Chapter 1228 - 484: The Inevitable Doctor-Patient Conflict, The Relationship Between Anesthetist and Lead Surgeon (Part 2)
Chapter 1228: Chapter 484: The Inevitable Doctor-Patient Conflict, The Relationship Between Anesthetist and Lead Surgeon (Part 2)
The next day, Zhou Can went to work as usual.
The hemothorax patient in Cardiothoracic Surgery had the bleeding stopped, and the breathing sounds in the left lung had significantly strengthened.
The bubbles in the water seal bottle had noticeably reduced.
These are all positive signs.
Indicating the patient’s condition is improving.
However, pneumothorax is prone to recurrence, so even after discharge, the patient must take care to recuperate.
The patient who was transferred from Xinxiang Hospital with sternal osteomyelitis had surgery, and their vital signs are currently normal. The low fever has subsided, and blood pressure and heart rate are stable. Due to concerns about reinfection, after communicating with family members, the patient was admitted to the monitored ward in Cardiothoracic Surgery.
Relatively speaking, staying in the monitored ward provides a sterile environment, with better care and management in all aspects.
Dr. Pu came to see Zhou Can last night and seemed to have made up his mind about wanting to work with him.
He hadn’t sent Zhou Can any messages or called him.
Zhou Can happened to be there and planned to discuss this matter with Director Xue Yan, but she hadn’t arrived yet.
She usually comes to the hospital around eight o’clock.
With no choice, Zhou Can planned to discuss it with her in the evening.
Back in the Emergency Department, he aimed to quickly improve his Separation Skill to Level 6, so he diligently performed surgeries.
By around ten forty in the morning, he had completed thirteen surgeries. Naturally, several of them were Level 1 minor surgeries.
Even so, the efficiency was quite remarkable.
The fourteenth surgery was for a patient with severe rectal prolapse, who was currently suffering from fecal incontinence.
They were admitted to the Emergency Department yesterday, and after tests, an urgent surgery was scheduled today.
For patients like this, if they went to Proctology, waiting for a bed would take at least one day. Then further tests, discussing surgery plans, surgery scheduling, and eventually the surgery itself would take at least three to four days.
However, having surgery in the Emergency Department cuts the time by at least half.
Admitted yesterday, and the surgery was scheduled for this morning. Moreover, Zhou Can was the surgeon, and his actual surgical capability was not inferior to ordinary surgical directors.
Now with his Incision Skill upgraded to Level 6, he was more confident than before.
The patient had long been sent to the pre-anesthesia room.
Once the turnover work in the operating room was completed, the patient was directly brought in.
To explain, for somewhat larger surgeries, general anesthesia or spinal anesthesia is required, and the attending doctor would have sent the patient to the pre-anesthesia room in advance.
Previously, the operating conditions in the Emergency Department were simple, not even having a ten-thousand level operating room.
What was called a pre-anesthesia room, virtually did not exist.
It was usually used together with the recovery room.
Furthermore, the Emergency Department rarely performed Level 3 surgeries.
Only Dr. Xu had the capability to perform Level 3 surgeries. However, he was under constraints, combined with suppression by Director Xie from Surgery, and other departments were also interested in protecting their own interests.
They even supported Director Xie’s suppression of the Emergency Department.
Thus, the Emergency Department lived humbly.
Mostly performing Level 1 and Level 2 emergency surgeries. Encountering major emergency surgeries, they would at most perform preliminary treatments, like stopping bleeding for the patient or CPR, boosting blood pressure, etc., to stabilize the patient’s vital signs before calling specialized doctors to take over.
In today’s Emergency Department, thanks to the efforts of the extraordinary Zhou Can and the concerted efforts of the entire department, it finally made great progress.
It now has its own hundred level operating room.
And it has professional bed exchange rooms, pre-anesthesia rooms, and recovery rooms.
The recovery room is used not only for patients waking up from anesthesia post-surgery but also for postoperative observation.
Additionally, setting up an extra postoperative room doesn’t even need consideration.
However, with the current conditions of the Emergency Department’s operating room, Zhou Can and Dr. Xu, among others, are already quite satisfied.
Qiao Yu and Ma Xiaolan had long prepared the bed linens after turnover.
Together they lifted the patient onto the operating table.
Now it’s only waiting for the anesthesiologist to come to administer anesthesia.
The patient is 32 years old, considered a relatively young female patient.
Anesthesia preparations in the pre-anesthesia room had already been completed, so the patient was currently in a state of undress.
Unfortunately, doctors can’t care much about the patient’s privacy feelings in the operating room.
Doctors have to focus most of their efforts and thoughts on treating the patient’s illness.
Many surgeries require patients to enter the operating room without wearing clothes.
However, to protect patient privacy, particularly for female patients, doctors would compassionately cover them with disposable sterile sheets. From this point, one can appreciate the importance of the pre-anesthesia room.
The more complete the operating room facilities are, the lower the risk of surgical infection for the patient.
Many surgeries must be performed in a hundred level operating room, primarily to reduce the chance of intraoperative infection.
"Ms. Cheng, how does your body feel now?"
"Just the pain in the anal area, and I’m a bit scared!"
The patient’s face showed a painful expression.
"Don’t worry, the doctors performing your surgery are Dr. Zhou and Dr. Xu from our hospital’s external department, whose surgical skills are extremely high. They’ve assessed you preoperatively, and as long as there are no accidents, the safety is very high. Moreover, we have had many successful experiences with such surgeries, so there’s no need to be nervous at all."
Ma Xiaolan was outstanding in comforting patients.
She was becoming more adept at performing all tasks required of a surgical nurse, and her professional skills had improved significantly.
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