My medical skills add experience

Chapter 159 It's not whoever is weak who is right, you taught me a lesson

Sometimes we should not deify famous doctors or experts too much.

They do know more than ordinary people, and they are more prominent in the fields they are good at.For some diseases, they can diagnose almost exactly by listening to the symptoms.

Some people can know whether it is malignant by touching the lump.

However, when encountering complex diseases, experts can easily become 'bricks'.

They are also human beings, and like ordinary doctors, they need to make a comprehensive dialectical analysis based on the patient's symptoms, physical examination, various examination reports, medical history, age, physical condition and other information.

Wu Baihe's level is definitely not a problem, it is second to none in the province's field of supernatural powers.

It's just that the cause of this patient is extremely complicated. After pulmonary embolism was ruled out, Wu Baihe didn't dare to jump to any conclusions when he was not at the scene.

Although Zhou Can is only a regular trainee, he was able to conclude that the patient was not a pulmonary embolism before an angiography, which shows that a major discovery has been made.

The diagnostic thinking is clearer than others.

At this time, it should be a very wise choice for Kuang Shenfeng to follow Zhou Can's diagnosis opinion.

"Shenfeng, did you hear what I said to you?" Wu Baihe didn't hear Kuang Shenfeng's words for a long time, so he couldn't help asking again.

"I can hear you, I can hear you! Do you really think it's safe to leave this matter to a supervisor?"

Kuang Shenfeng didn't understand why Wu Baihe made such a decision.

The patient's life was dying. There were so many attending physicians, deputy directors, chief physicians, and Dr. Du Leng, a returnee, but he was asked to follow Zhou Can's advice.

He was very puzzled.

"Don't look down on anyone. He is not an ordinary Gui Peisheng. Eight months ago, a pregnant woman went into shock in the emergency department. Tuya almost dispatched all the top doctors in internal medicine, surgery, obstetrics and gynecology for a joint consultation. Director Xie and I both I went, and Director Tan, Director Yin and others from the Department of Internal Medicine also went. Director Zhang from the Department of Obstetrics and Gynecology also took people there personally."

"So many heavyweight chief physicians were helpless, and Zhou Can finally successfully diagnosed the cause of the disease. It was also that time that I deeply remembered that kid. After eight months, recalling the scene at that time is still extremely shocking. If you believe me, don't hesitate any longer, and ask him humbly for advice immediately."

Wu Baihe would never mention this matter to others.

Because so many chief physicians are not as good as a Gui Peisheng, it is not honorable.

"He...is he really that powerful?"

Kuang Shenfeng secretly glanced at Zhou Can.

"Didn't you just experience the lesson?"

After Wu Baihe asked back, he hung up the phone directly.

Kuang Shenfeng's face changed for a while, asking him to take the initiative to ask a Gui Peisheng for advice, he really couldn't get over his face!
However, before the CT angiography examination, Zhou Can directly asserted that the patient did not have pulmonary embolism, and Zhou Can was right.This incident made Kuang Shenfeng think highly of him.

Also put away contempt.

On the one hand, there is a patient who may raise his braids at any time, and on the other hand, is an old face that cannot be removed.

He gritted his teeth again and again.

In the end, he gave up his heart, stood up and walked in front of Zhou Can.

"Doctor Zhou, I was too self-willed before and didn't listen to your diagnosis opinion. I apologize to you." He knew very well that only by apologizing to Zhou Can and obtaining forgiveness can Zhou Can fully help him rescue this patient.

"Director Kuang's words are serious. I'm just a small Pearson. It's normal that the diagnostic opinions I give are not taken seriously. I didn't take this little thing seriously."

Zhou Can really didn't intend to embarrass Kuang Shenfeng on purpose.

He really didn't care that the diagnostic opinion was not accepted.

When something happened to the patient, it was because of Kuangshen Peak, and it had nothing to do with Zhou Can.

"Cough... that... the patient was not found to have a pulmonary embolism, and Dr. Zhou was right. Can you tell me about your diagnosis? If the cause cannot be found, there is no way to rescue him. The patient's life is hanging by a thread. It's actually quite urgent."

When Kuang Shenfeng said these words, he wished he could bury his head in the sand like a hunchback.

Because it's too embarrassing.

His status is almost equivalent to the chief disciple of Director Wu's group.

Now he has to lower his haughty head to ask an outside group of Gui Peisheng for advice. Where does this put his deputy chief physician's face?
In the hospital, who has the highest status?
Not the dean, not the patient, not even family members or doctors.

But life comes first.

Whoever can save the patient's life and restore the patient's health is the boss.

Looking at the incoherent and anxious Kuang Shenfeng, Zhou Can felt very refreshed.

Make this guy proud, make him look down on people.

Isn't it still obediently begging to come to the door now?

"Let me first talk about my diagnostic thinking. The patient has been in a coma for a long time, has been bedridden for a long time, and has had a tracheotomy. Everyone suspected that there was something wrong with the lungs. However, I first ruled out the possibility of pulmonary embolism based on some subtle symptoms of the patient and the patient's family situation."

"Because of pulmonary embolism, a long-term bedridden patient will have symptoms of blood clots in the veins of the legs. But this patient's legs appear to be in normal condition."

When Zhou Can said this, the other doctors couldn't help but suddenly understand.

"Oh, let me just say, the patient's legs look pretty good no matter the blood color or the veins. How did he get pulmonary vein embolism? I was skeptical at the time."

"Doctor Zhou Can is really talented!"

"Don't talk, just listen to Dr. Zhou continue to share his diagnosis ideas."

Kuang Shenfeng turned his head and glared at the doctors in the same group as the afterthought.

Usually, the most common people are this kind of people who are wise after the fact and who are like pigs before the event.

Everyone is a good player when it comes to lip service.

When something really happens, there is no one reliable.

"I mentioned earlier that terminally ill patients who have been bedridden for a long time may not expect a medical miracle but a medical accident when they enter the hospital for treatment. This may be a bit dark, but this kind of thing may actually happen. For example, this dying patient, I think, may have long been looking forward to the arrival of this medical accident. Therefore, Director Kuang had better not be too optimistic."

When Zhou Can mentioned this sentence again, it gave everyone a completely different feeling.

Before the test results came out, everyone really thought he was farting.

Listening to it now, I feel that Zhou Can's words are true, and there must be a basis for daring to say that.

Director Kuang's brows could not help but look a little more sad.

It wasn't that he was timid and unintimidated, but that Zhou Can broke the luck in his heart with facts.

"Judging from the patient's treatment options in the ICU, it can be called a diet."

Zhou Can pointed to one of the fee lists, but couldn't see any particularly expensive treatment options.Basically, you can save if you can.

Only the most basic life-saving treatment measures are used.

"It shows that the patient's family is likely to be heavily in debt and very short of money. Also, even though the patient is in a coma, there is still an imperceptible smile on his face. When he is enduring great physical pain, he is able to show his true self. The happy smile in his heart shows that the medical accident he was looking forward to finally came, so he was happy. That's why he showed a relieved smile."

Zhou Can's analysis made Kuang Shenfeng feel horrified.

I really didn't expect that a dying patient could plot so deeply.

I am afraid that all the doctors present will remember this lesson and be vigilant for the rest of their lives.

Generally speaking, it is a good thing.

They will definitely be more cautious in their work in the future.

It is equivalent to urging them to correct their work attitude in disguise.

"If I help you rescue the patient from hell, it will undoubtedly make the patient's wish come true. In fact, even if he doesn't die this time, he won't live for long. Use the few remaining lives in exchange for a sum of compensation, so that the family Live better. It's a bargain."

Zhou Can did not say the diagnosis conclusion for a long time, is he really thinking about rescuing the patient, right or wrong?

Behind this patient, there is likely to be a family heavily in debt.

Zhou Can was almost certain that the patient just wanted to exchange the few remaining lives for a sum of compensation.

Cutting off people's wealth is like killing one's parents.

"Doctor Zhou, you must not only think about the patient! I am also very pitiful. Such a medical accident basically ruined my future. The hospital will bear part of the compensation, and I will definitely bear it personally. .I try my best to treat the patients and serve them, but I still have to be calculated by them. I am more pitiful than the patients.”

Kuang Shenfeng was in a hurry.

If Zhou Can doesn't help him, who can help him at the scene?
Du Leng, who only talks on paper?Or Director Wen with average diagnostic skills?
None of them can help.

Only Zhou Can can change the ending.

"Doctor Zhou, I also feel that I can't stand on the patient's side in this matter. It's not that whoever is weak is justified. Help rescue the patient first, and then find a way to help the patient raise donations, which can also alleviate the financial burden of the patient's family. heavy burden."

Director Wen's proposal is the best of both worlds.

I have to say that Director Wen's ideological realm is really high.

"Okay, I'll listen to you."

Zhou Can respected Director Wen very much, and after listening to it, he readily accepted Director Wen's suggestion.

"It's agreed in advance that I need to ask Doctor Kuang to help me with the donation after the patient is rescued."

Zhou Can looked at Kuang Shenfeng.

Human nature is good.

When we see vulnerable groups, we can't help but sympathize with them from the bottom of our hearts and want to help them as much as we can.

"No problem. This matter is easy to handle. One of my high school classmates is a media reporter. Asking him to help write a soft article to promote it should be able to attract a lot of money for this patient."

Kuang Shenfeng didn't think much about it, and agreed directly.

He didn't dare to think too long, the patient was still waiting to be rescued.

The longer the delay, the worse it is.

"Asthma, shortness of breath, plus lung infection, so the diagnosis only pays attention to the lungs, but ignores the heart. In this patient, I seriously suspect heart failure. And it is likely to be right heart failure."

Zhou Can revealed the real cause of the disease.

As for the idea of ​​diagnosis, in fact, as long as the vision of thinking is not blocked by the lungs, it is easy to think about heart failure.

"That's right, why do we ignore the heart? Heart failure can indeed cause symptoms such as asthma and shortness of breath." After hearing Zhou Can's diagnosis, Director Wen applauded.

Diagnosing the cause is sometimes like guessing a riddle.

After the answer to the mystery was revealed, everyone felt that it was simple.

When guessing, I scratched my head and scratched my head, puzzled.

"It's actually very simple to diagnose right heart failure. Do an echocardiogram and measure the pulmonary artery pressure, and you'll be able to draw a conclusion. However, Dr. Kuang had better be psychologically accurate. This patient is likely to have cor pulmonale. According to me As we all know, the prognosis of this disease is often very poor.”

Zhou Can said to Kuang Shenfeng.

Heart failure is a very difficult syndrome to correct.

Ancient doctors said that medicine and stones are difficult to cure, and heart failure is one of the incurable diseases.

"Forget it for now, send it for an echocardiogram immediately. Pulmonary heart disease is not curable, but it shouldn't be difficult to find a way to save the patient's life." After Kuang Shenfeng learned the real cause of the disease, the sadness between his brows faded a lot .

Now waiting for the test results to come out.

He had a feeling that what Zhou Can said was probably right again.

Sure enough, the test results came out soon.The patient's pulmonary hypertension exceeds 50 mm.

Fortunately, the diagnosis was timely and the 70mm hadn't broken yet.

As long as timely and symptomatic medication is given, it should be possible to pull the patient back from the gate of death.

"Dr. Zhou let me witness what strength is, and taught me a good lesson. From now on, I must guard against arrogance and impetuosity, always keep an open mind, and listen carefully to every doctor's diagnosis opinion."

What Kuang Shenfeng meant by saying this was almost to bow his head to Zhou Can and admit his mistakes in public.

And said it will be corrected.

"I promised to raise money for patients, and I will definitely fulfill my promise. Thank you, Dr. Zhou. Director Wen, Dr. Zou, and Dr. Tang, thank you for lending a helping hand."

Kuang Shenfeng was really scared today.

But now it's all right, the crisis has been successfully resolved.

He also relaxed a lot.

"They belong to the same department, so don't be polite. Hurry up and prescribe the medicine for the patient! Next time you are on duty in the ICU, don't be negligent."

Director Wen waved his hand, urging Kuang Shenfeng to quickly treat the patient.

Otherwise, it will be extremely dangerous when the patient's pulmonary arterial pressure rises further to more than 70 mm.

Before Du Leng followed Kuang Shenfeng and left, he took a deep look at Zhou Can.

The two looked at each other, Zhou Can's eyes were very indifferent.Du Cooling is sharp.

Du Leng lost miserably in today's rescue.

Zhou Can made him understand what is meant by 'false height'.

What's the use of just having a high degree of education and not being able to treat diseases?Writing essays all day?

But even if you write a thesis, you have to build it on the basis of practice!

A thesis without practical support is a castle in the air.

"Our competition has just begun, don't be complacent."

Du Leng said to Zhou Can coldly.

"Am I proud? Doctor Du should change his point of view. It's not good to always judge the belly of a gentleman with the heart of a villain!"

Zhou Can shrugged, and the smile on his face was clearly full of complacency and mockery.

"You... hum! I will let you understand that the gap in education is irreplaceable, and knowledge can determine everything."

Du Leng usually speaks in public as a hypocrite.

At this moment, he became angry from embarrassment, which can be regarded as showing his true face.

Being surpassed by Zhou Can many times really made him very uncomfortable.

(End of this chapter)