Chapter 739: Chapter 301: Happy to Be Scolded, Stubborn Family Members Have Come Around_2
“Dr. Zhou, Professor Zhang, after listening to your discussion just now, my confidence has been greatly boosted. We definitely made the right decision by coming here; I believe my son can be cured of his illness in this place.”
The boy’s father, thinking back on all his previous doubts about Zhou Can, suddenly felt a wave of shame.
This young doctor is far more capable than he had imagined.
Even Professor Zhang couldn’t stop praising him.
Listening to the two of them discussing his son’s condition, young Dr. Zhou didn’t miss a beat. His diagnostic approach was clear and well-directed, which gave him hope for his son’s recovery.
Of course, the patient was then admitted to the hospital without further mention.
…
The day’s consultations ended quickly.
It was Zhou Can’s first day of independent practice, and he learned a great deal, especially in terms of exercising his ability to manage cases on his own, which saw significant improvement.
He saw a total of seven patients that day. Apart from one highly complex case that required hospitalization for further observation, the other six either left after treatment or were admitted for surgery.
During the diagnosis process, he also discovered many of his own shortcomings.
Both in terms of knowledge and experience.
Being able to identify his own flaws was a good thing.
After this special outpatient clinic session ended, he could return to his Internal Medicine residency training with a more targeted learning approach.
After work, the first thing Zhou Can did was to visit the pregnant woman in the emergency room.
Her condition was not bad; her vital signs had become more stable.
Her blood pressure had risen, and her autonomous breathing function had recovered a lot. Just by listening to her breathing, one could tell that her lung function was recovering rapidly.
People who exercise regularly tend to recover much faster than those who don’t.
Zhou Can had discovered this phenomenon early on in his clinical practice.
The same degree of pneumonia could take only a few days to recover with medicine and appropriate treatment in some, while others with poor constitution could worsen and eventually progress to severe pneumonia.
“Tonight, it will still be Ji You and me on the night shift. I estimate that after watching over her for another night, we can consider weaning her from the ventilator tomorrow.”
Zhou Can was very happy to see the pregnant woman’s condition continuously improving.
“Ji You, is it okay for you to work another hard night?”
He turned to look at Ji You who had come to the emergency room with him.
“Absolutely no problem.”
She gladly accepted the task of working the night shift.
Last night’s night shift with Zhou Can, including a late-night snack they shared, was very satisfying for her.
…
The next day, after an initial assessment, Zhou Can believed that the pregnant woman was completely ready to try weaning off the ventilator and rely entirely on her own breathing.
Before removing the ventilator, one thing had to be done, and that was to perform the External Fracture Fixation Technique on her femur.
This was because if the ventilator was suddenly removed, her respiratory function would not immediately return to normal.
If the ventilator was removed and the External Fracture Fixation Technique performed immediately afterwards, it would definitely cause great shock and impact to her body. This is very risky and in medical terms is called a stress response.
For example, if a patient needs surgery on two sites at the same time, for safety reasons, doctors usually suggest staging the operations instead of resolving them all at once.
After Dr. Pang came to take over the shift, Zhou Can returned to his hotel to wash up and have breakfast, needless to say.
While having breakfast, Director Zhang happened to be in the hotel’s first-floor restaurant.
Zhou Can approached her to discuss the pregnant woman’s treatment.
“Since you’ve assessed it and the treatment plan is in place, let’s start early. Let’s go to the emergency room now to assist her with the External Fracture Fixation Technique. Then, we can check on her situation again during the lunch break. If there’s nothing abnormal, we can consider weaning her from the ventilator and transfer her to a general ward for further treatment.”
Director Zhang provided a relatively cautious treatment procedure.
These attending physicians are always very prudent and measured.
“That’s a very good approach. It won’t affect regular consultations and will give the pregnant woman a good buffer to adapt.”
Zhou Can was in full agreement with the procedure set forth by Director Zhang.
After breakfast, he went with Director Zhang to the emergency room. First, Director Zhang assessed the patient’s condition, confirming that there was no danger to the fetus in her womb, before preparing for the next step of the External Fracture Fixation Technique.
“Xiao Zhou, you will handle the external fixation of the fracture site, while I will be responsible for the safety of the pregnant woman and the fetus,” Director Zhang essentially provided him a safety net, allowing him to perform without any reservations.
How to perform the External Fracture Fixation Technique on the pregnant woman was something Zhou Can had already studied many times.
Now, he could put it into practice directly.
“Ji You, when I raise the patient’s right leg later, you should prop up her foot and then maintain its height and angle.” All necessary items for the fracture fixation had already been prepared.
It required the cooperation of several people to be successful.
“Okay!”
Ji You never discounted Zhou Can’s instructions.
After two nights of overnight shifts, her relationship with Zhou Can had grown much closer than before.
“Chen Qingling, later you’ll assist from the side and be responsible for passing the necessary equipment into my hands.” He only had two nurses at hand, and all were put to good use.
“No problem!”
Chen Qingling was an experienced nurse, whose work was efficient and skilled in all aspects of assistance and coordination.
With everything arranged, Zhou Can started the procedure. He straightened the patient’s right leg slowly, lifting it bit by bit. Based on the X-ray images of the fracture, he tried to bring the broken ends of the bone as close together as possible.