My Medical Skills Give Me Experience Points Chapter 1476 - 592: Solving Difficult Diseases in the ICU—Vomiting Blood Above, Blood in Stool Below (Part 2)

Damn, this mother is kneeling on the ground again.

Faced with these family members who love to kneel, Zhou Can felt particularly helpless.

"It’s not that I don’t want to save, it’s that you yourself have put your child through all this! Transfer hospitals!"

Zhou Can refused coldly.

"I was ignorant, I was wrong..."

Slap, slap, slap!

The mother frantically slapped her own face, swelling it up.

"Hey, hey, don’t do this! Don’t do this!"

The nurse quickly put down the tray and pulled her back.

"I beg you, save my child. I only have this one child, sob... I know I was wrong, I really know I was wrong, I won’t listen to those experts anymore..."

She cried very sadly.

Reaching this point, she definitely felt regret in her heart.

Such a person should be taught a lesson.

"If you insist on having your child continue treatment at our hospital, that’s fine too. Because the child’s condition is now extremely critical and life-threatening at any time. Our hospital will immediately issue a critical illness notice, and at the same time, the child needs to be transferred to the ICU for emergency treatment, which is very costly. At least seven to eight thousand yuan a day, you need to be mentally prepared. And even so, there’s no guarantee of survival."

Zhou Can explained the situation to the family clearly.

He exaggerated the seriousness.

"I agree, I agree. As long as there’s even a one percent chance of saving my son, I’m willing to pay any price."

Upon hearing that the hospital agreed to continue treating her son, the mother had no hesitation and repeatedly expressed agreement.

Next, they proceeded with the procedures to transfer to the ICU.

This mother is financially well-off, directly depositing one hundred thousand.

Logically, people with good financial conditions have high-income jobs. Their ability, knowledge, intelligence, and experience should be excellent in all aspects. But this mother didn’t seem like one.

Zhou Can secretly guessed that she might have a wealthy family.

A good father, or a wealthy husband.

Zhou Can couldn’t manage or wouldn’t manage other people’s private affairs.

As long as the money is settled, and the patient is transferred to the ICU, that’s enough.

"Dr. Zhou, is the child’s illness really that serious?" The nurse quietly asked Zhou Can.

"It’s definitely serious. With the technology of our hospital, saving the child should not be a problem at all. But as you saw, if we continue to let the child’s mother stay as a caregiver, the child will definitely not survive. Even giving the child a drip or an injection would require extensive negotiation. Having the child in the pediatric mini-ICU is beneficial to everyone."

Zhou Can blinked.

The nurse smiled, understanding his point, and nodded knowingly.

"Dr. Zhou is indeed thoughtful. In the future, when encountering such patients, your approach is definitely worth learning and emulating."

Faced with such family members, not letting the patient stay in the ICU would be a huge trouble.

As for the increased treatment costs, there’s no help for that.

The family brought it upon themselves.

You can earn money again, but if a child’s life is lost, everything is lost.

It could have been cured with five thousand, but now it might take fifty thousand. It’s also a profound lesson for the family, ensuring this mother won’t be misled by "what experts say" in the future.

After dealing with this patient, Zhou Can proceeded directly to the consultation room.

Because Director Tang had already called him ten minutes ago, asking him to come for a consultation; the daughter of the Health Bureau’s BOSS had been transferred over.

In the past two years, Tuya Hospital and the Provincial People’s Hospital have carried out multiple learning exchanges, transforming their initially unfamiliar and hostile relationship into one of considerable closeness.

The exchange promoted single-handedly by Zhou Can had a profound impact on the two hospitals, resulting in a win-win situation.

However, Tuya Hospital has never had any contact with the Provincial Children’s Hospital.

Like the Provincial People’s Hospital, the Provincial Children’s Hospital is also an old strong hospital, with numerous experts and profound heritage.

Such well-established strong hospitals each possess their unique arrogance.

Pediatrics itself is a high-difficulty medical field; Tuya’s pediatrics is considered top-notch. However, in the eyes of the Provincial Children’s Hospital, it remains the top in the province and has never acknowledged Tuya Hospital’s pediatric status.

Even if Zhou Can cured a difficult disease years ago that an expert from the Provincial Children’s Hospital couldn’t treat, it still didn’t change this situation.

The special-grade expert Wei Zhengru from the Provincial Children’s Hospital still maintains a close connection with Zhou Can.

Besides the mutual holiday greetings, there are occasional discussions on medical skills and academic exchanges.

Academically, it’s usually Zhou Can seeking advice from the other side.

In terms of medical skills, discussions are mutual.

When Zhou Can arrived at the consultation room, he found several pediatric experts present. It was already past nine at night, a time when these experts usually would have already retired home for the night.

Gathering them at this time was indeed not easy.

Almost every consultation saw Zhou Can arriving last.

It wasn’t that he purposefully delayed; it was simply too busy.

"Dr. Zhou, after a round of discussion, there’s a highly debated issue. During the child’s first admission to the Provincial Children’s Hospital, the chief complaint was fever, abdominal pain, and bloody stools. The child actually received treatment at the Provincial Children’s Hospital for six days with no improvement, and this afternoon suddenly started vomiting blood, though still fairly conscious. The main controversy now is whether it’s an upper gastrointestinal bleed or a lower gastrointestinal bleed?"

Director Tang Fei is knowledgeable, holds high status, and possesses natural beauty.

She has an excellent demeanor.

Even though she’s in her forties, she remains quite beautiful.

At this moment, sitting in the main seat of the consultation room, she radiates vitality and is indeed pleasing to the eye.

Upon seeing Zhou Can’s arrival, she immediately briefed Zhou Can on the child’s illness.

One could see her reliance on Zhou Can.

"What color is the blood in the stool?"

"Jam-colored!"

"Are there many occurrences of bloody stools each day? Is the volume large?"

"Before hospitalization, the child had bloody stools two to three times a day, with a high fever of 39.6 degrees. After treatment at the Provincial Children’s Hospital, the bleeding is now intermittent; at its worst, two to three times a day, at its best, there might be no bleeding or just a small amount. The fever similarly fluctuates, having been controlled, the temperature drops, but after a day or two, it rises again."

After hearing Director Tang’s description, Zhou Can couldn’t help but frown slightly.

Such recurrent conditions are the hardest to diagnose.

Especially when the condition relapses after treatment, the most common scenario is that the real cause remains undiagnosed.

For example, a malignant tumor mistakenly treated as enteritis.

When medicated, there’s slight improvement. Once medication stops, the condition rebounds fiercely.

This indicates the cause is unidentified.

"Did the child vomit blood for the first time today? Was there a lot of blood?"

Zhou Can continued asking.

"It should be the first time vomiting blood, and the volume was not significant."

Director Tang Fei didn’t seem very clear on these details either.

"How about this, I’ll invite the family over to answer everyone’s questions directly. After all, it’s late, and everyone has work tomorrow; I don’t want to take up too much of your time."

With that, she directly instructed to have the family member invited in.

Director Zhuang handed the child’s materials to Zhou Can.

"Dr. Zhou can take a look at the child’s examination report and treatment details. This child’s illness might be Crohn’s Disease."

Gastrointestinal diseases are numerous.

Crohn’s Disease is notoriously difficult to diagnose and treat.

With current medical technology, this disease requires lifelong medication.

Its etiology is not clearly defined internationally so far.

Some get it from heredity, some after eating seafood, some following a common cold, and others just after a tiring hike.

The consolation is that although it’s incurable, medication can control it.

However, imported drugs are pricey, and domestic drug effectiveness is subpar.

For patients, it’s a tremendous financial burden.

Zhou Can carefully reviewed the materials.

As expected for a VIP-level patient, all examination, lab results, treatments, and care records from the Provincial People’s Hospital were transferred.

It’s difficult to get a complete medication and treatment record when ordinary patients transfer hospitals.

This is due to potential medical disputes.

The initial hospital would be cautious, fearing the family might use the data to nitpick faults with the help of professionals, possibly leading to medical disputes.

Just like how local restaurants and food processing places fear inspections.

Things seem fine as usual, but an inspection always finds some faults.