I haven’t had much reason to visit Obstetrics and Gynecology recently.
When Zhou Can arrived at the office of Director Tan of the major Internal Medicine department, he was quite lucky because Director Tan had just returned from an academic conference.
He was currently in the office reviewing some difficult case materials from the department.
"Xiao Zhou, a rare visitor indeed!"
Director Tan greeted Zhou Can with great enthusiasm.
"Director Tan, I came to trouble you with something today."
Zhou Can noticed that the students acpanying Director Tan were no longer Gao Jian, but two new faces instead.
Director Tan has high achievements in academics. From his promise, as long as Zhou Can chose to develop within Internal Medicine, his postgraduate study would be guaranteed by Director Tan. It’s clear that his status at the academy is undoubtedly high.
This time Dr. Xu asked Zhou Can to find Director Tan or Director Zhang from Obstetrics to help get sterile maggots, which also shows their high status in the academy.
Director Tan is at least a Master’s advisor, possibly even a Doctoral advisor.
The newers around him are cultivated batch by batch.
The two new doctors just looked at Zhou Can with curiosity.
"Aren’t you always looking for me for help whenever you e? Just tell me, what’s the matter?" Director Tan spoke, making Zhou Can feel somewhat embarrassed.
"Hehe, isn’t it true that too many debts don’t weigh you down!" Zhou Can said with a smile as he went over to refill Director Tan’s cup. "I accepted a patient today with a leg burn. The patient has a severe allergy to anesthesia, and now the wound is seriously infected and necrotic. Multiple antibiotics were used at another hospital, but the infection couldn’t be controlled."
"Such a patient is hard to treat. Without anesthesia, there’s no way to perform a deep surgical debridement. Unless the patient has iron willpower. However, if the patient truly had that willpower, they wouldn’t e to our hospital seeking medical help."
Director Tan, with his rich medical experience, shook his head continuously upon hearing the patient’s condition.
"We can provide nutritional support or use medication to adjust the patient’s body systems in Internal Medicine, but for treating such severe infected necrotic burns, I have no good method. There are many types of antibiotics, if you want to switch to other advanced antibiotics, I can provide some remendations. But I can tell you clearly, after using multiple antibiotics without controlling the infection, switching to other advanced antibiotics won’t be ideal either. Don’t hope for a major medical miracle."
Internal Medicine mainly treats various chronic diseases and can also handle emergencies.
Especially for critical illnesses, Internal Medicine can use medication, nutrition, ventilators, interventions, and other methods to successfully rescue some dying patients.
But when it es to creating medical miracles, it’s still Surgery.
To put it simply, Internal Medicine is as steady as an old dog.
There won’t be any big surprises, nor will there be ups and downs like in surgical operations.
Life in one cut, death in another, such things rarely happen in Internal Medicine.
The treatment philosophy of Internal Medicine is similar to the corrective measures of traditional Chinese medicine: to help patients control the condition, stabilize vital signs, and then rely on the patient’s immunity to overe the disease.
"I’m not planning to use new antibiotics, especially advanced antibiotics. They are very expensive. The patient was burned by a hotpot basin accidentally overturned by a young female server at a hotpot restaurant. Now several family members are forcing the young girl to sell herself for money. If I can save some treatment costs, I’ll try my best to save them some."
Zhou Can explained the background of the situation.
Many advanced antibiotics are not even seen in general wards.
On one hand, ordinary patients don’t need those advanced antibiotics. On the other hand, some medications are particularly expensive, mostly imported.
Here one must plain a bit about domestic medicine and consumables, they are truly backward.
Antibiotics were invented in the West first, so it’s understandable they are ahead.
Medical equipment and various consumables lag far behind those abroad, and there are too many issues to criticize here. Many pharmaceutical and equipment panies inside the country prefer bribery and marketing.
This is also understandable, after all, survival is necessary.
The quality of produced products is far worse than imported ones, with ineffective results. Without greasing the wheels and ensuring proper relationships, no one would use your products.
But if backdoor maneuvers can decide everything, then which pany would be willing to invest heavily in R&D to improve quality?
Starting an ECMO costs more than seventy thousand yuan, why is it so expensive?
Because the set of tubes needed to start it can only rely on imports, and they are disposable consumables.
After starting it, the daily operating cost is about ten to twenty thousand yuan.
Patients without medical insurance from families with poor financial conditions truly can’t afford it.
A small vial of advanced antibiotics costs over a thousand yuan, and for patients with more severe conditions, if six vials are used at once, that es to over six thousand.
Sometimes, having no money really means not being able to live.
"Do you know what I admire most about you? Your passion after working so many years. It’s truly mendable. Most doctors bee indifferent and ruthless after experiencing coldness a few times. Maintaining this parental love for patients is really not easy."
Director Tan, having heard the specifics, greatly admired Zhou Can’s medical ethics.
"Oh, it’s really nothing. To borrow a popular saying from the internet, even though I’m not doing well, I can’t bear the suffering of the world. People, as long as they have a conscience, can’t do things against it."
Zhou Can was not concerned about this at all, he just believed it should be this way.
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