In the hospital, medical staff certainly have the advantages of location and unity.
There are plenty of ways to persuade patients to leave.
Moreover, everyone is part of the same interest group, and often no one needs any prompting. Encountering such situations, basically everyone knows what to do.
"Listening to the doctor won’t go wrong. Tuya Hospital has such a big reputation; its medical ethics can’t be bad. We should quickly transfer Xie Chao to the Provincial People’s Hospital."
"I also think we should move him to the Provincial People’s Hospital, after all, it’s a large public hospital with more prehensive safeguards."
"Before the ambulance leaves, quickly make contact."
The family members quickly finalized the decision after exchanging their thoughts.
The patient was taken away by the ambulance’s acpanying doctor and nurse.
To transport patients, hospitals usually rent private ambulances, also known as external ambulances. Hospital-owned ambulances typically don’t take on such requests.
At this point, the ambulance driver would contact and hire an acpanying doctor and nurse.
The cost is generally included in the transportation fee, but the family needs to give the doctor and nurse an extra tip.
If the family is unaware, and the tip doesn’t arrive, the acpanying doctor and nurse would slack off in their duties.
Watching the patient being taken away, Zhou Can and Director Lou both secretly breathed a sigh of relief.
In a day, you always encounter several patients that need persuading to leave.
Refusing diagnosis outright is rare for large hospitals to do. They typically use some soft methods to persuade patients to leave.
"Xiao Zhou, what is the survival rate for the patient we just saw?"
Director Lou asked indifferently.
"Without a miracle, certain death."
Zhou Can answered decisively.
"So certain?"
Director Lou was no novice, but in terms of diagnostic ability, he was already surpassed by Zhou Can.
"It’s already a very conservative statement. I can confidently say even if the patient’s urine is still dark yellow, within no more than two days, it will definitely turn soy sauce-colored. Acute renal failure has occurred. After the upper right lung lobe resection, respiratory failure was also triggered. Don’t be fooled as the patient doesn’t seem particularly severe now; he’s beyond saving."
In the past, Zhou Can would definitely not dare to make such confident diagnostic opinions.
Even when dealing with his own, he wouldn’t dare to be so certain.
Now, his pathology diagnostics have advanced to the level of a Director, and alongside his previous efforts in studying renal diagnosis and treatment to treat Su Qianqian, he’s worked hard to learn nephrology, even reviewing urology.
For diagnosing such patients now, he can generally be very sure.
"How did resecting the upper right lung lobe also damage the patient’s kidney? The Third Hospital really is having continual blowouts!" Director Lou had heard of some stories about the Third Hospital.
They’re mostly negative news.
Especially recently, the Third Hospital’s funding chain is having issues, with no extra funds to handle negative news.
Various scandals were continuously posted online by victims.
It’s almost at the point of ruin, where everyone pushes over a wall in its fall.
"It shouldn’t be directly related to the upper right lung lobe resection; I suspect it’s most likely due to anesthesia. Previously, I thought the Third Hospital hired Japanese cardiac experts, so they must be very strong. Now it seems a hospital’s strength can’t be upheld by just one or two doctors. The Third Hospital lacks foundation and has many shortings. This medical accident is very likely caused by the anesthesia. Let’s see how the family chooses to handle it."
Zhou Can’s gaze flickered.
He had previously overestimated the Third Hospital.
It’s still uncertain whether the family will incite a medical disturbance after the patient’s death.
Some families are more understanding, believing that after the surgery and death, doctors tried their best. They often don’t cause trouble for the hospital.
For families wanting to trouble the hospital, it isn’t an easy feat.
To an individual, a hospital is like a gigantic entity.
The family and patient are relatively weak parties.
"Issues with anesthesia? Analyze it for us."
Director Lou, despite being experienced and having good skill, felt helpless against some plex conditions. This is dictated by aptitude, specialized fields, and thinking.
Regardless of whether he admits it or not, Zhou Can, though young, is guided by many renowned teachers from various departments and, bined with his outstanding talent and continuous accumulation, his ability to diagnose plex cases has surpassed Director Lou.
"I believe the patient had thoracic surgery, typically done in a lateral position. This would cause limbs on the side pressed against the table to bear weight and suffer pression injury. This patient’s left shoulder, arm, hip, and thigh show obvious soft tissue pression injuries, swollen and darkened, likely caused by a hard under-pad during surgery after induction of general anesthesia, severely pressing the left limbs and causing ischemic necrosis and fragmentation of the muscles."
"The capillaries rupture, blockage occurs, and permeability changes. After switching back to a supine position post-surgery, pressure on the side limbs releases, triggering local bleeding, and abundant plasma fluid rapidly leaks into interstitial spaces, causing muscle swelling. Without timely treatment, increased interstitial pressure further heightens local blood obstruction and ischemia, ultimately leading to swelling, hardness, and coldness at the pressed site."
Zhou Can meticulously analyzed the entire injury process of the patient.
Intraoperative pression injuries can easily be overlooked by medical institutions.
Such occurrences require high vigilance.
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