Chapter 609: The Consequences of Hiding the Doctor, the Impressive Monitor

Author: Jiangbian Yuweng

Chapter 609: The Consequences of Hiding the Doctor, the Impressive Monitor

If a young female patient like this develops massive lower body bleeding for no reason, she must first be suspected of having a threatened miscarriage.

In particular, ectopic pregnancy is most likely to cause miscarriage.

This is why the hospital will ask patients clearly before performing surgery. If the female patient is pregnant, they will try their best to postpone the surgery. When surgery is necessary, they will also ask obstetricians and gynecologists to perform joint surgeries.

Because if there is fetal movement or the patient suffers a miscarriage during the operation, no one can bear this responsibility.

The patient's lower abdomen is flat, but other parts of the body still have a somewhat pregnant appearance.

It’s not just stretch marks on the belly and thighs that indicate pregnancy.

Some parts of the body turn dark, thick velvet grows on the lips, the skin on the face becomes dull and even many acnes appear... these are all characteristics of pregnancy.

In the first trimester, these characteristics may not be obvious yet.

If you reach the third trimester of pregnancy, various characteristics will become extremely obvious.

"I asked the patient and her family before the operation, and they all said she was not pregnant! It shouldn't be possible!"

Tang Wangnian was obviously not sure either.

There are even suspicions of shirking responsibility and covering up the failure of preoperative examinations.

Zhou Can frowned slightly, now is not the time to pursue accountability.

The most important thing is to save the patient's life first.

"Did you draw blood for examination before the operation?"

"Pumped!"

A routine blood test before surgery is almost a must.

What is the patient's blood type? Does he have any infectious diseases? Does he have any major physical defects?

A lot of information can be found through routine blood tests.

"Immediately ask the laboratory to check this patient's blood hcg."

Blood hcg and progesterone are the gold standards for detecting pregnancy.

In clinical practice, HCG examination is the most widely used.

Theoretically, it is more accurate than the progesterone test.

hCG is also called human chorionic gonadotropin. This test will be positive as long as a woman becomes pregnant.

It takes a certain amount of time to check HCG in the laboratory, but the bleeding situation of pregnant women is very dangerous now. I am afraid that she will be dead before the test results come out.

Massive bleeding in the body, especially uterine bleeding in women, is extremely dangerous, and the mortality rate is also extremely alarming.

"Have you communicated with the family?"

Zhou Can asked Tang Wangnian.

"No, no!"

Tang Wangnian's face was pale, and his eyes were full of panic and fear.

The female patient was on the verge of death, and he, the surgeon in charge, must bear the blame. It is unknown what punishment he will receive at that time. The least severe punishment would be suspension for investigation, and the operation privileges may be revoked, or even the license may be revoked.

Medical accidents occur every year in Tuya Hospital, and some of them are unavoidable.

Some medical accidents are caused by doctors or nurses who fail to strictly follow the regulations. In this case, hospitals and superior departments often impose severe penalties on the medical staff involved.

"Director Zhou, because the cause of the massive bleeding has not yet been identified, communication with family members can easily interfere with and hinder the rescue. It is also more likely to cause misunderstandings."

Nurses Tang Ling and Zhou Can are old colleagues.

When Zhou Can first entered the operating room of the emergency department, she happened to be transferred to the operating room as a nurse.

A few years later, she became a nurse, and Zhou Can was promoted to deputy director of the department, deputy team leader of the operating room, and member of the first team of the Quality Control Department, which she could only look up to.

Behind every position is a level that many doctors cannot reach in their lifetime.

"If the patient suffers from massive intraoperative bleeding and does not inform his family, the trouble will be even greater. The only thing that needs to be confirmed now is whether the patient is pregnant." Zhou Can's face was as serious as water, and his attitude towards Tang Ling was quite gentle.

After all, she is a girl and an old colleague. He really can't be violent over such a trivial matter.

"Dr. Tang, I'm not telling you this. When the patient shows signs of lower body bleeding, you should immediately think of doing a pregnancy test for her. If you don't do a pregnancy test before the operation, if something goes wrong during the operation, you still only think about it.

Shirking responsibility. If this patient dies on the operating table today, your future will be completely ruined, do you know that?"

Zhou Can couldn't hold back his anger.

Vent it out towards Tang Wangnian.

Even though Tang Wangnian is a senior attending physician, in his forties, he is much older than Zhou Can, but at work, Zhou Can is his superior and has the right to control him.

The first level of officialdom can crush people to death, and it applies everywhere.

"I, I thought that the patient might have had his period..." Tang Wangnian lowered his head after being scolded and could only explain in a low voice.

He actually knew that there was some negligence in this operation.

After the accident, the response was indeed a bit slow and inadequate.

"Have you ever seen a woman bleeding like a fountain when she has her period? You are a senior attending physician and don't even have this experience? Go get two pregnancy test strips immediately. The circuit teacher will get a catheter.

"It's too slow to wait for the laboratory test results to come out, so we have to find out the cause immediately and do further treatment. Otherwise, it will be difficult to rescue this patient."

Zhou Can has extremely rich rescue experience and never follows routines.

Those strict constraints were just that in his eyes, and he would break them without hesitation when it was time to break them. Especially when rescuing a patient's life, if he restrained himself, a living life would be lost.

As long as you do your best and try your best, if anything happens, it will be left to the department and hospital to wipe the mess.

At least Tuya Hospital is currently doing a good job in protecting doctors.

Especially for a quasi-famous doctor like him who is being trained with special emphasis, the hospital and departments love him very much.

This good medical environment is very friendly to doctors. It allows doctors to relax during the rescue process and greatly improves the success rate of rescue.

Also, the improvement of doctors' medical skills is definitely the fastest during the rescue process.

Because in this highly tense situation, doctors can't help but squeeze out all the potential.

Tang Wangnian and other doctors and nurses couldn't help but feel bright after hearing Zhou Can's rapid examination plan.

It is indeed much faster to check with a pregnancy test than a blood test.

It’s just that the accuracy is difficult to guarantee.

Less than five minutes later, Tang Wangnian got the pregnancy test paper.

In order to save himself, he also fought hard.

I directly called a relative who owned a pharmacy next to the hospital and asked him to hurry up and deliver a box of pregnancy test strips.

Under normal circumstances, this relationship would certainly not be exposed easily.

However, at least nine out of ten shops that open pharmacies, hotels, rehabilitation centers, or confinement centers near hospitals are inextricably linked to the doctors and nurses in the hospital.

They are often their acquaintances or relatives.

It doesn't matter at all, if nothing else, getting business is a big problem.

For example, if you open a confinement center, if your relative is a chief physician in the Department of Obstetrics and Gynecology of Tuya Hospital, after he receives the patient, he will find ways to recommend him to that confinement center as long as he meets a suitable one.

Out of trust in doctors, patients will most likely go to the confinement center recommended by the doctor if they have this need.

Then the confinement center will also tacitly give a commission to the recommended chief physician.

It’s mutual benefit for everyone.

Only in this way can the business last for a long time.

Some doctors simply take it upon themselves to let their partner or themselves open a rehabilitation center.

As long as there is a steady stream of customers, the profits will be considerable.

The hospital also turns a blind eye to this kind of thing.

As long as nothing happens, no one will care.

Some attending physicians only earn tens of thousands of yuan a month, but their families have bought several houses and drive luxury cars worth hundreds of thousands. Their children have even been sent to study abroad. With a decent salary,

It is impossible to live such a comfortable life.

It can only be said that after working for several or more than ten years, such doctors can make money through their own accumulation.

After the pregnancy test paper arrived, Zhou Can had already inserted a catheter into the patient and dripped the urine into the test area of ​​the test paper.

Then just wait patiently.

Rescue work for patients has also continued.

However, the speed of blood transfusion could not keep up with the bleeding, and the situation once became very dangerous.
To be continued...