CHAPTER 539: CHAPTER 234: SAVE SMALL MONEY TO SPEND BIG, PRINCIPLES OF REHYDRATION_2

Zhou Can has learned from several chief physicians, his vision, scale, insight, and experience are all far beyond ordinary standardized trainees like Yu Xin.

Even many resident doctors can’t compare with Zhou Can.

It’s like in a martial arts sect, how can the disciples taught by an officer compare with the direct disciples of the Sect Leader?

The gap is very large.

Knowing which situations he can handle on his own and which situations he should report promptly, Zhou Can has a more accurate grasp on this.

If Yu Xin had managed to handle bed 73’s patient well, she would indeed score points in the eyes of senior doctors. But if something goes wrong, it would be a big deal. The risks involved are too great.

She’s caught up in the situation and can’t see it clearly.

But Zhou Can saw it very clearly.

"Do you mean that if I deal with it myself, the risk is very high?" she still held some hope.

"The risk is extremely high. I can tell you directly, the patient can progress into septicemia at any time. Right now, he’s already showing the initial symptoms of typhoid."

Zhou Can was very certain in his statement.

He worried she wouldn’t believe it and would stubbornly try to handle it herself.

A great future could be ruined by this one attempt.

"I understand, I will call Director Shang immediately."

Fortunately, she is a female doctor and rather cautious.

Hearing Zhou Can describe the situation as so severe, and considering the previous lesson from Dr. Zhang who was the bed manager, she ultimately didn’t dare to take the risk.

She quickly finished reporting.

She also took a long sigh of relief, her facial expression noticeably more relaxed.

"Director Shang has been called to the emergency and pediatric departments for consultations. He told me to correct the patient’s water and electrolyte imbalances and hydrate them first; he will come back later to handle it personally,"

Yu Xin proactively informed Zhou Can of the results after reporting.

"Pretty good."

Zhou Can nodded his head.

"I am just worried that the hydration won’t be effective, because he’s vomiting quite severely," she said, obviously wanting to hear Zhou Can’s opinion.

Being able to become a standardized trainee and personally mentored by Director Shang in his team, she was definitely familiar with various rehydration methods.

"If he’s really vomiting severely, just opt for intravenous fluid replacement. It’s not that we as doctors don’t save patients money on treatment, but the patient’s condition does not allow for it." Zhou Can knew what she was worried about.

In the past, Zhou Can would also pay special attention to saving treatment costs for patients during treatment.

Save where possible.

Then there were two close calls, and Dr. Xu and Director Shen from orthopedics had both reprimanded him over this.

Gradually, Zhou Can also realized one thing: when it’s not appropriate to save, you must not save. Otherwise, you might help the patient save a small amount of money superficially, but it could result in them not achieving the desired treatment effects and even lead to avoidable complications, which would greatly increase the cost.

Saving pennies and spending dollars is not only applicable in everyday life but even more so in medical treatment.

Since then, Zhou Can also learned the essentials of medication and material usage from the chief physicians.

For treating some critical illnesses, you must use imported medicines and supplies, and never prescribe domestic ones.

Some domestic pharmaceutical factory owners are exceptionally unscrupulous; tests have shown zero active ingredients in a bottle of their cancer medication. They still claim how effective their treatments are and price them at over three thousand yuan a dose.

But in developed countries, this kind of situation almost never happens.

Should it happen, the pharmaceutical company would be sued to bankruptcy.

It’s only that some illegal businesses manage to exploit loopholes in the law and regulations, and in pursuit of exorbitant profits, heartlessly exploit the finances of unfortunate cancer patients.

It’s believed that such unscrupulous pharmaceutical companies will one day receive their due punishment.

Doctors facing such companies sometimes feel quite helpless too.

The subpar quality of domestic drugs isn’t limited to certain manufacturers’ cancer medications; many other drugs are also ineffective. For instance, domestically produced drugs for gastrointestinal bleeding simply don’t work, and only imported ones must be used.

There are too many such examples.

Of course, the ineffectiveness of domestic drugs for treating gastrointestinal bleeding isn’t entirely due to the malice of the manufacturers; it’s also because domestic pharmaceutical technology is still far behind that of developed countries.

Yu Xin prescribed the treatment orders for the patient and promptly went to administer treatment.

Zhou Can continued leisurely reading through his group’s case files in the office.

Being new, it would take two to three days to go through all the case files.

According to Zhou Can’s usual practice, after mastering all the case files in his group, he would start to check the case files of the entire Internal Medicine department.

Just the number of beds in Digestive Internal Medicine is over one hundred and thirty.

Even if the turnover rate of inpatients is considered in a three-day cycle, it’s still a frightening number.

The patients in his group are not just inpatients; there are also outpatients seen in the clinic. Some patients requiring interventional surgery or simple medication can recuperate at home, and doctors would not keep them hospitalized.

But Zhou Can also needs to study and learn these case files.

It’s said that Tuya Hospital’s Digestive Internal Medicine has an annual outpatient volume of more than 140,000 visits.

On average, that’s over 385 visits a day.

He wants to review all the department’s cases for the day, but it’s simply not possible.

Therefore, he can only pick key cases to study.

Not long after, Director Shang returned from the emergency and pediatric consultations.

Emergency department patients are generally critical, so Director Shang definitely prioritized going there for consultations.

Zhou Can had spent a few months in the emergency department; usually, just sending a specialist doctor for consultation would mean sending a chief resident, which was considered good. However, this time even Director Shang personally attended, indicating that the patient’s condition must be very critical.