lcionline Chapter 1508 - 608: Lower Neural Center Unobstructed, Sudden Massive Hemorrhage (Part 2)
Chapter 1508 - 608: Lower Neural Center Unobstructed, Sudden Massive Hemorrhage (Part 2)
The reputation of a person is like the shadow of a tree.This young Dr. Zhou, having such a great reputation, and being somewhat well-known even in the capital, definitely has something extraordinary about him.
Employ without doubt, and doubt not those you employ.
He chooses to trust Zhou Can.
"Please, Dr. Zhou, take care of this."
The child’s mother, eyes brimming with tears, clasped her hands together in front of Zhou Can and pleaded repeatedly.
The grandmother felt a bit embarrassed, having boasted about her son’s influence earlier in front of Zhou Can, which annoyed him.
"Don’t worry, I take every patient seriously. Since you all agree, I’ll have other doctors arrange for the child to be admitted to the hospital. I estimate the child may need surgery, so let’s first admit them to the surgical inpatient ward!"
After speaking, Zhou Can looked at the owner of the inflatable castle.
This person was also unlucky to encounter such a huge issue, probably in a situation similar to what Dr. Xu experienced back then.
Because the child’s father holds a very special position.
His only child was injured while playing in the inflatable castle; as the owner and main person responsible, he definitely can’t escape accountability.
Repairing and treating as best as he can is the only way to survive.
Otherwise, he might have already been detained and locked up.
"From the child’s knee reflex test just now and some examination results from the previous two hospitals, it’s not particularly bad; at least I think there’s a slim chance of recovery. However, this chance may only be about 10% or even lower. As for treatment costs, try to use insurance for reimbursement as much as possible. When processing the admission later, please have Dr. Xie guide you through transferring insurance across regions."
Zhou Can had seen Dr. Xu’s bleak situation after his accident, so he felt very sympathetic towards this unlucky owner.
He tried to minimize losses as much as possible for the other party.
Most residents in the capital city have formal medical insurance, and the reimbursement rate is higher than that of the New Rural Cooperative Medical Scheme and Urban-Rural Medical Insurance.
Of course, if this child, unfortunately, doesn’t have formal medical insurance, there’s nothing that can be done.
"Thank you, thank you! My friend said you have a benevolent heart and excellent skills, and I saw it with my own eyes today. Coming all the way from the capital to find you was truly the right decision."
The owner’s eyes were slightly moist.
At this moment of distress, Dr. Zhou could still consider him, the responsible party, which truly moved him.
"My son has medical insurance, and I was always worried it couldn’t be reimbursed out of town. Being able to transfer for treatment is really great." The child’s mother saying this shows she is a kind and wise woman.
Putting all the burden on the inflatable castle owner would crush him, which would be bad for everyone.
"Don’t worry, most of the time insurance can be transferred to other regions, at most the reimbursement rate might be slightly reduced."
Zhou Can, having been in medicine for so long, knew that the greatest barrier hindering patient treatment is often money.
The significance of medical insurance is to give people the courage to be hospitalized and treated when they fall ill.
Especially when choosing some high-cost treatments that can reach hundreds of thousands to millions, the courage to choose and actually being able to use it.
The inflatable castle project itself had commercial insurance, coupled with the child’s formal medical insurance, so ultimately the treatment expenses shouldn’t be too much.
However, it mainly involved other expenses associated with out-of-town treatment and the child’s future rehabilitation treatment costs.
Many rehabilitation treatments can’t be reimbursed.
"Dr. Xie, please help them out. I’ll come over and formulate the diagnostic plan after the surgery. We may need to perform some additional diagnostic tests."
After arranging for the child who traveled a long distance to seek his care, Zhou Can hurried to the operating room.
"Director Zhou, the patient is in Operating Room No. 3."
The Emergency Department now has three operating rooms: one 100-class operating room, one 10,000-class operating room, and the oldest standard operating room.
Zhou Can and Dr. Xu mostly perform surgeries in the 100-class operating room, also known as Operating Room No. 2.
The 10,000-class operating room, the last one built, is Operating Room No. 3.
It’s typically used by other Chief Level doctors leading surgeries inside.
Level 2 surgeries are the most common.
"Why not directly send the patient to Operating Room No. 2?"
Zhou Can asked, a bit puzzled.
Since it’s an emergency surgery, and it requires him, the deputy leader of the operating room, to personally take charge, it indicates the patient’s condition is very severe.
There’s definitely a difference between a 10,000-class and a 100-class operating room.
The most well-equipped is the 100-class operating room.
When the hospital procures some relatively expensive equipment, it’s truly used where it matters the most.
It’s impossible to fully equip every operating room.
In the entire Emergency Department, many surgical devices are solely set up in Operating Room No. 2. However, the current endoscopy room in the Emergency Department is also quite well constructed. Endoscopy surgeries and diagnostics are gradually being conducted.
This itself is a significant development trend.
However, it’s generally impossible for endoscopic surgeries to completely replace traditional surgeries.
For many severe diseases or complex major surgeries, traditional open surgeries might actually be more beneficial.
Conducting any surgery requires not only considering the harm it may bring to the patient but also the success rate and effectiveness of the surgery.
For instance, in cardiac surgery, even if it’s just a simple right ventricle enlargement, often an open chest surgery is deemed safer.
Endoscopic procedures inherently have certain limitations; they can restrict a surgeon’s skill application, causing constraints on many surgical projects.
Therefore, it’s nearly impossible for endoscopic surgeries to entirely replace traditional ones.
"That patient was initially set for subcutaneous mass removal surgery, but unexpectedly, during the procedure, she suddenly had massive bleeding from the lower body and is currently being resuscitated."
The nurse didn’t know much more.
Because she wasn’t working in the operating room; she was just responsible for managing the surgical patients outside.
"Go ahead and do your tasks!"
Zhou Can felt a little heaviness in his heart, his expression turning solemn.
As the deputy director of the department and deputy leader of the operating room, a medical incident like this inevitably tensed his nerves.
When incidents occur, the involved doctor is sure to be punished.
But the responsibility also implicates the operating room and department leaders, affecting the department’s reputation and image negatively.
He activated the surgical room door with his foot and quickly stepped inside after changing into sterile surgical attire.
Upon entering, he sensed a heavy atmosphere.
Medical staff were busy running around, looking tense.
"What’s the patient’s condition?"
Zhou Can asked with an impassive expression.
"It was supposed to be just a subcutaneous mass removal, a simple Level 2 surgery. Who could’ve imagined that during the operation, the patient suddenly experienced severe bleeding? Her blood pressure keeps dropping, and her breathing has turned rapid and labored... Director Zhou, what should we do now?"
Tang Wannian was the attending physician, and he was stuck with such a problem at a critical time when he was aiming for a deputy senior title, leaving him distressed and on edge.
Previously, he showed disdain and dissatisfaction with Zhou Can on multiple levels.
Now with an issue erupting, seeing Zhou Can’s arrival was like seeing a savior.
He was almost on the verge of kneeling and begging Zhou Can to help him.
"What else can we do? We must first ensure the patient’s life is saved."
Zhou Can shot him a slightly irritated look and moved directly to the operating table.
The patient was a young woman, only in her twenties. A subcutaneous tumor had developed on the inside of her left thigh, and it had recently been growing. Worried it might be malignant, she came to Tuya Hospital for diagnosis.
Owing to the Emergency Department’s good reputation, she decided to perform this subcutaneous mass removal surgery there.
The General Surgery department could also have conducted it.
The Gynecology department was just as equipped to handle it.
For subcutaneous masses, as long as they are not too complex, the surgical risk isn’t particularly high; generally, most surgeons can manage it.
Logically speaking, removing a mass from the thigh shouldn’t lead to severe bleeding from the lower body.
There were several doctors and nurses present, making it nearly impossible for Tang Wannian to do anything inappropriate during the patient’s anesthesia.
Then what’s causing the bleeding?
Right now, the patient’s breathing seemed alarming: rapid, heavy, with her chest rising and falling dramatically.
This indicated she was struggling hard for fresh air.
Additionally, her blood pressure was alarmingly low and still dropping.
The patient’s abdomen appeared relatively flat.
Zhou Can gently pressed her abdomen, and immediately a large amount of bright red blood gushed out from her lower body.
This indicated ongoing bleeding, with substantial blood accumulation in the abdominal cavity.
"Did the patient undergo a pregnancy test before the surgery?"
After scrutinizing the patient’s body and face, Zhou Can inquired of Dr. Tang Wannian.
She exhibited features resembling those of a pregnant woman.