Chapter 1423: Chapter 567: A Special Myocardial Infarction Patient, Systemic Arterial Vascular Malformations

"Okay."

The waiter quickly brought over two takeout boxes.

Speaking of service attitude, the regular shops and restaurants are warm and attentive. The service attitude in banks and luxury stores is relatively double-standard; with money, you’re treated like a VIP, without it, you’re given the cold shoulder.

"Du Leng and I are planning to get married this year, so make sure you all come to my wedding banquet!"

Ma Xiaolan put some crayfish, lamb skewers, and leeks into the box.

At the same time, she shared some shocking news with them.

When she started dating Du Leng, few people thought it would last.

Zhou Can even thought that Du Leng was just playing around and the two would soon break up. He didn’t expect the relationship to progress to marriage discussions.

"I’ll definitely be there for Xiaolan’s wedding. I’m just worried I won’t be able to get time off."

Qiao Yu was the first to express their stance.

"Boss, marriage is a big deal, something that happens once in a lifetime. You have to grant us leave."

Ma Xiaolan immediately looked at Zhou Can.

"I definitely won’t hold you back here, but doctors and nurses are in a special profession, and it’s really unlikely for everyone to get leave at the same time. If the wedding is held locally, arranging two or three hours off shouldn’t be a problem."

Zhou Can was cautious about making rash promises.

It’s hard for medical staff to get leave. Because patients can’t wait, they must receive timely treatment at the hospital.

There’s often a severe shortage of nurses, with many doing the work of two people. The hospital not only doesn’t allow them to take leave but practically expects them to work overtime day and night.

This phenomenon is especially common in large hospitals.

During a flu outbreak, medications can stretch from one end of the treatment room to the other. Each patient’s medication needs to be checked at least twice, prepared in advance, and administered within the required timeframe.

Even if preparing medication for one patient only takes a minute, administering the injection takes two to ten minutes, and then there’s about a minute to clean up the needles or IV needles.

Completely handling one patient takes at least five to ten minutes, or even longer.

Even if a nurse’s workday is extended to twelve hours, during high patient loads, it’s still far from enough.

With more patients comes the frightening phenomenon of critical patients and emergencies arising.

This can severely strain the resources of multiple nurses.

Thus, it’s hard for nurses to get leave.

Doctors have an even more special situation; each specializes in different fields. The higher the level of the doctor, the lower their replaceability in the department.

If a chief physician takes a break, the department might not be able to admit that type of patient.

Ordinary doctors are highly replaceable, but they have many tasks!

The lower-ranking doctors like interns and resident trainees do more work. If you think interns can just watch their superiors operate and slowly learn, you’re overthinking it.

Take the Emergency Department where Zhou Can works as an example; when a critical patient arrives and no superior doctor is present, the interns have to step up.

For Ma Xiaolan’s wedding, making the surgical team collectively take a day off is almost impossible.

Requesting two or three hours off from the department is more likely to be approved.

As everyone was happily eating, Zhou Can’s phone rang.

He took it out and saw it was from the hospital’s Emergency Department.

He picked up the call.

"Dr. Zhou, please return to the Emergency Department immediately. A heart attack patient has been brought in, and the situation is very dangerous."

"Okay! I’m on my way!"

Zhou Can stood up and hurriedly told everyone, "I can’t stay with you anymore, a critical patient just arrived at the emergency, I need to head over immediately. Feel free to eat and drink whatever you like, I’ll reimburse you tomorrow."

After saying that, Zhou Can quickly left.

Fortunately, this little alley where they were eating was very close to Tuya Hospital, so he jogged back to the Emergency Department.

By the time he got there, the patient had already been wheeled into the resuscitation room.

Heart attack patients must be treated promptly; otherwise, they will soon die.

"Xiao Zhou, quickly come and see this patient’s condition!"

Director Lou was sweating profusely.

It seemed he had already led the emergency nurses and doctors in a round of rescue efforts for the patient.

There were no signs yet of Cardiothoracic Surgery or Cardiovascular Internal Medicine doctors coming for a consultation.

Both departments are capable of treating heart attack patients.

The Emergency Department currently doesn’t have the treatment capabilities but simple thrombolytic and CPR are manageable.

Zhou Can quickly walked to the resuscitation bed and was momentarily stunned when he saw the patient’s face.

How could it be him?

The patient on the resuscitation bed was surprisingly Third Hospital’s director Zhang Qilian, whom they had met twice.

At the moment, he was pale, with lackluster eyes, labored breathing, and an extremely unstable heart rate.

"Have you done an angiography?"

"Not yet. The patient was transferred from Third Hospital, and the biochemical test results indicate a severe increase in myocardial enzymes. The ECG confirms it as a myocardial infarction."

Director Lou handed the patient’s examination report for Zhou Can to review.

"Given his blood pressure, heart rate, complexion, and the ST-T changes on the ECG, the myocardial infarction area isn’t small. If he had been brought in earlier, it would have been better; now, it’s probably necessary to send him to the cath lab for immediate intervention treatment."

After assessing the patient’s condition, Zhou Can quickly provided a rescue recommendation.

This is the difference between high-level and average-level skills.

Director Lou and the others, even knowing the patient had a heart attack, could only perform some conventional emergency procedures to first stabilize the patient’s vital signs.