Chapter 381
Chapter 379: Chapter 179: Successfully Helped the Patient out of Danger. Sorry, I’m Very Unprofessional_3
One of the most important tasks for the attending doctor each day is to provide timely and accurate patient updates during the supervising doctor’s rounds.
“After rounds, around 8:10, doctors change shifts. Once the shift is changed, there’s a rush to write medical orders for assigned patients and discharge documents. Next, if staying in the ward with the resident doctor, responsibilities include scheduling surgeries and changing dressings. If going into the operating room, well, needless to say, assist the lead surgeon to ensure the surgery goes well.”
Zhou Can basically understood these routine tasks.
“It’s worth mentioning that surgeries in the Cardiothoracic Surgery department typically take a long time. It’s common to start around 9 AM and finish at about 1 PM. After completing the first surgery, there’s a brief break for lunch, and then it’s time for another patient’s surgery. Additionally, there are handoffs for ICU patients or sometimes an emergency need to install ECMO in some department, or CCU patients who decide to withdraw treatment and require ECMO removal. All these situations require immediate assistance.”
Installing ECMO usually requires cooperation between surgeons and anesthesiologists.
Thanks to spending three months in the Intensive Care Medicine Department, Zhou Can had mastered the techniques of installing ECMO and was fully capable of working alongside anesthesiologists.
“When it comes to you, your skills are outstanding in all aspects. When the team doctors are too swamped, they might assign you to go to Internal Medicine or the emergency department for consultations.”
This was akin to a heads-up.
Cardiothoracic Surgery often necessitates attending consultations, and manpower here is frequently tight.
Consultations require the involvement of excellent doctors.
For consultations that are not too difficult, it’s often a competent resident doctor who is sent.
Although Zhou Can is only a residency trainee, his capabilities are evident, and having him attend consultations is as good as sending an experienced resident doctor.
Of course, having just joined Cardiothoracic Surgery and only been there for two days, he certainly wouldn’t be sent for consultations just yet.
It would be embarrassing and a loss of face for the Cardiothoracic Surgery department if any slip-ups occurred due to inexperience.
After outlining the daily work tasks, Doctor Long helped Zhou Can log into the HIS system and taught him how to check the cases in their group.
…
Zhou Can, eager to learn, earnestly reviewed case histories in his group.
This was the fastest way to learn.
Every patient’s symptoms, diagnostic cause, tests conducted, treatments used, and the treatment outcomes were all accurately recorded.
With every case he reviewed, his Experience Points in pathological diagnosis increased by 1.
Deputy Director Lu also had clinic duties in the morning, so Zhou Can stayed at the inpatient department, overseeing the patients in his group. The morning quickly passed.
After lunch, while Zhou Can was checking on the conditions of the patients in his group, he heard a family member of the patient in bed 19 shouting.
“Nurse, nurse, my son just had surgery but still feels severe pain in his chest. Could you provide some more painkillers?”
“Didn’t he just have pain medication this morning? It’s not good to use it too frequently! Your son is a grown man; it’s normal to feel some pain after anesthetic wears off, he needs to endure it.”
Nurses do not have prescribing authority; it requires a doctor with a Medical Practitioner Certificate to prescribe medication.
As mentioned, frequent use of painkillers is not advised.
There are safety dosages to consider.
If necessary, another dose could be administered after a metabolic period under a doctor’s supervision.
The nurse was nearly about to straightforwardly suggest that their son shouldn’t be overly sensitive.
Hearing this, Zhou Can glanced with some sympathy at the patient and his family members.
Post-anesthetic pain is indeed normal, but pain in this patient’s case might not be. It could be the unusual pain caused by tissue ischemic necrosis.
This kind of pain is excruciating, like a slow cut through flesh.
The patient’s beautiful wife was continually fiddling with her phone and occasionally reviewing medical records.
Zhou Can nearly fainted.
She was again turning to Baidu for DIY medical advice.
Does having a voluptuous figure really equate to brainlessness?
Her approach was both laughable and distressing.
However, letting her learn a lesson this way might be good to prevent her from relying more on Baidu than on doctors in the future.
By the time Zhou Can finished checking the patients in his group and came out, the patient in bed 19, who was the only son in his family and from a wealthy background, was in unbearable pain and losing his temper.
Having been pampered all his life.
Now enduring great discomfort, he was inevitably irritable.
“Doctor, doctor, my son can’t bear the pain anymore, please could you take a look?”
The patient’s mother saw Zhou Can passing by and grasped at him like a lifeline.
At this moment, the patient’s beautiful wife also seemed to realize that Baidu was unreliable and couldn’t solve their problem.
She stood up, willing to cooperate with the doctor for the first time.
Unfortunately, Zhou Can was no longer in charge of this patient.
Moreover, this woman had a habit of complaining and causing trouble, and Zhou Can was even less willing to get involved.
“I’m sorry, I’m just a trainee doctor and not very professional. I can’t handle this, and I’m not in charge of this patient. I can call a nurse for you.”
Zhou Can outright refused.
What a joke, you told me to get lost last time, and I did. Now you want me back, sorry, I’m far gone.
Deal with it yourself by finding the attending doctor or a nurse!
“What kind of attitude is this! My husband is in so much pain and you are shirking responsibility like this. Do you believe I’ll complain about you right now?”
The patient’s beautiful wife was furious.
The phrase ‘not very professional’ was the exact feedback she had used to complain about Zhou Can to Dr. Zhao.
Now Zhou Can was using those words as a shield, and she was smart enough to realize that he was deliberately throwing them back at her.
This made her especially angry.
Perhaps normally relying on her affluent family background, her behavior was a bit arrogant.
Most people with a bit of influence exhibit this trait.
When encountering things they deem ‘unreasonable’, they tend to react explosively.
Zhou Can sternly looked straight into her pretty face, and his gaze collided with hers.
“Complaining is your right. I have other patients to attend to, goodbye!”
What was appropriate then might not be suitable now.
Having gained the appreciation of people like Director Xue, and since this patient was indeed not his responsibility, Zhou Can’s actions were procedurally correct, virtually unassailable.