Chapter 578 It’s better to do less than to do more. Investigate the cause of the disease

Author: Jiangbian Yuweng

Chapter 578 It’s better to do less than to do more. Investigate the cause of the disease

After the last disagreement between Zhou Can and Fu Chachun, the two of them basically only retained superficial politeness.

There is a saying that it is easy to make peace but too difficult to stay the same.

The two did not have a close friendship to begin with, but at the critical moment when Zhou Can was promoted to deputy team leader, Fu Chachun jumped out and stabbed Zhou Can. Since no one took Zhou Can seriously, he naturally did not have the heart of a holy mother.

Obviously using the power of the deputy leader to retaliate against Fu Chachun is not a big deal.

He still has a bit of mind and magnanimity.

It is also impossible for him to wipe Fu Chachun's butt, take care of him in various ways, and repay evil with kindness.

To put it bluntly, it’s business as usual.

He remembered that Fu Chachun worked the day shift today and should have gone home from get off work by now.

Call the other person directly.

The call was quickly connected.

"Team Leader Zhou, hello! What can I do?"

Fu Chachun asked politely.

Of course, this politeness is only superficial.

He said hello, Team Leader Zhou, not Hello, Team Leader Zhou. This detail can reflect that he does not have much respect for Zhou Can, the deputy team leader.

Many old comrades are like this, clinging to their dignity and refusing to let go of their dignity.

"There is a patient here who underwent syndactyly and septation surgery by you the day before yesterday. Now he has some problems. I would like to ask you to come over!"

"What's wrong with that patient?"

"The third toe of her left foot was numb and the touch was almost gone."

"This is not a big problem. Syndactyly separation surgery itself carries considerable risks. It is very common for nerves to be injured after the toe separation operation. As long as the patient's toes have unobstructed blood circulation and the wound recovers well, this is already considered a problem.

The operation was successful.”

Fu Chachun said it lightly.

He didn't care much about the numbness of one of the patient's toes.

During clinical operations, if a patient experiences numbness in a certain finger or toe, few doctors are willing to take care of it because it involves nerve problems.

Because this ‘minor problem’ is acceptable to most patients.

There is no need to add extraneous branches.

Everyone is afraid of trouble, let alone cause more trouble.

If you tell the patient, the nerve may have been injured during the operation.

Whose responsibility is this?

"The patient told me that she had the surgery to dance ballet better. Now after the surgery, there is a problem with the third toe, which will definitely affect the movement function of her left foot. Doctor Fu, do you think this will work? Please come over and join us.

Research the cause of the patient’s numbness in the third toe of her left foot and try to help her solve it if possible.”

Doctors have the heart of a parent.

Zhou Can was unwilling to deal with patients' problems with such an irresponsible attitude.

"It's not necessary! The surgery is inherently risky. The family members have signed a signature and directly informed the patient that the third toe of the left foot can try to exercise more in the future to see if it can recover gradually. If it cannot recover, the doctor can't do anything."

The solution given by Fu Chachun is more in line with the interests of the hospital and the surgeon himself.

Whenever we encounter similar situations, we basically solve them in this way.

"That's right! The family members signed before the operation, and the possible risks caused by the operation were indeed informed to the family members and patients before the operation, and their consent was obtained. If we don't handle it, the family members and patients can only accept it. But I

I think there is a better way to deal with it. At least it is worth trying."

Zhou Can could only do Fu Chachun's ideological work diligently.

"Hmph! If Team Leader Zhou wants to be the good old man, he can do it himself. I won't accompany you. If you just want to retaliate against me, you can do whatever you want. I only have one attitude. No additional treatment is required if you are not convinced.

, you can go to the department leaders, the medical department leaders, and see what they say."

Toot…

A busy signal came from the mobile phone, and Fu Chachun had already hung up the phone.

What a day.

Dr. Fu actually thought that he was seeking personal revenge. Zhou Can had never had such an idea in his conscience.

"Dr. Zhou, the patient's surgical records have been retrieved from the operating room. Here they are!"

Jiang Shuangshuang's service is really attentive.

Not only did I go to the operating room to retrieve the surgical records, but I also printed them out.

Surgical records are generally managed by the operating room and the medical department. It is not as easy as imagined to adjust the operation records of a certain patient, and not just anyone can do so.

Zhou Can is the deputy team leader of the operating room and has a special status in the emergency department. Jiang Shuangshuang told the operating room that Zhou Can wanted to adjust the surgical records of a certain patient, which was basically a matter of one sentence.

"Thank you! Go and do your work."

Taking the newly printed surgical records, he carefully looked at them one by one.

Surgery records are usually written by the surgeon himself and must be signed at the end, which has a certain legal effect. Relatively speaking, it is quite rigorous.

Sometimes, if the chief surgeon is really too busy, he will leave it to the first medical assistant to write it.

There is a high chance that medical records and course notes will be written by interns or trainees, but surgical records are often not written by interns.

If the surgical records are written in a very standardized manner and are true and complete, professionals can directly review the surgical records and restore the entire surgical process.

Zhou Can was not in a hurry to go to cardiothoracic surgery.

Instead, he took the surgical records, logged into his personal account in the emergency department, and called up the patient's preoperative examination information. This included the patient's preoperative photos of syndactyly.

After some research, not much was gained.

Judging from the surgical records and preoperative examinations, this is a very simple operation. There are no complicated operations such as reconstruction of toe bones and blood vessels.

If you just separate the two toes from the middle normally, how can you injure the nerve?

Zhou Can couldn't help but recall the patient's postoperative wound condition again in his mind.

Could it be that the nerve of the third toe of the left foot is distributed on the side of the adhesion point with the fourth toe? And then the nerve was cut during the separation process?

This possibility is relatively high.

Of course, it is also possible that the wound skin was pulled too tightly when suturing it, compressing the nerves. It is also possible that the local hematoma compressed the nerves after surgery.

Before the operation, the patient knew that the third toe of his left foot had clear touch, but now he has numbness, which must be caused by the operation.

After researching for a long time, there was no big progress, so Zhou Can decided to check the ward tomorrow morning to check the situation.

Not to mention rushing to the cardiothoracic surgery department to help complete two major level 4 surgeries.

When he got home, it was already past 11:40. After taking a shower, Su Qianqian was already wearing beautiful lace pajamas and urged him to go to bed early.

"I found that there seems to be a problem with the quality of surgeries in the emergency department recently, so I asked a nurse to send the statistical reports of surgeries in the past three months to my email. You can go to sleep first, I have to check it in detail."

Zhou Can said apologetically.

His girlfriend purposely wore such beautiful pajamas after taking a shower. He would be stupid if he didn't understand what she meant.

I just can’t help it, I’m under a lot of pressure at work, and I’m afraid I’m powerless today.

He sat on the sofa in the living room, opened his laptop, logged into his mailbox and opened the email from Ye Tingting.

"Patient Wang Jian, 17 years old, male, underwent ureterostomy tube replacement last Thursday. On the third day after the operation, the patient called and reported hematuria. The surgeon was Tang Wangnian."

"Patient Zhou Yongbo, 54 years old, male, had facial bone sequestration removal surgery on September 8. He returned to the room one month after the operation. The patient reported facial paralysis. The surgeon Fu Chachun."

…

If you don’t know it, you will find it shocking when you look at the return interview questionnaire given by Ye Tingting.

Patients are dissatisfied with the curative effect after surgery, and various minor problems abound.

Almost all doctors in the department are involved.

Including the surgeries performed by Zhou Can himself and Dr. Xu, the satisfaction rate during follow-up visits is also not 100%.

But relatively speaking, he is much better than other doctors.

Zhou Can's return visit satisfaction rate ranked first, but Dr. Xu was actually pushed to second place, and the gap between Dr. Xu and Zhou Can was quite large. Dr. Cui ranked third.

The surgical satisfaction rate can also reflect the doctor's surgical level.

Only with high standards, sufficient care, and rich experience can we minimize the harm caused to patients by surgery and avoid a large number of postoperative sequelae.

It seems that the emergency department operating room still has a long way to go if it wants to become bigger and stronger!
To be continued...