Chapter 294: The Helplessness of the Doctor, Dr. Pang Survives a Calamity
"Very good! Besides controlling blood sugar, what other treatments do you think this patient should receive?" Zhang Bihua was very satisfied with Zhou Can's response.
She continued to question him.
"The patient's condition has improved for now, but there is still a possibility of a relapse. We should continue rehydration, correct dehydration, and maintain continuous intravenous infusion of low-dose insulin to strive to correct the patient's electrolyte disorder. If the patient's pituitary disease persists and they refuse chemotherapy, surgery might be the only option."
After a long thought, Zhou Can believed that if the patient's pituitary disease was not effectively treated, merely treating diabetes would definitely not suffice.
Diabetes insipidus and amenorrhea were both caused by pituitary disease.
Ignoring these two issues would make the treatment ineffective.
Because actively controlling the patient's hyperosmolar coma and ketoacidosis can only save their life,
"When the time comes, I'll try to persuade the family." Director Zhang was unlikely to persuade the family successfully, and the matter probably needed to be considered in the worst direction.
...
Close to the end of the day, Zhou Can received news that the patient's thalamus-pituitary axis function tests had results: ACTH18.1pg/ml, significantly lower than the normal value of 46pg/ml.
Hemoglobin F16.12ug/ml, which is within the normal range.
E2 167.59pmol/L, T1.0nmol/L...
After reviewing the patient's array of evaluation results, it could be confirmed that the central amenorrhea was caused by pituitary disease.
Now, just hoping that Director Zhang could convince the family to accept radiation treatment.
At the end of the day, the family still disagreed with accepting radiation treatment and was very firm.
Regarding this, Zhou Can was helpless.
Even though the cause of the disease had been diagnosed, the family refused treatment, and it was frustrating for the doctors.
Xinxiang Women and Children's Hospital seemed to want to use this case as a promotional example and had specifically sent people to work with the family and the patient.
The pregnant woman in the emergency room finally safely got through the most dangerous first six hours.
After work, Director Zhang specially rushed to the emergency room to check on the pregnant woman's condition.
After checking, she was very satisfied with the crisis response team's work.
"Rescuing this pregnant woman from the hands of death was not easy at all, great work everyone."
Director Zhang affirmed their work.
"Director Zhang, I want to stay on duty tonight."
The medical staff at Xinxiang Women and Children's Hospital were somewhat negligent, which worried Zhou Can.
He volunteered to stay overnight in the on-call room at the hospital to handle any emergencies promptly.
Director Zhang paused for a moment, then, as if in realization, glanced at a few medical staff from Xinxiang Women and Children's Hospital. Both doctors and nurses in the emergency room were jovial and casual, which made her frown.
However, she was only temporarily visiting for a few days, equivalent to being a guest.
It was not her place to interfere in others' domestic affairs.
It's indeed risky to leave the hardly rescued pregnant woman in the care of Xinxiang's medical staff.
But Zhou Can is a key figure, and staying the night shift, although only overseeing one patient, is still very taxing. Poor rest at night will definitely affect his work state tomorrow.
"Although Dr. Zhou is our crisis response team's deputy leader, he actually takes on the leader's responsibilities. If he is to work the night shift alone, it will definitely affect his work the next day. I'm willing to take turns on duty with Dr. Zhou tonight."
Ji You stepped forward at this moment.
Doctors and nurses working together is the most efficient arrangement.
"That's great! Having two people on night duty will make things much better. I'll coordinate with Director Tang to arrange a special duty room for you. I think other doctors in our hospital might need it in the future."
Director Zhang said this, clearly aware of the unreliability of medical staff at Xinxiang Women and Children's Hospital.
Talking to such an 'old hand' saves trouble.
After coordinating with Director Tang, they temporarily cleared out a small room not far from the emergency room. It's a small room used for storing mattresses and bed sheets. After a quick cleanup, a simple folding bed was placed along with a small wooden desk and chair.
A makeshift on-duty room was arranged.
"Dr. Zhou, the conditions are a bit rudimentary, please bear with us and make do."
Director Tang apologized to Zhou Can with a smile.
"Having a place to lie down and sleep at night is already very good. We are the ones inconveniencing your hospital."
Although Zhou Can was a rich second generation, he was not extravagant.
He was not particular about food, clothing, or accommodation.
He could eat a high-class meal worth thousands, as well as a ten-Yuan boxed meal. As for living conditions, as long as it's not noisy and there's a bed, that's enough.
"Thank you for your understanding, Dr. Zhou! If you need anything, feel free to tell me." Director Tang, like pulling a trick, produced a business card. "This is my business card, you can call my mobile number directly if there's an issue."
Anyone could see that Director Tang's treatment towards Zhou Can was quite special.
Not only polite but also very enthusiastic.
Director Zhang and others observed but didn't give it much thought. Because Zhou Can indeed performed outstandingly and held a high implicit status in Director Tang's eyes, which is quite natural.
Whether it was rescuing that sick child or this pregnant woman, Zhou Can was both a key player and a significant contributor.
The high echelons of Xinxiang Women and Children's Hospital might not say it out loud, but they definitely regarded Zhou Can highly.
...
After dinner, Zhou Can planned to first return to the hotel to take a shower and also bring back a medical book.