My medical skills add experience

Chapter 230 The members of the group are hot and cold, the hidden worry of Jinyu's interaction
First find out the patient's condition, medical history, symptoms, etc., and find out clearly.Then go to find a way to formulate surgery, it will be more targeted.

This is also Zhou Can's first battle after entering the Department of Gastroenterology.

Rescue the patient with gastrointestinal bleeding in the morning, just submit a certificate.

Now is the time to truly become famous and establish your status.

But the difficulty of treating this patient is simply hell.

Not to mention Zhou Can, even Director Shang may not be sure.

Taking advantage of the time when the woman was going to get other materials, Zhou Can measured the patient's basic signs and recorded them.

Directly handing over the patients to him for individual management means that he has to do everything by himself.

The patient's condition looked pretty bad.

Unable to eat for several months, they can only rely on intravenous drip to get nutritional injections, which is not only expensive, but also a huge torture to the patients.The whole person has become skinny and skinny, and the joints of ribs, hands and feet are especially obvious.

For a long time, only the nutrient solution is used to maintain life, and it is impossible to eat through the mouth, and it will also cause the atrophy of the gastrointestinal mucosa.The intestinal villi become shorter.

Even if the passage between the patient's esophagus and the jejunum is opened through surgery, it will take a long time for the patient to adapt to the way of eating by mouth.

"Give way, please make way!"

At this time, another patient walked into the ward under the leadership of nurses and doctors.

Zhou Can glanced at the empty bed No. 72 next to him.

It seems that the patient in bed 71 came to the neighbor.

"Hey, this doctor is very unfamiliar! The new Dr. Zhou Can?"

The young doctor directed his family members to settle the patient in bed No. 72, and then raised his eyes to greet Zhou Can.

"I'm Zhou Can, may I have your last name?"

Zhou Can responded with a smile.

"Duan Zifu! It's also Gui Peisheng from Dr. Shang's group. Nice to meet you!"

The character of the other party should be very cheerful, and he took the initiative to smile and came forward to shake hands with Zhou Can.

There should be quite a few doctors under Director Shang.

A stronger medical team usually has a dozen or 20 people, including interns, regular training, and advanced students.

The most powerful chief physician Zhou Can has ever seen had a maximum of eleven interns under him.In addition to Gui Peisheng, residents and attending physicians, the total number of people is nearly 20.

Such a medical team has a very strong executive power.

Normally, a small medical team has only three or four doctors.

There may even be faults.

For example, there are only one or two residents working under the chief physician, and there is no attending physician.

A strong medical team is not so easy to build.

Needless to say, private hospitals are all about profit.In fact, public hospitals also attach great importance to performance, and it is impossible for hospitals to support idlers.

Therefore, there is often a key element in being able to bring out a strong medical team, which requires a particularly outstanding 'leader'.

Director Shang is a well-known doctor at Tuya Hospital, with his own traffic flow, the number of consultations is basically sufficient.

This is the key to ensuring the survival of a large team.

Zhou Can shook hands with Duan Zifu, this guy was very enthusiastic.

"Nice to meet you!"

He felt that the other party's hand was very soft, and he shook it vigorously, but the force was relatively small.Generally speaking, people who are too soft when shaking hands are more indecisive.

Of course, this is just Zhou Can's personal experience.

The other party's age should be close to 30 years old.

It is only at this age that people can be admitted to regular training. They must either graduate from a graduate school or be a social doctor, like Jin Mingxi, who is admitted by taking part in the regular training recruitment exam.

Either way, it's amazing.

"What is the disease of this patient under the care of Doctor Duan?"

"Gallstones. He will be admitted to the hospital today, and we are going to arrange interventional surgery."

Dr. Duan directly showed the patient's examination materials, medical records, etc. to Zhou Can.

"There are only three Gui Peisheng in our group, and there is a beautiful doctor named Yu. Please take care of Dr. Zhou in the future! Of course, there is a competition mechanism in the group, and there must be normal competition."

What this guy said made Zhou Can amused.

Competition does not mean that we must be enemies, but we can help each other.

Duan Zifu's ideological realm is quite high.

"Hehe, you are quite right."

Zhou Can quickly read the patient information of the 72 beds.It is just an ordinary gallstone, which can be completely resolved by interventional surgery.

After all, I am not the patient I am in charge of, so I just need to know about it.

This patient does not have much learning value.

It's a very common case.

"The patient in bed 74 is also under my care. She suffers from achalasia, dysphagia, and often vomits up after eating. I have seen it in two tertiary hospitals, but I dare not perform surgery on her. Director Shang also listened to it. It is very difficult to say that the patient came all the way from a remote area, and after a careful examination, he decided to be hospitalized."

Dr. Duan introduced another patient to Zhou Can.

There are a total of four beds in this ward. Who is in charge of the patient in bed 73?
Dr. Duan skipped this bed to make an introduction, and it is definitely not his responsibility.

Achalasia is a relatively intractable disease with various etiologies.

Zhou Can had such an operation before.

I have a deep understanding of this disease.

There is currently no way to completely cure the disease.Generally speaking, surgical treatment can achieve satisfactory results.

This is the Department of Gastroenterology. Director Shang has admitted the patient. Is he planning to invite a doctor from the General Surgery Department for surgery?Or are you going to be treated with medication?

The specific circumstances are unknown.

However, for patients with this disease, gastroenterology is generally the first choice for registration.

"If something happens to the patients in these two beds while I'm away, please ask Dr. Zhou to take care of them."

"Good talk good talk!"

Zhou Can readily agreed.

Everyone is a group of doctors, and we really have this obligation.

While chatting, a young female doctor about 1.6 meters tall walked into the ward with a stethoscope.With shawl hair, delicate eyebrows, and pretty looks.

It's just that the brows are slightly frowned, and the face is a little cold, lacking in warmth, very similar to the legendary cold female doctor.

"She is Dr. Yu Xin, who is in the same group. Bed 73 is under her care."

Duan Zifu quietly introduced to Zhou Can.

When the female doctor passed by, Duan Zifu greeted with a bright smile, "Dr. Yu, is this measuring the patient? If you are busy, you can ask me to do it. Make sure to record the patient's basic signs clearly on time." .”

Internal medicine is mainly based on drug therapy.

The management of inpatients should be stricter.

In particular, changes in signs after medication, whether there are symptoms of discomfort, etc., need to be recorded in time.

Some dangerous prescription drugs are used, and the bed doctor needs to go to the ward frequently for monitoring.

"No, thank you!"

Her tone was icy.

Zhou Can originally thought that everyone was a doctor in the same group, and there were only three Gui Peisheng in total, so he would say hello to her and get to know her.

Seeing her so aloof, think about it or forget it.

It's not worth it to put a hot face on someone's cold ass.

"Doctor Yu, we have a new Gui Peisheng in our team, did you know?" No matter how cold her attitude was, it didn't affect Duan Zifu's enthusiasm in the slightest.

Zhou Can is someone who has experienced it, and he can tell at a glance that Duan Zifu has thoughts about this Dr. Yu.

30 years old is already an older youth.

If you don't have a wife, you are somewhat anxious.

"Ok!"

She just hummed coldly.

"Here, that's him. His name is Zhou Can. I heard he's very powerful. He just came to report this morning and he successfully rescued a patient with gastrointestinal bleeding." Duan Zifu displayed his cheeky spirit.

Nothing to say.

In short, talk to her a little more.

"Oh!"

She responded indifferently, then lowered her head and concentrated on taking the patient's body temperature, pulse and other basic signs.Check the rate of infusion and the remaining amount.

"I told Dr. Zhou that the three of us will take care of each other in the future, and at the same time maintain competition. Dr. Zhou agreed."

Duan Zifu continued to post it cheekily.

"Ok!"

Even a fool can see her attitude, and she doesn't want to chat with Duan Zifu.

But Duan Zifu is like a piece of brown sugar, sticking to her.

Zhou Can couldn't stand it anymore.

Just at this time, the daughter of the 71-bed patient came back with the materials. After Zhou Can took them, she walked out of the ward directly.

My lady, my gentleman is good.

Let Duan Zifu, a single dog, beg slowly.Anyway, Zhou Can already has a top-notch girlfriend, so he doesn't have to worry about finding a wife anymore.

Back in the office, he began to carefully check the examination reports and treatment records of patients in other hospitals.

Patients like this who have experienced multiple failed operations can trace back their pre-surgical examinations, and learn more about which operations were performed and what changes occurred after the operation.This will be of great help to the follow-up treatment of patients.

At least it can let Zhou Can know what he knows and avoid stepping on the pit.

……

Until after get off work, no new patients were arranged for him.

Director Shang's arrangements for his doctors are very measured.

The intention is also very obvious.

It is to deliberately arrange a difficult patient to be taken care of by Zhou Can, hoping to take this opportunity to find out Zhou Can's bottom line.

If he can achieve something in such a difficult case, it means that Zhou Can's strength is even stronger than the rumors.In the next two months of regular training, Zhou Can can be directly used as the attending physician.

Even if Zhou Can has been performing well, it is possible for Director Shang to directly use him as the deputy chief physician.

During the regular training of general surgery, Zhou Can was used by Mr. Liu as the chief physician.

Various tertiary operations are directly delegated.

He also attached great importance to Zhou Can's opinions in managing beds and diagnosing difficult cases.

After get off work, Zhou Can made a special trip to the ward and saw that the patient's signs were stable, so he completed the handover with confidence.Patients will be managed by the doctor on call at night.

Interns generally do not arrange night shifts alone.

To be honest, when things really happen, the interns alone can't handle them.

In such a large department as the Department of Gastroenterology, at least one attending doctor will be assigned to be on night shift at night.

Because of their age and high status, the chief and deputy chief physicians usually seldom participate in night shifts.

This can be regarded as an unspoken rule of the hospital.

However, when the doctor on duty encounters an unexpected situation that cannot be handled, or the patient's condition deteriorates rapidly, he will basically immediately call the chief physician and deputy chief physician for help.

At this time, the chief physicians with an average age of over 50 years old can only crawl out of the warm quilt and rush to the hospital as quickly as possible to participate in the rescue.

As soon as he walked downstairs to the apartment building, he saw a familiar BMW parked there.

His girlfriend Qianqian came to see him again.

Stepping forward quickly, inside the car, the female bodyguard Wei Fang was sitting in the driver's seat.Su Qianqian sat in the back row.

"Honey, it's time to get off work!"

Su Qianqian doesn't call him Can now, and calls him dear more often.

"Didn't you say that there is a concert tomorrow? You still have time to come and see me today!" Zhou Can naturally held her hand. "Wei Fang, do you want to sit up?"

In fact, this is a polite question.

Wei Fang is very witty and has never been a light bulb for the two of them.

Sometimes, Su Qianqian is in a hurry, but wants to see Zhou Can to relieve the pain of lovesickness.Then he would park the car in the hospital parking lot, or downstairs in the apartment building, and wait for Zhou Can to come over.

She won't go upstairs, just stay in the car with Zhou Can for a while.

Wei Fang would also consciously stay outside the car.

In general, Zhou Can is quite satisfied with Wei Fang, the female bodyguard.A long time ago, after Li Luo knew that Wei Fang was Zhou Can's female bodyguard for Su Qianqian, he said that the company would pay Wei Fang's salary.

But Zhou Can refused.

Because only when he pays to hire Wei Fang can she guarantee her loyalty.

This trick was taught him by his parents since he was a child.

They told Zhou Can that whoever pays the workers is the worker's parents.Workers will only listen to the person who pays the wages.

If Jinyu Interactive pays Wei Fang a salary, and the company arranges Wei Fang to do other things, Wei Fang cannot refuse.

This makes it difficult to protect Su Qianqian's safety at all times.

Most of the time, the accident happened only in an instant, and because of a small loophole, it was possible to be caught by those criminals.

Especially Su Qianqian is very famous now, and there are too many people who want to play her tricks.

"I won't go, I'll wait for Miss Su in the car!"

Wei Fang smiled and refused.

Since she received professional security training and self-combat training last time, she has become more ruthless.

It was only when she was facing Zhou Can, Su Qianqian, and her grandma that she would show this kind of smile.

Usually, he is basically expressionless and looks extremely cold.

Zhou Can led Su Qianqian upstairs, but Jin Mingxi hadn't come back yet.

Recently, Jin Mingxi was either on duty at night or came back very late.Sometimes, sitting and lying on the bed will keep sending messages to others.

And seeing his radiant face and his spring breeze, Zhou Can secretly guessed that Jin Mingxi probably crossed the threshold with that female classmate named Ye Zi, and something that shouldn't have happened happened.

But this is just Zhou Can's guess and has no real evidence.

Besides, he will not interfere with other people's private life.

Even if Jin Mingxi wanted to divorce his wife, Zhou Can would not care too much.

It's been almost two years since Jin Mingxi came to Guipei, the provincial capital, but he has never seen his wife and children come here.

He only went home last year during Chinese New Year.

It can only be said that my sister-in-law has a really big heart.

Men are all fishy cats, and if they stay alone for a long time, their resistance to temptation will plummet.

After entering the apartment, Su Qianqian took the initiative to close the door.

Zhou Can thought she wanted something to happen, and felt excited.

Unexpectedly, after Su Qianqian sat in his arms, she said with worry in her tone, "Chan, there is something I don't know whether I should tell you or not!"

"Does it need to be said? Of course you have to tell me! As you said, we need to be honest with each other so that we can trust each other." Zhou Can put his arms around her, turned her around, and the two looked at each other.

In fact, this posture is quite ambiguous.

They are lovers who are already talking about marriage, but that's fine.

She looks even more beautiful now than before.

Especially the strong self-confidence that exudes from the inside out makes her temperament even more outstanding.

Compared with Yu Xin, the cold female doctor in the department, there is really not a slight gap between her.

Big stars also do more maintenance of their own.

Coupled with a professional makeup and image design team, Su Qianqian was already a big beauty, so she naturally became even more stunning and attractive.

Every frown and smile is very charming.

"This matter is related to the friendship between you and Mr. Li. I just heard some rumors, which may not be true. I don't know exactly what Mr. Li will do."

Her tone was particularly serious, and her pretty face was full of worry.

(End of this chapter)