My medical skills add experience

Chapter 225 Tuya's secret guardian force, the newcomer teaches the superior doctor to do things

It seems that before Mr. Liu chose to pass on all his life's medical notes to Zhou Can, he must have made an assessment of Zhou Can's character.

He thought that Zhou Can was worthy of entrustment and had a good character, so he passed it on to him.

"Some people have poor moral character, but they are very talented in medicine. With the supervision of the law and the hospital, are you afraid that they will do anything wrong?"

Zhou Can asked a little puzzled.

No one is perfect, and some people's moral character may not be very good, but they are very talented to study medicine.

This type of person has enormous potential for growth, just by nurturing them.

Zhou Can always felt that it was a waste of talents to keep them out of the core medical skills.

"It is really difficult for one or two people with poor moral character to behave mischievously under the current system. But when such a person climbs to a certain high position, he will try his best to win over people who can be corrupted. At the same level, we have the ability to do anything wrong. We have no control over other hospitals, but it is not easy for Tuya Hospital to achieve what it is today, and we must not let those black apples ruin it."

Liu Lao's tone and expression were extremely serious.

"Prevention is far better than cure. The best way is not to give such people a chance and prevent them from climbing to high positions. Their energy is limited, so naturally they cannot cause great harm to Tuya. I can tell you clearly, no I am the only one who has this awareness of prevention, and Tuya's older generation basically have the same point of view as me."

Hearing this, Zhou Can was secretly startled.

This is the first time he has heard of such a secret.

I used to think that although morality is important, few people care about it.

It is only now that I understand that in the dark, there is an old man who is bit Tuya who is attacking those doctors who are judged to be of bad moral character.

For people of good moral character, this is a good thing.For people with bad morals, as long as they show their feet and are labeled as bad morals, it will be difficult for them to do anything in Tuya Hospital.

The point is, those people didn't know until their death that there was a large group of seniors secretly preventing him from climbing up.

Tuya's older generation is probably at least at the deputy director level!
They hold important positions in various departments of the hospital, and have a very high right to speak and make decisions on many important matters.

The core medical skills are also in the hands of this group of people.

I can't imagine how miserable it would be in the hospital without the support of this group of people?
Either they are underappreciated and leave automatically.

Or doubt life, depressed until retirement.

"This matter is originally a hospital secret, and none of you will say it outright, but tacitly maintain this 'common homeland' together. As long as you know about it, don't publicize it. In addition, I might as well make it clear Let me tell you. The senior management of the hospital should have passed the preliminary assessment for you, as long as you continue to maintain your original intention, your future achievements will not be much worse."

There is also a warning in Liu Lao's words.

Some people performed well in the early stage and have excellent moral character.But then slowly lost in money, and finally depraved.

It was almost a vague reminder to Zhou Can not to go to that step.Otherwise, the future will be ruined.

"Finally, I would like to make a request that is not considered a request. If you will become the core of the hospital in the future, I hope you can protect Tuya Hospital together with others. Don't be soft-hearted when you encounter people with bad morals. Just like A tree, when it grows crooked, no matter how hard you try to correct it, it will still be crooked in the end. No one can persuade adults unless they wake up themselves."

Liu Lao made a special request to Zhou Can.

I hope Zhou Can will join the positive energy camp after being promoted to the top of the hospital in the future, and protect Tuya Hospital together with other doctors in the positive energy camp.

"Guard justice, maintain public order and good customs, even if you don't make this request, I will try my best to fulfill it. After all, people's hearts are against each other!"

Zhou Can agreed.

As for what Old Liu said about not being soft-hearted towards people with bad morals, Zhou Can seems to have never softened his heart.

And he wouldn't try to wake anyone who was pretending to be asleep.

……

When leaving Puwai, Zhou Can walked very low-key.

In addition to talking with Mr. Liu in the office for more than an hour, he quietly left the general surgery department with the notes that Mr. Liu had made all his life.

It can be predicted that the eight sub-departments of general surgery will still mention him from time to time long after he left.

Because Zhou Can created a legend that belongs to Gui Peisheng.

With his own strength, he helped Mr. Liu get the construction right of nail and breast surgery.And relying on his own strength, he helped nail and breast surgery to seize the opportunity, and developed new diagnosis and treatment services almost seamlessly.

These deeds are destined to be hotly discussed by various sub-departments of general surgery.

As a client, he doesn't care what others think of him.

Already carrying Liu Lao's notes, he stayed in the apartment and read quietly.

These notes are too precious. The surgical mistakes, better surgical plans, omissions, and diagnosis of difficult and miscellaneous diseases in it are of great help to Zhou Can.

It can save him from detours when performing these operations in the future.

It can even draw inferences from one instance and use it in other operations.

There are also some wonderful surgical ideas, which make people overwhelmed after reading it.After reading it, Zhou Can absorbed and digested these valuable experiences, which will come in handy when encountering similar operations in the future.

It is also very beneficial to expand his surgical thinking.

Just like a certain painter, he only heard about how luxurious and simple the Forbidden City was before, but he was actually unable to draw a picture of the Forbidden City.

So he pooled his money and took a long-distance train to the Forbidden City. After the visit, he was asked to draw the appearance of the Forbidden City, and he had a good idea.The thick golden nanmu eyes held together by the two, the eaves corners carved with dragons and phoenixes, the antique mahogany chairs, the six-page screen full of book fragrance...

Zhou Can is now reading Liu Lao's lifelong medical notes, which is equivalent to absorbing Liu Lao's lifelong medical essence in a very short time.

This growth rate is very terrifying.

The next day, he hurried to the internal medicine department that he had longed for for a long time.

The first stop was not the top-ranked cardiovascular medicine department, nor neurology department, but gastroenterology department, which was not very eye-catching in internal medicine department.

Director Tan of the Department of Internal Medicine has maintained a good personal relationship with Zhou Can.

During the holidays, Zhou Can would send messages or call to greet Director Tan.

Director Tan had confessed to him a long time ago.

When it comes to internal medicine training, you don’t have to follow the routine process. Zhou Can can flexibly arrange the time for training in various internal medicine departments according to your own needs.

This delegation of power is actually quite large.

It is estimated that only Zhou Can can enjoy such treatment in the entire Tuya Hospital.

Zhou Can came to the inpatient department of Gastroenterology early.

Compared with surgery, the number of inpatients in internal medicine has increased unabated.Surgical patients are rarely seen here, and they basically rely on drug treatment.

Zhou Can was not in a hurry to find a doctor or nurse to find out where to report.

Because he is fairly familiar with gastroenterology and knows where the office is.

It's not the first time here either.

A doctor is measuring the body of a thin middle-aged male patient in front of the No. 51 hospital bed.

And ask the patient what is uncomfortable now?
The patient's condition looks very bad.

His lips were pale, there was no trace of blood on his face, and he looked weak, lying on the bed with his eyes slightly closed.

The family members watched anxiously beside the hospital bed.

Zhou Can concluded at a glance that the patient had internal bleeding.

This is the improvement brought about by his promotion to the fifth level of hemostasis.Whether the patient has internal bleeding can be vaguely judged by the patient's face and some symptoms.

He has diagnosed too many patients with gastrointestinal bleeding in the general surgery department.

The various explicit symptoms of this patient are too similar.

It is possible to preliminarily deduce what kind of disease a patient is suffering from just by observing with the naked eye, which is similar to the ability of inspection in ancient times.

It's just that most modern doctors have studied the Western medicine system, and their inspection ability is far from comparable to that of ancient Chinese medicine.

Modern doctors generally can only diagnose some patients with typical characteristics.

For example, liver palms, spider nevus, lower extremity edema accompanied by dull complexion, etc.

Zhou Can saw that this patient had internal bleeding, and his inspection ability should be better than that of ordinary doctors.He relied on the rich experience he had just accumulated in general surgery, as well as five-level hemostasis and four-level pathological diagnosis.

It is worth mentioning that when he read Liu Lao's medical notes last night, he could basically increase his pathological diagnosis experience by 1 point for every case he read.

The bed doctor took the patient's temperature, measured the pulse, and gently pressed different parts of the abdomen.

Zhou Can was speechless for a while.

The family members have already told him that the patient had blood in his stool not long ago, and he is still here leisurely measuring the patient's basic signs. This bed doctor is really not in a hurry.

Physicians are basically like this, even if the patient is about to die, they can still carry out various operations in a leisurely manner.

That is to say, only when the patient is in shock and unconscious, will various rescue operations be carried out quickly under the leadership of the superior doctor.

Their behavior is sometimes very similar to the confused behavior of animals.

"The patient's internal bleeding should be quite serious. If you haven't had a colonoscopy, it's best to send it for a colonoscopy immediately." Zhou Can kindly reminded the 28-year-old bed doctor.

Seeing that he has a pair of panda eyes, I am afraid that there were many dangerous situations last night, and he must have been very busy.

On the night shift, I don't even have time to take a nap.

"The colonoscopy, gastroscopy, and capsule gastroscopy have all been checked, and no bleeding point was found! The patient belongs to intermittent gastrointestinal bleeding... Hey, who are you?"

After the bed doctor answered a few sentences, he probably realized that the voice was relatively unfamiliar, and turned to check the person behind him who was speaking.

In the end, it turned out to be an extremely young and unfamiliar face.

He was wearing a white coat, indicating that he was a doctor.

"Hello, I'm Zhou Can from Gui Peisheng, please take care of me. The patient's condition is very bad. He has already had a colonoscopy and found no problems, so he should be sent to the interventional department for gastrointestinal angiography as soon as possible. It is recommended to focus on investigation jejunum and ileum."

Zhou Can's "level" is obviously much higher than that of the doctor in charge of the bed.

It was just a few glances, and based on some information provided by the family members and the doctor in charge of the bed, it has been roughly deduced that the most likely place for bleeding to occur.

He has performed too many gastrointestinal bleeding operations, and has seen almost all kinds of situations.

"Xiao Zhou, right? I said you, a new student, do you understand the rules? Examination of patients is what you want to do? It must be based on the patient's etiology, symptoms, medical history, age, and whether there is any other basis." Disease and other factors should be comprehensively evaluated. Newcomers should talk less, watch more and do more, understand?"

The bed doctor was a little unhappy and taught him a lesson.

In front of the patient, a newcomer, Gui Peisheng, taught him what to do as an official resident doctor. Who does this kid think he is?
A novice rookie teaching a senior doctor how to do things can really make him happy.

"Don't get me wrong, I'm just offering a personal suggestion. And the patient's current situation is quite dangerous. If it drags on for a long time, I'm worried that there will be big problems."

Zhou Can has already spoken very cryptically.

The internal bleeding of this patient is quite serious, and in addition to the intermittent gastrointestinal bleeding, special attention should be paid to thrombus.

If it doesn't work, the patient's life can be killed in minutes.

Zhou Can has seen too many patients, one second was fine, the next second he went into cardiac arrest and respiratory arrest, and he died as soon as he said it, and he was not polite at all.

"Doctor, my dad's condition is indeed not very good. You have been measuring it for a while. The angiography that Dr. Zhou said can find out the cause, and we are willing to spend this money."

The patient's son is 25 and [-] years old and looks quite calm.

Hearing Zhou Can's words, he was somewhat nervous.

It doesn't cost much to do a checkup, but seeing that his father has blood in his stool again, and his condition is getting worse and worse, the doctor in charge of the bed has been here to measure his temperature, heart rate and so on. He is really anxious.

It's just that he didn't dare to say it out, for fear of angering the doctor in charge of the bed.

Now the new Dr. Zhou has given a recommendation for examination, which sounds quite reliable.Useful or not, it's better than not checking at all.

"You don't have to worry. I measure body temperature, heart rate, blood pressure and other basic signs in strict accordance with the doctor's charter. It is also to better determine whether the patient is safe and what kind of examination and treatment is needed in the next step. I have all these Consider it. The patient's current signs are fairly stable, far from being as dangerous as Doctor Xiao Zhou said."

The doctor in charge of the bed patiently explained to the family members, and he was even more dissatisfied with Zhou Can in his heart.

This kid is purely here to make trouble, right?

Almost provoked a doctor-patient dispute.

"That Xiao Zhou, it's okay, I don't need you here, go to your superior doctor! I have my own arrangements for the examinations that patients should have. Tuya is a regular large hospital, and unnecessary and invalid examinations will never be done. It will be given to patients indiscriminately."

The doctor in charge of the bed was already a little annoyed when he saw the patient's situation.

This new Ji Peisheng has no eyesight at all, so he was taught how to diagnose and treat patients when he came up, and he had never seen such a winkless Gui Peisheng.

Talking without going through the brain, can you do gastrointestinal angiography if you want?

Besides, the patient just had a colonoscopy not long ago, and no obvious bleeding point was found.In addition, the patient has been in the hospital for observation for three days, if it is really dangerous, it has happened long ago.

This kid is purely alarmist and irresponsible at all.

Zhou Can didn't say anything, and went directly to the office to report.

If I continue arguing with the doctor in charge of the bed, I will have to quarrel.

After the report is over, you can mention it to the superior doctor.

Wards are generally managed by at least one attending doctor.

The level of the attending physician is much higher than that of the resident doctor in charge of the bed, and most of them will adopt Zhou Can's suggestion.

All the way to the doctor's office, since it's not yet eight o'clock, there are only two or three doctors in the office here and there.

Gastroenterology should have dozens of doctors in total.

After all, there are quite a lot of patients with digestive tract diseases.

Especially in the Department of Gastroenterology, the hospitalization period of patients is relatively long, and more doctors need to be matched to manage patients.In addition, Gastroenterology also has a special department, which is the Gastrointestinal Endoscopy Diagnosis and Treatment Center.

This characteristic department can not only carry out endoscopic examination for patients, but also carry out endoscopic surgery treatment.

Many powerful departments of internal medicine are currently developing their own interventional therapy and endoscopic diagnosis and treatment.

Zhou Can stood at the door and knocked.

Boom boom boom!
It's a courtesy.

"Who are you looking for?"

A young doctor sitting by the door turned to look at him.

"I'm new to the Department of Gastroenterology to participate in the regular training. May I ask who to report to?"

Zhou Can walked over and asked with a smile.

"It's the middle of the month. I haven't heard that a new regular trainee has been transferred in! Are you sure you're here for regular training in our gastroenterology department?" The young doctor was a little confused.

In order to facilitate management, the reception rules for Gastroenterology Department of Peisheng are basically on the last day of the month or the first day of the month.

And it is received in batches, not one by one.

"That's right, it's for the regular training in the Department of Gastroenterology. My name is Zhou Can. I was supposed to come here at the beginning of the month, but I was delayed by something during the general rotation, so I postponed the report until this time."

Zhou Can explained a few sentences.

"So you are Dr. Zhou Can! The director of the department has already told you that you should sit down for a while, and when Dr. Chi, who is in charge of training, comes over, I will tell him."

When a 32-year-old doctor sitting inside heard Zhou Can's name, he immediately put down what he was doing and stood up with a smile on his face to greet him.

Intuitively, this person may be hospitalized or something.

"Drink a glass of water! Doctor Chi usually arrives at the office around eight o'clock, so it should be soon!"

This person poured Zhou Can a glass of water very politely, and greeted him warmly.

"By the way, my name is Luo Shengsheng. I live in the hospital every day. I am on duty regardless of day or night. If you need anything, you can call me anytime."

Sure enough, it was the total hospitalization.

"Okay, thank you Mr. Luo!"

Zhou Can got up to take the water with both hands, and nodded gratefully.

From Luo Shengsheng's enthusiastic attitude towards him, it was obvious that he knew something about him.He was thinking, should we talk about the patient with gastrointestinal bleeding?

(End of this chapter)