My Medical Skills Give Me Experience Points Chapter 580 - 248: It’s Easier to Handle Things with Acquain
Under normal circumstances, the safe dose of dication for adults is about 40 to 100ml of 50% glucose solution intravenously.
Zhou Can has already administered the maximum dose.
If the patient is eating normally, there is absolutely no need for intravenous injections; taking sugar water, candy, cookies, etc., orally will suffice.
After treatnt, the patient slowly regained consciousness and his body returned to normal.
But he still looked very weak.
If we do not treat his vomiting disease, he will inevitably face trouble sooner or later.
The patient’s inability to eat results in caloric intake being lower than the energy expended through activity and tabolism, causing stored energy substances to continuously undergo gluconeogenesis and beco glucose for energy supply.
However, the patient’s energy reserves are limited, and a prolonged lack of replenishnt of energy substances will result in the stored energy converting into glucose due to consumption, eventually leading to hypoglycemia when there’s not much glucose left to consu.
This type of hypoglycemia caused by starvation is very common.
So people, due to financial difficulties, not having found a job temporarily, or under great financial pressure, are reluctant to spend money on food.
They end up fainting on the streets.
In such cases, if there is sugar available, placing a piece in the patient’s mouth can help them gradually recover.
Then, it’s crucial to ensure the patient eats promptly to replenish energy.
"Let’s start with a nutrient infusion!"
Zhou Can ordered another dical prescription.
I wonder how Director Shang’s coordination is going?
The source of this patient’s illness has been identified, and the surgery to remove the parasite from the brain is not complicated; it is entirely possible to cure it promptly.
He decided to take the initiative to visit Director Shang’s office and inquire.
That’s also being responsible to the patient.
Upon arriving outside Director Shang’s office, he heard a "bang" sound inside—it sounded like a slam on the desk or smashing sothing.
It seems Director Shang endured quite an ordeal.
Knock, knock, knock!
Zhou Can hesitated for a few seconds outside the door, then finally decided to knock.
"Co in!"
Director Shang’s calm voice sounded.
Upon entering, he saw a thick book had fallen to the ground.
Zhou Can naturally bent down, picked it up, placed it on the desk, and then said, "Director Shang, the patient with parasites in his brain just passed out due to hypoglycemia."
"How is he now? He’s vomiting severely and can’t eat normally. You need to administer the glucose solution intravenously to him, start with 60 milliliters. Use a 50% concentration."
Although Director Shang was still gasping angrily, he imdiately beca anxious upon hearing about the patient’s condition and quickly composed himself to provide a treatnt plan.
"The dication has already been administered, and the patient has largely returned to normal. I’m just worried about the worm drilling around in his head; it would be such a pity if sothing unfortunate happened. Has Neurosurgery agreed to send soone for the surgery yet?"
Zhou Can guessed internally that things might not be going smoothly.
Director Shang likely smashed sothing a while ago also because of the difficulty in coordinating this matter.
"Forget it! Those guys in Neurosurgery are all masters of bureaucracy. I asked for their Director Wu, and they told he was in surgery, told to state whatever I needed and they would relay it later."
Director Shang beca angrier as he spoke of this matter.
The frustration mounted; yesterday he was infuriated by a nurse’s bureaucracy, and today, even though he approached soone of a higher rank, they still treated him with dismissal and delay.
"It really is frustrating. I understand your difficult situation; let’s just wait a bit longer then. I just ordered a nutritional infusion for the patient, I need to go check on him in the ward. You take care."
After leaving Director Shang’s office, Zhou Can pondered alone that he would need to intervene and bridge the gap.
Delaying further would be detrintal to the patient and the Digestive Internal dicine departnt.
He’s fairly familiar with the chief physicians in Neurosurgery, especially Director Wen, with whom he has the closest relationship. He has so influence with Wu Baihe as well, though slightly less.
Zhou Can thought about it and decided to try contacting Director Wen first.
As for helping Director Shang vent and dealing with the nurse who answered the phone, that was better left alone.
Isn’t there an old saying, ’A pri minister’s belly can hold a boat, a general’s forehead can race a horse’?
In life, who doesn’t face frustrations?
Zhou Can walked to the end of the corridor before finally dialing Director Wen’s cell phone.
"Director Wen, hello, this is Xiao Zhou!"
"I know, I know, I’ve kept your number! Just the other day I was ntioning you, and today I finally got your call, it’s not been easy. How is your residency going? Still smooth?"
Director Wen’s attitude towards him was as warm and caring as always.
"Thanks to your blessings, the residency is going relatively smoothly. But yesterday I diagnosed a patient with parasites in their brain who needs surgery to extract them, and our Digestive Internal dicine departnt isn’t equipped for such surgery. So, I thought of asking for your help."
Zhou Can, when speaking with these familiar people, never beats around the bush.
To avoid being scolded.
They always welco straightforwardness.
"Extracting the parasite through surgery? You are fully capable of performing such a minor surgery; why would you need to co help?" Director Wen knew Zhou Can’s abilities well.
During his residency in Neurosurgery, Zhou Can’s surgical skills were already quite impressive.
Given Zhou Can’s progression, after such a long ti and rotations through multiple departnts, his surgical abilities would only have improved.
Not to ntion extracting a parasite; even more complex surgeries, Zhou Can had managed them.
"I’m just not qualified enough yet! Craniotomies are Level 3 or Level 4 major surgeries, at least a deputy chief physician is required. If you could co over and guide through the procedure, that would be perfect."
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