My Medical Skills Give Me Experience Points-Chapter 261 - 138 Spinal Epidural Hematoma, Each One Is Quite Impressive_2
Chapter 261 -138 Spinal Epidural Hematoma, Each One Is Quite Impressive_2
The middle-aged woman wiped the patient’s body while complaining.
It turns out she’s not a relative of the patient; no wonder she seemed so indifferent upon hearing the patient had soiled himself.
This middle-aged woman is likely a caregiver or a nanny hired by the patient.
Zhou Can noticed that the patient hadn’t said a word throughout.
His gaze was quite dull.
And his body was paralyzed.
What illness does this person have?
There were no visible external injuries.
“May I ask where the medical record is?”
“Here, in the drawer of the storage cabinet. The examination reports and all documents are inside.”
Zhou Can took them out.
After reading, he learned that the patient was suffering from a spinal epidural hematoma.
Currently, he displayed symptoms like sphincter control loss, lower limb paralysis, and others. Before contracting this illness, the patient already had old-age dementia.
It’s unimaginable, a 56-year-old man suffering from old-age dementia.
A spinal epidural hematoma can be categorized into multiple levels of severity.
Level A: complete spinal injury, with complete loss of sensation, motor function, and sphincter control below the injury level. Level B: only sensation is present below the injury level, with complete loss of motor function.
Both of these levels are very serious.
Generally speaking, the earlier the surgery, the better.
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No wonder Cheng Gang was rushing them to send the patient to the operating room immediately.
Zhou Can was not familiar with how to operate on this disease or how to treat it, but he would get the chance to learn when the patient was taken into the operating room.
Finally, the middle-aged woman finished cleaning the patient.
Zhou Can noticed that surgical incision lines had been drawn on the patient’s body. The nurse had already prepped the skin.
Now, they needed to disinfect it again.
Patients with this kind of paralysis often suffer from uncontrolled bowel movements, leading to incontinence of urine and feces.
“Why hasn’t the patient been fitted with a urinary catheter?”
Through some details, Zhou Can realized that the management of the Neurosurgery ward was loose compared to other departments, falling quite short.
He was new here and couldn’t dare to criticize anyone.
Unless insane, pretty much.
“Dr. Jiang, I’ll go get a nurse to disinfect again; please wait.”
Zhou Can greeted him before heading straight to the nurse’s station.
Two nurses were busy there.
“Ladies, you seem busy!”
Zhou Can greeted them with a smile.
“Mhm!”
They glanced up at Zhou Can and then quickly returned to their work.
He wasn’t sure if they were busy or just aloof.
“Patient in bed 24 just experienced fecal incontinence. He’s about to be sent for surgery, can you arrange someone to disinfect him again?”
A few seconds later, one of the nurses looked up at him.
“Are you new here?”
“Yes! My name is Zhou Can, and I hope for your kind assistance going forward.”
Zhou Can lowered his stance.
Nurses with a bit more seniority often didn’t take new doctors seriously.
It was somewhat better with resident doctors, as they were equivalent to half a doctor, or even directly a doctor.
But for interns, they really had no status.
“You need to request a medical order from the attending physician! Otherwise, what can we do?”
She rolled her eyes with an annoyed tone.
“Was there no medical order before surgery? Are you sure we need a new order for this?”
Zhou Can was not a complete novice who understood nothing.
With one year of internship added, he now had one and a half years of work experience.
At that time, they only need to add the disinfection materials.
“Pfft!”
The female nurse sneered.
“Young comrade, are you questioning my way of doing things? Do you see my rank? Chief Nurse! I have probably been working much longer than you.”
She was visibly annoyed.
Zhou Can gritted his teeth, knowing that it’s difficult to deal with petty-minded people and women.
Can’t he just avoid trouble if he can’t provoke it?
He had no choice but to toughen up and look for Dr. Cheng.
After a long search, he finally found him.
“Dr. Cheng, the patient’s excretions have been cleaned. We need to disinfect him again, and the urinary catheter has not been inserted. When I approached the nurses, they asked for a new medical order from you.”
Zhou Can spoke cautiously.
On his first day in Neurosurgery, he felt that both the doctors and nurses here were not easy to deal with.
Just like how people from Shanghai look at everyone as if they’re country bumpkins.
This kind of deep-rooted arrogance and prejudice might be acceptable in society, but in the hospital, it really made interactions difficult.
“Haven’t sent the patient to the operating room yet? You guys are really slacking off.”
Dr. Cheng Gang’s face was icy cold.
“Have a nurse disinfect the patient immediately, I’m busy right now, just fill out the medical order later. What’s your name? Your work efficiency needs improvement!”
He was indeed busy.
However, the barrage of criticism and fault-finding made Zhou Can hold back a bellyful of anger.
Damn, the nurses and doctors here are too arrogant.
Such a small matter, everyone passes the buck, using the newbie doctors as scapegoats.
“Zhou Can!”
This time, Zhou Can did not say any polite words like asking for future care.
In any department, respect is earned through capability.
Hold onto this frustration for now; there’ll be a day when this Dr. Cheng Gang fawns over him.
Wasn’t Dr. Lu from the Emergency Department just as nasty at the beginning, and didn’t he end up tamed by Zhou Can?
Don’t overlook the fact that later Dr. Lu was inviting Zhou Can for meals and all sorts of flattery, it was because he couldn’t suppress him.
Zhou Can’s status in the Emergency Department had already surpassed his.
For survival, he had to do so.
It’s not that Dr. Lu had become nicer.
Easier to change rivers and mountains than to alter one’s nature.
Dr. Lu became diligent and serious in his work not because he became kindhearted, but to avoid being eliminated, hence he worked hard.
This Dr. Cheng Gang’s capabilities were still unclear.
He had to be at least thirty-two or thirty-three years old.
At this age, if he hadn’t advanced to a attending physician, he couldn’t be that great.
In fact, eight out of ten resident doctors who get sent to manage beds in the inpatient department are mediocre. They are assigned bed management because of their average skills.
But some are very capable.
Because bed management is also a necessary step in one’s work experience.
Especially capable resident doctors, in fact, only experience bed management during their internship and standardized training stages. Later on, they basically mix between the operating room or outpatient clinic.
Now that’s high status.
Zhou Can went to the nurses’ station, where one of the nurses had already disappeared.
Only the stern-faced charge nurse practitioner was left.
“Hello, I just spoke with Dr. Cheng, who is managing the beds. He said he’ll come over to fill in the medical orders after he’s done with what he’s busy with. Right now, the operating room is urging us, so please start disinfecting the patient and insert the urinary catheter.”
Zhou Can had gotten smarter.
Directly mentioning Dr. Cheng Gang.
If this nurse named Hu Shuilin made more excuses, that would mean disregarding what Dr. Cheng Gang said.
By then, just let the two of them have it out.
After about a dozen seconds, she stopped typing on the computer, stood up, and directly walked towards the medication room behind her.
Disinfectants and catheters were stock items.
Always in stock.
Soon she brought out a tray.
Disinfectant cotton, clips, disinfectant solution, urinary catheters — everything was complete.
Zhou Can sighed with relief; finally, he had managed to get this female ancestor moving.
Such a fuss over a simple disinfection.
Such pitiful efficiency.
“Wait!”
She called out to Zhou Can and placed the tray on the counter of the nurses’ station.
“I can’t leave here, you do it.”
“Isn’t this the nurse’s job?”
Zhou Can rolled his eyes.
Initially, if the other person’s attitude was fine, he wouldn’t mind doing it.
Now, this charge nurse practitioner acted so high and mighty, why should he do their work?
Cleaning the skin, disinfecting, and catheterization were all tasks that nurses should do.
He only made three thousand a month.
This charge nurse’s salary must be at least eight thousand or more.
She gets paid a high salary to sit there and live off others, hit the keyboard, give some instructions.
Life couldn’t be sweeter.
“Are you going to do it or not? Let me tell you, as a new standardized training doctor, you’d better be diligent. If the patient is late to the operating room later, the surgeon isn’t going to scold me, but you.”
Her attitude was quite nasty.
Zhou Can gave a grin, flaunting his pearly white teeth.
“Hehe, I forgot to introduce myself just now; my name is Zhou Can, and what I least fear is being threatened. If you won’t do it, then so be it, I don’t care!”
This charge nurse practitioner even threatened him.
Did they think he was scared easily?
Could he be frightened if he dared to stand up to Vice Dean Bai’s coercion and temptations?
Let’s be clear, no matter how capable she is, she’s still a nurse.
The nurse practitioners at the director level and head nurses are much more formidable.
The charge nurse practitioner’s position is nowhere near comparable to theirs.
