse to check.

After looking at it, the nurse did not dare to handle it without authorization, so she invited the attending doctor over.

After examination, the attending doctor believed that the patient's condition was probably caused by the elastic bandage being wrapped too tightly.

When doing this pressure bandage, Zhou Can still remembered Director Liu saying that the higher you go, the greater the pressure.

The attending doctor immediately loosened the elastic bandage on the patient and raised the affected limb.

Because the blood circulation of the lower limbs is the farthest from the heart, it is also the most difficult to provide blood supply. In situations like this where the lower limbs are severely swollen, considering that the blood supply is blocked, elevating the lower limbs is conducive to the return of blood to the heart.

This reduces swelling and quickly relieves foot pain.

After loosening the bandage, the patient still complained of severe pain in the affected limb. The attending doctor prescribed analgesics to the patient for pain relief.

The patient was also told to observe for 48 hours before formulating the next treatment plan.

These are all normal processing procedures.

At least the diagnosis and treatment methods are compliant.

Unexpectedly, after more than thirty hours of observation, the skin of the patient's right leg turned dark purple, the fluctuations in the dorsalis pedis artery disappeared, and the skin temperature was extremely low. To put it bluntly, it was just like the body of a person who quickly cools down after death.

Moreover, the patient's right leg has become more severely swollen.

At this point, the family members were both grieved and angry, shouting that they would kill the doctor responsible for the treatment.

The attending doctor was so frightened that he didn't even dare to show up.

The hospital leaders tried their best to persuade the family members to take the patient to a large hospital in the provincial capital city for rescue. Now the priority is definitely to save his life.

The family members are also worried that if the situation is delayed any longer, their lives may not be saved.

At this time, I could only endure my grief, and the ambulance from the central hospital took the patient to a top-level hospital in the provincial capital city.

In fact, the Central Hospital is also a tertiary A hospital.

However, in terms of strength, there is definitely a big gap with provincial top-level hospitals like Tuya and Provincial People's Hospital.

The son of the family member found out that Tuya Hospital was of high quality and strongly requested that the patient be taken to Tuya Hospital for treatment. The doctors and nurses following the car were afraid of being beaten, so naturally they complied.

After being pulled over, I heard that the doctor and nurse who were following the car fled on the spot.

Everyone works for the hospital. Looking at the dozen or so family members, all of them are filled with indignation and ferocious looks. Who wouldn’t be afraid?

I would rather go back and be scolded by the leader than be beaten and broken by my family members.

So after leaving the patient behind, they quickly ran away.

After Tuya received the diagnosis, he examined the patient and found that the patient had suffered from shock and wet gangrene of the lower limbs.

He told his family on the spot that amputation surgery must be done immediately to save his life.

When the family members heard that the leg was going to be amputated, they couldn't help but feel extremely sad. A man in his forties, the breadwinner of the family, had his right leg amputated. How would he live in the future?

They wanted to settle the score with the doctors and nurses at the central hospital, but after searching, they discovered that the doctors and nurses who had followed the car had long since disappeared.

Fortunately, the doctor and nurse following the car escaped quickly, otherwise they would definitely have become the punching bags for these angry family members.

When a doctor-patient dispute occurs, especially when the patient dies or suffers major injuries, the family members are in extreme danger. It is easy for them to do some extreme and crazy actions.

Some doctors have been beaten to disability, almost always under such circumstances.

There is another situation that is also terrible, and that is revenge after the fact.

If a doctor-patient dispute occurs in person, doctors and nurses can at least take precautions. Some family members and patients will not say anything in person, but later bring murder weapons, mostly sharp knives, into the hospital to find the doctor involved and stab them wildly.

In this situation, doctors and nurses are vulnerable to serious injury or even death because they are unprepared.

Why do doctors and nurses get nervous when they see family members carrying long packages?

Because no one knows whether the family members will pull out a sharp knife after opening the package.

After the patient's family members searched for the medical staff at the central hospital to no avail, they could only sign in tears to agree to amputation. Life-saving was the most important thing.

In the end, the amputation surgery fell on Zhou Can.

For patients with disputes like this, the second hospital will often be particularly cautious after receiving treatment.

Now asking Zhou Can to perform amputation surgery on this patient is also a sign of trust in Zhou Can. I am optimistic about his surgical ability.

Dr. Xu personally visited the scene.

It can be seen that Jiang Wei seems a little nervous with Doctor Xu present.

It shows that Dr. Xu’s aura is very strong.

At least she was in front of Zhou Can, and Zhou Can's aura couldn't suppress her.

The entire amputation process was simple, crude, and very bloody.
To be continued...