My medical skills add experience
Chapter 231 Ruthless capitalists, cracking the problem of fistula occlusion
Chapter 231 Ruthless capitalists, cracking the problem of fistula occlusion
Li Luo and Zhou Can are close friends.
The two not only share a lot of common language, but also have very similar thoughts.
They are the kind of people who don't stick to small details, don't like to make superficial articles, but can treat their friends with the most sincere heart.
When Jinyu Interactive was first established, even if Li Luo only gave Zhou Can 20% of the shares, he was taking Zhou Can to make money.
But he gave Zhou Can 50% of the shares.
Zhou Can didn't have any experience in running an entertainment company or resources in all aspects.From a businessman's point of view, Zhou Can only holds a record of Su Qianqian, which is of extremely low value.
It is entirely possible to spend some money to buy it, and then use the excuse of helping Zhou Can's girlfriend to sign Su Qianqian as a company artist.
In this way, there is no need to give Zhou Can any shares.
Zhou Can and Su Qianqian still have to be grateful to Li Luo.
But Li Luo didn't do that, not even the simplest calculation.
With Li Luo's business experience, he must know how to actually control Jinyu Interactive Company.When he first divided the shares, as long as he allocated 1% less to Zhou Can, he would own 51% of the shares, and let Zhou Can take 49% of the shares, Jinyu Interactive would be actually controlled by him alone.
When Li Luo treated Zhou Can, he was as innocent as a baby.
Zhou Can was equally sincere to him.
The two have been working together to start the company for so long, Zhou Can has never checked the accounts, and he has never even read the financial report of Jinyu Interactive.Li Lao has the final say on how much dividends will be paid each quarter.
It was this kind of foolish cooperation that made the two of them never blush, and never had any conflicts because of their interests.
Seriously, even brothers can hardly do this.
What are you talking about fighting tiger brothers, father and son soldiers in battle.
Too many good friends, blood brothers, because of partnerships in business, the final distribution of benefits is uneven, leading to enemies.This is human nature.
"Li Luo has always been sincere to me, what happened to him?"
Zhou Can felt that there must be some misunderstanding.
On the one hand, he is a good brother, and on the other hand, he is the closest girlfriend, both of whom are trustworthy.
"Hu Haikun, the capital tycoon, have you heard of it?"
Su Qianqian was not in a hurry to talk about things.
"I know a thing or two. The Changhua Plastic Industry Group run by this person is currently a top [-] domestic enterprise. I heard that it has also invested in real estate and pig breeding. He is a very successful entrepreneur."
Zhou Can himself is a rich second generation, and basically knows a thing or two about some very famous business leaders in this province.
This is also a compulsory course for the rich second generation.
His parents taught him since he was a child that he doesn't need to curry favor with other big bosses, but he must never offend any powerful person easily.
Learn more about the growth history of other bigwigs, and learn their entrepreneurial spirit.
Hu Haikun belongs to the top entrepreneurs and business tycoons in the province.
Even in the whole country, he is a well-known business tycoon.
"Hu Haikun approached Mr. Li a while ago and wanted to directly acquire Jinyu Interactive, but Mr. Li rejected it."
Su Qianqian raised her bright wrist and stroked her hair on her forehead.
Jinyu Interactive has been established for a short time, but its growth momentum is extremely astonishing.Now it is a new star in the industry and is favored by many capital parties.
Hu Haikun has always had a good investment vision.
I heard that all the companies he invests in are profitable.
This is a very remarkable achievement.
There are huge risks in investment, and no one dares to guarantee that he will make money.
In fact, investment is very easy to lose money.
Hu Haikun's ability to make a profit every time he invests is enough to show that his business vision is extremely vicious.
Even he wants to acquire Jinyu Interactive, which shows that Jinyu Interactive has a bright future.
Li Luo is a person with ideals and feelings.
The original intention of Jinyu Interactive was not just to make money.When he competed for the president of Tianyu Interactive Company, he obviously succeeded.But in order to take care of his sick wife, he resolutely gave up his great future and opportunity, and lived in seclusion in the villa on Jiangxin Island for several years.
There must be regrets in my heart.
With his pride, he doesn't even bother to return to Tianyu Interactive to work again.
To make Jinyu Interactive stronger than Tianyu Interactive is what he wants to achieve.
Also, he wants to make a lot of money with Jinyu Interactive, and then invest in a drug research and development company.Strive to develop a drug that can cure his wife as soon as possible.
How could he sell a company that carried so many of his dreams and visions?
"I know about this matter, Li Luo talked to me about it."
At that time, Zhou Can was helping Liu Lao's team in the General Surgery Department to compete for the qualification to build a sub-department, and he was extremely busy.There is no time to care about this matter at all.
Anyway, let Li Lao make his own decision.
No matter whether to sell or keep, Zhou Can supports it.
"In the past two days, Hu Haikun has been looking for Mr. Li to discuss cooperation again. Seeing that Jinyu Interactive cannot be acquired, Hu Haikun offered to invest in the shares. I heard the rumor that Hu Haikun is going to kick you out as an idler, and then cooperate with Mr. Li alone."
Su Qianqian told Zhou Can the bad news.
"It's okay, Brother Luo is not that kind of person!"
Zhou Can showed an unnatural smile.
His face was unavoidably pale.
"Chan, if you are not in this industry, you may not know how beneficial it is to cooperate with Hu Haikun. The strength of the capital predators is astonishing. They have money and resources, and they are scarce resources in many aspects. As long as Mr. Li agrees to Hu Haikun's conditions, If you are kicked out, the development speed of Jinyu Interactive can be increased by at least two or three times immediately. Moreover, there will be leaps and bounds in receiving advertisements, promoting the company's artists, reviewing the release of records and promotional videos, holding concerts, and recruiting new artists. sexual enhancement."
Su Qianqian is not a little girl who knows nothing.
She has been in society for many years and has seen too many cruel realities.
For the benefit of countless adults, turning faces is faster than turning books.
Brothers can still kill each other, not to mention that Zhou Can and Li Luo are not related by blood.There is only less than two years of friendship.
Compared with that huge benefit, friendship seems too weak.
"I only invested less than 500 million at the beginning, and the dividends I got back have reached tens of millions. Even if I am really kicked out, I have to offer a reasonable price. With 500 million, I can earn in less than two years. Even if I reach a small goal, I still make money. I can’t hide what should come, let’s just let it happen!”
After Zhou Can thought for a while, his pale face gradually returned to normal.
His expression also became calm.
Letting go is a relief.
Don't be too greedy.
He felt that he had gained enough.Li Luo really kicked him out, and he can accept this result.
At most, it is the loss of a true best friend.
As for money, he has always been relatively indifferent.
He has had no worries about food and clothing since he was a child, and now he has earned a small goal when he is less than 26 years old. He is already better than 99.9% of his peers.
With this money, as long as I don't risk my life, I can live comfortably for the rest of my life.
"If Mr. Li really kicks you out, I will resign immediately. Even if I lose my great career and become a small singer again, I will never interact with Jinyu again."
When Su Qianqian said these words, her eyes and tone were extremely firm.
With her stubbornness, she really can do what she can say.
"You silly girl. Even if you really kicked me out, it's the right way for you to stay in Jinyu Interactive for development. Don't be complacent. With Hu Haikun's entry, Jinyu Interactive's strength will soar several times immediately, and it will take a step forward." Entering a stage of high-speed development. With this shareholder wind, you can skyrocket and become a real superstar. This will have immeasurable benefits for your career and income, understand?"
After hearing Su Qianqian's words, Zhou Can was both moved and anxious.
He knew Su Qianqian's character too well.
She really does.
"I can't think about that much. I only recognize people, not others. You are the only man I know in my life." Su Qian raised her head and pouted slightly.
"Didn't you want to buy a big villa? To become a superstar, any commercial show can cost hundreds of thousands or even more. You can quickly scrape together enough money to buy a luxury villa."
Zhou Can can only use this incident to persuade her to regain her senses.
It is her ideal to buy a beautiful big villa with a swimming pool in the imperial capital or magic capital.
Villas in these places are not cheap.
The price of hundreds of millions of dollars is simply not affordable for ordinary rich people.
"I didn't say that I must live in a big villa. As long as I can be with you, I will feel as happy living in a small house." Her thoughts did not waver at all.
"But if you stay in Jinyu Interactive and continue working, we can still be together!"
Zhou Can held her face and said seriously.
He's not the kind of kid who gets his way.
Even if Li Luo kicks him out, the most is that the two are no longer good friends.When you meet, you can still say hello with a smile.Su Qianqian stayed in Jinyu to develop interactively, and Zhou Can didn't mind at all.
Instead, I hope she does.
"No!"
She was so stubborn that she couldn't even pull back nine cows.
Zhou Can suddenly hugged her face and kissed her red lips.Her loyalty and love for Zhou Can made him feel that meeting such a good girl in this life is really a blessing in several lifetimes.
After a long time, the two separated, and her pretty face was flushed.
His eyes were somewhat blurred.
"You scoundrel! I'm leaving! I'm going to Shanghai to attend a concert tomorrow, and I'll be on the plane at nine o'clock tonight."
She scolded the villain, but she took the initiative to kiss Zhou Can.
Then reluctantly got up, tidied up her clothes and hair, put on her sunglasses and hat, and went out.
Zhou Can sent her downstairs, watched her get into the car and leave.
The BMW car had already disappeared into the night, but his eyes did not look back for a long time.
"It would be great if her kidney disease could be cured sometime."
His medical skills have been improving rapidly, just to be able to find the best way to cure her kidney disease one day.
This time I entered the internal medicine department, and I can learn some advanced knowledge of pathology and pharmacology, which will definitely improve the regulation of the kidneys.The understanding of kidney disease will also be clearer and more comprehensive.
Because her kidney disease was discovered in time and controlled at the early stage of the disease, the most ideal solution is to help her return to normal through drug conditioning.
Surgical kidney replacement is just the worst plan.
All surgery has risks.
The risk of organ transplantation is much higher than that of ordinary surgery.
If nothing else, the rejection alone was enough to make the situation worse.
Zhou Can believes that as long as he is given a few years, his medical skills in pharmacology and surgery can reach a very high level.At that time, he can be her attending doctor directly.
Whether it is medical treatment or surgical treatment, he can personally preside over it.
Security will also be higher.
Back in the dormitory, he continued to practice quick knife skills, read Liu Lao's notes, and learn basic medical knowledge without mentioning it.
After entering internal medicine, basic medical knowledge becomes more important.
We must catch up.
……
The next day, when Zhou Can came to the hospital, the first thing he did was to go to the ward to check on the patients in bed 71.
Fortunately, no accidents happened.
Apart from being unable to eat and living only on nutrient infusions, the patient's vital signs are fairly stable.
On the contrary, the patient in bed 73 seemed to have something wrong.
The patient was lying on the bed and humming.
Yu Xin is responsible for the patients in this bed.As soon as he thought of the cold face of the female doctor Pei, Zhou Can gave up the idea of going up to ask the patient.
When she came, she thought that Zhou Can wanted to court her or something.
That would be silly.
The patients in bed 73 have completed the interventional operation yesterday and are now in the recovery stage.
Generally speaking, the hospitalization period for interventional surgery is not too long, and patients can be discharged within three to six days.
Tuya's beds are extremely tight, and there are assessments in the department.
As long as the patient's condition is under control and meets the discharge requirements, the treating doctor will urge the patient to leave the hospital.
Calculated according to the time, the patient in bed 73 is now humming in pain, which is likely to be normal postoperative pain after the anesthesia has passed.
Interventional surgery is minimally invasive and does little harm to the body.
But postoperative pain is still unavoidable.
After checking the patients in bed 71, Zhou Can went back to the doctor's office to log in to the account of the department to check the patients in the group.
This is also what every intern and regular trainee should do.
You can check what examinations the patients in the group have undergone, what the examination results are, and what treatment the superior doctor has given.The curative effect after medication, as well as the changes in symptoms of patients, etc.In order to increase the experience of diagnosis and treatment, and deepen the application and understanding of theoretical knowledge.
This is a very good learning process.
His priority must be to check the 71-bed patient he is in charge of. All kinds of night care records and medication records can be viewed on the computer.
After getting the examination data and treatment data of the patient in other hospitals yesterday, Zhou Can conducted a comprehensive investigation and comprehensive thinking.
When I was having breakfast this morning, I kept thinking about how to treat this patient?
The anastomotic stoma between the esophagus and the jejunum was completely occluded, and there was an anastomotic leak, and it was impossible to solve the problem with drug treatment.
Both problems were caused by surgery.
The bell also needs to be tied.
It can only be solved by surgery.
I dare not do conventional surgery at all.There is no way to solve these existing problems.
After Zhou Cansi thought about it, the most likely solution was to do endoscopic surgery.The occluded anastomotic stoma was opened through endoscopic surgery.Then find the fistula and repair it.
An anastomotic leak is equivalent to a hole in a container, and all the food eaten leaks out of the hole.
Finding the fistula is a very difficult thing.
But that doesn't mean there's no chance.
Zhou Can's endoscopic surgery ability is not weak in itself, coupled with the addition of the special medical skill of emergency life-saving wisdom, the probability of finding a fistula will be greatly increased.
"It's just an endoscopic surgery. Although you can see the occlusion of the esophagus at the end and the jejunum at the other end, but the middle part is completely blocked. It is very difficult to get through the endoscopic surgery. It was missed. , not only can’t be dredged, but the jejunum or trachea will be perforated, and the situation will get worse by then.”
The difficulty of this operation is too high.
No matter how experienced a doctor is in endoscopic surgery, he dare not say that he is sure.
(End of this chapter)
Li Luo and Zhou Can are close friends.
The two not only share a lot of common language, but also have very similar thoughts.
They are the kind of people who don't stick to small details, don't like to make superficial articles, but can treat their friends with the most sincere heart.
When Jinyu Interactive was first established, even if Li Luo only gave Zhou Can 20% of the shares, he was taking Zhou Can to make money.
But he gave Zhou Can 50% of the shares.
Zhou Can didn't have any experience in running an entertainment company or resources in all aspects.From a businessman's point of view, Zhou Can only holds a record of Su Qianqian, which is of extremely low value.
It is entirely possible to spend some money to buy it, and then use the excuse of helping Zhou Can's girlfriend to sign Su Qianqian as a company artist.
In this way, there is no need to give Zhou Can any shares.
Zhou Can and Su Qianqian still have to be grateful to Li Luo.
But Li Luo didn't do that, not even the simplest calculation.
With Li Luo's business experience, he must know how to actually control Jinyu Interactive Company.When he first divided the shares, as long as he allocated 1% less to Zhou Can, he would own 51% of the shares, and let Zhou Can take 49% of the shares, Jinyu Interactive would be actually controlled by him alone.
When Li Luo treated Zhou Can, he was as innocent as a baby.
Zhou Can was equally sincere to him.
The two have been working together to start the company for so long, Zhou Can has never checked the accounts, and he has never even read the financial report of Jinyu Interactive.Li Lao has the final say on how much dividends will be paid each quarter.
It was this kind of foolish cooperation that made the two of them never blush, and never had any conflicts because of their interests.
Seriously, even brothers can hardly do this.
What are you talking about fighting tiger brothers, father and son soldiers in battle.
Too many good friends, blood brothers, because of partnerships in business, the final distribution of benefits is uneven, leading to enemies.This is human nature.
"Li Luo has always been sincere to me, what happened to him?"
Zhou Can felt that there must be some misunderstanding.
On the one hand, he is a good brother, and on the other hand, he is the closest girlfriend, both of whom are trustworthy.
"Hu Haikun, the capital tycoon, have you heard of it?"
Su Qianqian was not in a hurry to talk about things.
"I know a thing or two. The Changhua Plastic Industry Group run by this person is currently a top [-] domestic enterprise. I heard that it has also invested in real estate and pig breeding. He is a very successful entrepreneur."
Zhou Can himself is a rich second generation, and basically knows a thing or two about some very famous business leaders in this province.
This is also a compulsory course for the rich second generation.
His parents taught him since he was a child that he doesn't need to curry favor with other big bosses, but he must never offend any powerful person easily.
Learn more about the growth history of other bigwigs, and learn their entrepreneurial spirit.
Hu Haikun belongs to the top entrepreneurs and business tycoons in the province.
Even in the whole country, he is a well-known business tycoon.
"Hu Haikun approached Mr. Li a while ago and wanted to directly acquire Jinyu Interactive, but Mr. Li rejected it."
Su Qianqian raised her bright wrist and stroked her hair on her forehead.
Jinyu Interactive has been established for a short time, but its growth momentum is extremely astonishing.Now it is a new star in the industry and is favored by many capital parties.
Hu Haikun has always had a good investment vision.
I heard that all the companies he invests in are profitable.
This is a very remarkable achievement.
There are huge risks in investment, and no one dares to guarantee that he will make money.
In fact, investment is very easy to lose money.
Hu Haikun's ability to make a profit every time he invests is enough to show that his business vision is extremely vicious.
Even he wants to acquire Jinyu Interactive, which shows that Jinyu Interactive has a bright future.
Li Luo is a person with ideals and feelings.
The original intention of Jinyu Interactive was not just to make money.When he competed for the president of Tianyu Interactive Company, he obviously succeeded.But in order to take care of his sick wife, he resolutely gave up his great future and opportunity, and lived in seclusion in the villa on Jiangxin Island for several years.
There must be regrets in my heart.
With his pride, he doesn't even bother to return to Tianyu Interactive to work again.
To make Jinyu Interactive stronger than Tianyu Interactive is what he wants to achieve.
Also, he wants to make a lot of money with Jinyu Interactive, and then invest in a drug research and development company.Strive to develop a drug that can cure his wife as soon as possible.
How could he sell a company that carried so many of his dreams and visions?
"I know about this matter, Li Luo talked to me about it."
At that time, Zhou Can was helping Liu Lao's team in the General Surgery Department to compete for the qualification to build a sub-department, and he was extremely busy.There is no time to care about this matter at all.
Anyway, let Li Lao make his own decision.
No matter whether to sell or keep, Zhou Can supports it.
"In the past two days, Hu Haikun has been looking for Mr. Li to discuss cooperation again. Seeing that Jinyu Interactive cannot be acquired, Hu Haikun offered to invest in the shares. I heard the rumor that Hu Haikun is going to kick you out as an idler, and then cooperate with Mr. Li alone."
Su Qianqian told Zhou Can the bad news.
"It's okay, Brother Luo is not that kind of person!"
Zhou Can showed an unnatural smile.
His face was unavoidably pale.
"Chan, if you are not in this industry, you may not know how beneficial it is to cooperate with Hu Haikun. The strength of the capital predators is astonishing. They have money and resources, and they are scarce resources in many aspects. As long as Mr. Li agrees to Hu Haikun's conditions, If you are kicked out, the development speed of Jinyu Interactive can be increased by at least two or three times immediately. Moreover, there will be leaps and bounds in receiving advertisements, promoting the company's artists, reviewing the release of records and promotional videos, holding concerts, and recruiting new artists. sexual enhancement."
Su Qianqian is not a little girl who knows nothing.
She has been in society for many years and has seen too many cruel realities.
For the benefit of countless adults, turning faces is faster than turning books.
Brothers can still kill each other, not to mention that Zhou Can and Li Luo are not related by blood.There is only less than two years of friendship.
Compared with that huge benefit, friendship seems too weak.
"I only invested less than 500 million at the beginning, and the dividends I got back have reached tens of millions. Even if I am really kicked out, I have to offer a reasonable price. With 500 million, I can earn in less than two years. Even if I reach a small goal, I still make money. I can’t hide what should come, let’s just let it happen!”
After Zhou Can thought for a while, his pale face gradually returned to normal.
His expression also became calm.
Letting go is a relief.
Don't be too greedy.
He felt that he had gained enough.Li Luo really kicked him out, and he can accept this result.
At most, it is the loss of a true best friend.
As for money, he has always been relatively indifferent.
He has had no worries about food and clothing since he was a child, and now he has earned a small goal when he is less than 26 years old. He is already better than 99.9% of his peers.
With this money, as long as I don't risk my life, I can live comfortably for the rest of my life.
"If Mr. Li really kicks you out, I will resign immediately. Even if I lose my great career and become a small singer again, I will never interact with Jinyu again."
When Su Qianqian said these words, her eyes and tone were extremely firm.
With her stubbornness, she really can do what she can say.
"You silly girl. Even if you really kicked me out, it's the right way for you to stay in Jinyu Interactive for development. Don't be complacent. With Hu Haikun's entry, Jinyu Interactive's strength will soar several times immediately, and it will take a step forward." Entering a stage of high-speed development. With this shareholder wind, you can skyrocket and become a real superstar. This will have immeasurable benefits for your career and income, understand?"
After hearing Su Qianqian's words, Zhou Can was both moved and anxious.
He knew Su Qianqian's character too well.
She really does.
"I can't think about that much. I only recognize people, not others. You are the only man I know in my life." Su Qian raised her head and pouted slightly.
"Didn't you want to buy a big villa? To become a superstar, any commercial show can cost hundreds of thousands or even more. You can quickly scrape together enough money to buy a luxury villa."
Zhou Can can only use this incident to persuade her to regain her senses.
It is her ideal to buy a beautiful big villa with a swimming pool in the imperial capital or magic capital.
Villas in these places are not cheap.
The price of hundreds of millions of dollars is simply not affordable for ordinary rich people.
"I didn't say that I must live in a big villa. As long as I can be with you, I will feel as happy living in a small house." Her thoughts did not waver at all.
"But if you stay in Jinyu Interactive and continue working, we can still be together!"
Zhou Can held her face and said seriously.
He's not the kind of kid who gets his way.
Even if Li Luo kicks him out, the most is that the two are no longer good friends.When you meet, you can still say hello with a smile.Su Qianqian stayed in Jinyu to develop interactively, and Zhou Can didn't mind at all.
Instead, I hope she does.
"No!"
She was so stubborn that she couldn't even pull back nine cows.
Zhou Can suddenly hugged her face and kissed her red lips.Her loyalty and love for Zhou Can made him feel that meeting such a good girl in this life is really a blessing in several lifetimes.
After a long time, the two separated, and her pretty face was flushed.
His eyes were somewhat blurred.
"You scoundrel! I'm leaving! I'm going to Shanghai to attend a concert tomorrow, and I'll be on the plane at nine o'clock tonight."
She scolded the villain, but she took the initiative to kiss Zhou Can.
Then reluctantly got up, tidied up her clothes and hair, put on her sunglasses and hat, and went out.
Zhou Can sent her downstairs, watched her get into the car and leave.
The BMW car had already disappeared into the night, but his eyes did not look back for a long time.
"It would be great if her kidney disease could be cured sometime."
His medical skills have been improving rapidly, just to be able to find the best way to cure her kidney disease one day.
This time I entered the internal medicine department, and I can learn some advanced knowledge of pathology and pharmacology, which will definitely improve the regulation of the kidneys.The understanding of kidney disease will also be clearer and more comprehensive.
Because her kidney disease was discovered in time and controlled at the early stage of the disease, the most ideal solution is to help her return to normal through drug conditioning.
Surgical kidney replacement is just the worst plan.
All surgery has risks.
The risk of organ transplantation is much higher than that of ordinary surgery.
If nothing else, the rejection alone was enough to make the situation worse.
Zhou Can believes that as long as he is given a few years, his medical skills in pharmacology and surgery can reach a very high level.At that time, he can be her attending doctor directly.
Whether it is medical treatment or surgical treatment, he can personally preside over it.
Security will also be higher.
Back in the dormitory, he continued to practice quick knife skills, read Liu Lao's notes, and learn basic medical knowledge without mentioning it.
After entering internal medicine, basic medical knowledge becomes more important.
We must catch up.
……
The next day, when Zhou Can came to the hospital, the first thing he did was to go to the ward to check on the patients in bed 71.
Fortunately, no accidents happened.
Apart from being unable to eat and living only on nutrient infusions, the patient's vital signs are fairly stable.
On the contrary, the patient in bed 73 seemed to have something wrong.
The patient was lying on the bed and humming.
Yu Xin is responsible for the patients in this bed.As soon as he thought of the cold face of the female doctor Pei, Zhou Can gave up the idea of going up to ask the patient.
When she came, she thought that Zhou Can wanted to court her or something.
That would be silly.
The patients in bed 73 have completed the interventional operation yesterday and are now in the recovery stage.
Generally speaking, the hospitalization period for interventional surgery is not too long, and patients can be discharged within three to six days.
Tuya's beds are extremely tight, and there are assessments in the department.
As long as the patient's condition is under control and meets the discharge requirements, the treating doctor will urge the patient to leave the hospital.
Calculated according to the time, the patient in bed 73 is now humming in pain, which is likely to be normal postoperative pain after the anesthesia has passed.
Interventional surgery is minimally invasive and does little harm to the body.
But postoperative pain is still unavoidable.
After checking the patients in bed 71, Zhou Can went back to the doctor's office to log in to the account of the department to check the patients in the group.
This is also what every intern and regular trainee should do.
You can check what examinations the patients in the group have undergone, what the examination results are, and what treatment the superior doctor has given.The curative effect after medication, as well as the changes in symptoms of patients, etc.In order to increase the experience of diagnosis and treatment, and deepen the application and understanding of theoretical knowledge.
This is a very good learning process.
His priority must be to check the 71-bed patient he is in charge of. All kinds of night care records and medication records can be viewed on the computer.
After getting the examination data and treatment data of the patient in other hospitals yesterday, Zhou Can conducted a comprehensive investigation and comprehensive thinking.
When I was having breakfast this morning, I kept thinking about how to treat this patient?
The anastomotic stoma between the esophagus and the jejunum was completely occluded, and there was an anastomotic leak, and it was impossible to solve the problem with drug treatment.
Both problems were caused by surgery.
The bell also needs to be tied.
It can only be solved by surgery.
I dare not do conventional surgery at all.There is no way to solve these existing problems.
After Zhou Cansi thought about it, the most likely solution was to do endoscopic surgery.The occluded anastomotic stoma was opened through endoscopic surgery.Then find the fistula and repair it.
An anastomotic leak is equivalent to a hole in a container, and all the food eaten leaks out of the hole.
Finding the fistula is a very difficult thing.
But that doesn't mean there's no chance.
Zhou Can's endoscopic surgery ability is not weak in itself, coupled with the addition of the special medical skill of emergency life-saving wisdom, the probability of finding a fistula will be greatly increased.
"It's just an endoscopic surgery. Although you can see the occlusion of the esophagus at the end and the jejunum at the other end, but the middle part is completely blocked. It is very difficult to get through the endoscopic surgery. It was missed. , not only can’t be dredged, but the jejunum or trachea will be perforated, and the situation will get worse by then.”
The difficulty of this operation is too high.
No matter how experienced a doctor is in endoscopic surgery, he dare not say that he is sure.
(End of this chapter)
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