My medical skills add experience

Chapter 301 Happy to be scolded, the stubborn family members figured it out
I also understand Director Zhang's diagnostic thinking and intentions.

The pathological diagnosis and medical skills at the deputy director level are already at the same level as many experts present.

"Director Zhang, what you mean is to hospitalize the patient, then fast water, replenish fluids, suppress acid, decompress the gastrointestinal tract, and strive to control the patient's vomiting and diarrhea symptoms, right?"

Zhou Can asked her to verify whether his diagnostic level had really risen to the deputy director level.

"exactly!"

Director Zhang nodded in relief. She felt very happy to watch the younger generation grow up rapidly and understand her intentions.

"Do you know why symptomatic treatment is needed to control the two initial symptoms of the patient's diarrhea and vomiting?"

Director Zhang wants to further test Zhou Can's diagnostic thinking.

Many novice doctors, watching the superior doctors prescribe various examinations, or do some experiments and measurements on patients, do not understand why the superior doctors do this?
Because their diagnosis level is not at the same level as that of the superior doctors, it is really impossible to understand the deep meaning.

It's like playing chess. People seem to make a move here and a move there in a seemingly random way. Because you are not good enough, you don't even know what formation the opponent is playing.

It wasn't until the opponent's murderous intentions were revealed and the net was tightened step by step that he realized the brilliance of it.

Zhou Can is just a training doctor, and Director Zhang required his diagnostic thinking to be at the same level as the director's, which is a bit too harsh.

In the past, it would have been difficult for Zhou Can to give a satisfactory answer.

At this moment, his pathological diagnosis is also at the director level, even though it is only at the deputy director level, it is also at the level of a serious director-level medical skill.

The deputy high and the high are both senior professional titles.

It is a rating of professional level.

Zhou Can pondered for a moment, and said calmly, "Your diagnosis should be a bit like pretending to be fake."

Falsification is a derogatory term. Zhou Can used this term to describe Director Zhang Bihua's diagnostic thinking. Isn't this just cursing her?

Yang Chan, who was standing behind Director Zhang, and Ji You, who was standing next to Zhou Can, were all sweating for Zhou Can.

The day before yesterday, Du Leng criticized Director Zhang in public, but he was criticized for nothing.

Still sitting on the bench until now.

Doctor Zhou is usually very clever, why did he scold Director Zhang today?Isn't this self-inflicted?

Just when they thought that Zhang Bihua was going to scold Zhou Can with a cold face, they didn't expect a happy smile to appear on Zhang Bihua's face.

Being scolded by Zhou Can, still smiling so happily?
Yang Chan was confused, what happened today?Zhou Can, who has a high EQ, scolded Director Zhang in public.But the latter still showed a happy smile with enjoyment on his face.

So magical.

"The word "falsification" is very vivid, so go on!"

Director Zhang's mere smile didn't seem to be enough to express her inner joy.Then he praised Zhou Can again, which made him feel comfortable.

"The patient's symptoms are very numerous and complex, involving multiple organs and tissue systems. If you want to force the real lesion to appear, you must clear away the obstacles that may be hidden. As long as the vomiting and diarrhea are under control Two initial symptoms, the real cause can be identified by observing whether other symptoms of the patient also change."

Zhou Can explained it according to his own understanding.

Hearing this, the family members, Yang Chan and others were all very surprised.

I have never seen the use of this method to find the cause. These experts are indeed experts, with many means and methods.

"That's right! Doctor Zhou can have such a high level of diagnosis now, and his future achievements will definitely be far higher than mine. I can't even imagine what kind of height you will reach in the future."

Director Zhang was full of praise for Zhou Canna.

To become an excellent young famous doctor, both hard work and talent are indispensable.It also takes a little luck and chance.

"Teacher, I still don't understand it well. Why is it called the method of diagnosis with fake eyes?"

Yang Chan stroked her hair submissively.

It is said that long hair has short knowledge.

Her hair isn't long either, it's shoulder-length.After being tied into a ponytail, it hasn't reached the shoulders yet.

But with a ponytail, she looks capable and youthful.

The youthful vigor that comes out naturally, paired with a ponytail, reveals a vigorous beauty.

"This patient has more than a dozen symptoms, and it is very difficult to find out the real cause. Because the real cause may be covered up or hidden. It's like two fish eyes mixed in a big pot of pearls. I think To find the fish eyes, it is very difficult to search directly. Because the pearl is very dazzling, its precious light will interfere with people's sight, making it difficult for people to find the two fish eyes mixed in."

"At this time, if you want to find out the fish eyes, you have to change your thinking. Instead of looking for the fish eyes directly, you should pick out the pearls inside. By then, all the pearls will be picked out, and the rest will be fish eyes, right? ?In fact, you only need to pick out a part of the pearls, and the fish eyes will be exposed automatically."

"If the patient's diarrhea and vomiting are under control, the hidden cause will be highlighted. It will be much easier to find out the cause then."

Zhang Bihua patiently taught his lover.

She cultivated Yang Chan just like her own daughter, almost in every possible way.

"Doctor Zhou, Professor Zhang, after listening to your discussion just now, I am more confident. We are right this time, and I believe my son can be cured here."

When the boy's father thought of all the doubts he had made about Zhou Can, he immediately felt ashamed.

This young doctor is much more capable than he imagined.

Even this Professor Zhang is full of praise for him.

And listening to the two discussing their son's condition, the young Dr. Zhou did not lose the slightest bit.The diagnostic thinking is clear and the direction is clear, which allows him to see the hope of his son's cure.

The patient's subsequent hospitalization is not mentioned.

……

The day of diagnosis is quickly over.

Zhou Can went to the clinic independently on the first day, and gained a lot.Especially the training of the ability to stand alone has been greatly improved.

He received a total of seven patients a day, except for one extremely difficult and difficult case that needed to be hospitalized for observation and further diagnosis.The other six cases either went with the treatment or were hospitalized for surgery.

During the diagnosis process, he also discovered many shortcomings of himself.

Both knowledgeable and inexperienced.

It's a great thing to be able to help him discover his flaws.

After this expert outpatient clinic, he can learn more targetedly when he returns to the internal medicine department to continue the regular training.

After get off work, the first thing Zhou Can did was to visit the pregnant woman in the emergency room.

The situation is not bad, the signs have become more stable.

Blood pressure has risen, and spontaneous breathing function has recovered a lot.It can be judged by the sound of her breathing that her lung function is recovering rapidly.

People who exercise regularly recover much faster than those who don't.

In clinical practice, Zhou Can has discovered this phenomenon long ago.

With the same degree of pneumonia, some people recovered within a few days after taking medication and symptomatic treatment.Some people's condition continued to deteriorate due to poor physical fitness, and eventually developed into severe pneumonia.

"Tonight, Ji You and I will be on the night shift. I guess we will guard her for another night, and we should be able to consider withdrawing the ventilator tomorrow."

Seeing the condition of the pregnant woman getting better, Zhou Can was very happy.

"Ji You, can you work hard one more night?"

He turned his head to look at Ji You who followed him to the rescue room.

"definitely no problem."

She gladly accepted the night duty.

Yesterday, I accompanied Zhou Can on the night shift and had a supper, which was very useful to her.

……

The next day, after a preliminary assessment, Zhou Can believed that the pregnant woman could try to remove the ventilator and rely entirely on spontaneous breathing.

One thing that needs to be done before the ventilator is removed is external fixation of her femur.

This is in consideration of the sudden removal of the ventilator, and her respiratory function cannot be restored to normal immediately.

If external fixation of the femur is performed immediately after the ventilator is removed, it will definitely cause great stimulation and impact on her body.This is very prone to danger, which is called stress response in medicine.

For example, if a patient has two parts that need to be operated on at the same time, for the sake of safety, the doctor generally recommends two elective operations.rather than a one-off solution.

After Dr. Pang came to take over the shift, Zhou Can went back to the hotel to wash up first, without mentioning breakfast.

When having breakfast, Director Zhang happened to be in the restaurant on the first floor of the hotel.

Zhou Can went over to chat with her about the treatment of pregnant women.

"Since you have evaluated and formulated a treatment plan, let's go to the emergency room now and help her perform femoral external fixation together. Then check her condition at noon break. If there is nothing abnormal, you can consider it." The ventilator was removed and transferred to the general ward for further treatment."

Director Zhang gave a relatively safe treatment process.

These chief physicians are very cautious and prudent in their work.

"This is very good. It will basically not affect the normal consultation, and it can give the pregnant woman a good buffer to adapt."

Zhou Can very much agrees with the operation process formulated by Director Zhang.

After breakfast, he and Director Zhang came to the rescue room.Director Zhang first assessed the patient's condition and confirmed that the fetus in the womb would not be in danger, and only then did he prepare for the next step of external fixation of the fracture.

"Xiao Zhou, you will be responsible for the external fixation of the fracture site, and I will be responsible for the safety of the pregnant woman and the fetus during this period." Director Zhang basically helped him out and let him do whatever he wants without any worries.

How to implement external fixation for pregnant women, Zhou Can has studied many times.

Now you can do it directly.

"Ji You, after I raise the patient's right foot, you can put her foot on it, and then keep the height and angle of the foot unchanged." All the items for external fixation of the fracture have already been prepared.

It must be operated successfully by multiple people.

"Ok!"

Ji You never discounted Zhou Can's instructions.

After working the night shift together for two nights, the relationship between her and Zhou Can is much closer than before.

"Chen Qingling, you will assist me when the time comes, and you will be responsible for passing the corresponding equipment to me." He only has two nurses under his command, and they all came in handy.

"no problem!"

Chen Qingling is an old nurse, she does things neatly, and she is extremely skilled in cooperating and assisting in all aspects.

After the arrangements were made, Zhou Can began to implement the operation.Straighten the patient's right leg and lift it up a little.According to the fracture image of the X-ray film, the broken ends of the fracture should be closed as much as possible.

"Ah yo... um..."

The pregnant woman made a painful sound, and her blood pressure dropped instantly.

Zhou Can was so frightened that he stopped quickly, but fortunately, his blood pressure rose back soon.The severe pain should have stimulated her just now.

After more than an hour of hard work, with the cooperation of several people, the femur fracture external fixation of the pregnant woman was finally completed.

Zhou Can checked it again and was quite satisfied.

Definitely not perfect.

[You successfully performed a difficult fracture external fixation, experience value +1, reward experience value +100.]

Earning 101 experience points of external fixation of fractures at once made Zhou Can laugh from ear to ear.

However, after experiencing a reward of up to 10000 experience points, the joy brought to him by this 100-point experience point reward was much weaker than before.

The human heart is the hardest thing to satisfy.

There is an ancient poem that fully embodies the greed of human nature.

"Running around all day is just for hunger, and I just think about clothes when I am full. I have enough food and clothing, and I want a beautiful wife. Marry a beautiful wife and give birth to children. I hate having no land and no roots. The farmland is so vast, and there is no boat to go in and out. Less horses to ride."

It is not difficult to see from the poem that people's needs are constantly improving.

Just like the fisherman and the goldfish in the fable, if you get what you want, you will have greater desires.Human greed can never be satisfied.

Even if you have the most wealth, the greatest power, the most respected status, and the most beauties in the world, you will still not be satisfied.The next thing I think about is how to live forever.

Many emperors in ancient times have fully proved this point.

The number of emperors who have sought the magic of immortality cannot be counted.

After Zhou Can successfully performed external fixation of the fracture, Director Zhang did not leave immediately.

Instead, the fetal heart rate of the fetus and the vital signs of pregnant women are closely monitored.

After half an hour, no abnormality was found, and she was relieved.

"There is no problem for the time being. Dr. Pang, this patient is entrusted to you to monitor. You must always maintain a high degree of vigilance and make no mistakes."

Zhang Bihua told her seriously.

Xinxiang Women's and Children's Hospital has decided to publicize the case of this pregnant woman as a model.Now it is equivalent to knocking down the country, as long as it is defended.

At this critical moment, Director Zhang and Xinxiang Women and Children's Hospital do not want any accidents to happen.

Xinxiang Maternity and Children's Hospital needs to use some typical difficult cases to increase its popularity.The pregnant woman's illness has a high publicity value, and has long been listed as the focus of publicity.

Director Zhang led a team to carry out expert consultation activities this time, which also requires performance.

Three days have passed, and this is the fourth day.

Every difficult case is very difficult from diagnosis to treatment.She naturally does not allow accidents in the nursing process.

"Don't worry, I will take good care of the patients!"

While Dr. Pang made a firm statement, he also gave Zhou Can a guilty look.

What happened the day before yesterday kept Dr. Pang in fear.I was afraid that Zhou Can would sue Director Zhang.

Fortunately, so far, Director Zhang's side has been calm.

It seems that Zhou Can helped her hide this matter.

For this, Dr. Pang is naturally grateful.

"Xiao Zhou, the results of your consultation were quite good yesterday, continue today." After making arrangements for Dr. Pang, Director Zhang looked at Zhou Can.

"I'm OK."

Zhou Can readily agreed.

Everything is difficult at the beginning, and he has successfully taken the first step yesterday, and he has overcome the fear in his heart.Now I have a little more expectation for sitting alone.

This is true independent diagnosis and treatment.

It is very helpful to improve the ability of personal diagnosis and treatment.It also laid a solid foundation for him to formally practice medicine in the future.

Several people walked out of the emergency room, Director Zhang took Zhou Can and Yang Chan to the ward for rounds.

The patients admitted by the expert team are all concentrated in one ward, which is convenient for the doctors of Tuya Hospital to diagnose and treat them.The daily management is in the charge of the medical staff of Xinxiang Maternity and Children's Hospital.

"Hi Professor Zhang!"

From time to time, patients greeted Zhang Bihua.

It can also be seen from this point that Zhang Bihua's popularity is very high.Among the patients admitted, most of them were diagnosed by Director Zhang himself, and then admitted to the hospital.

"Hello, Professor Zhang! Hello, Dr. Zhou!"

When they reached the sixth bed, the family members took the initiative to greet Director Zhang and Zhou Can with a smile.

Zhou Can took a look, isn't this the husband of the diabetic who drank too much and had diabetes insipidus?Seeing his happy face, could it be that his wife's illness has improved significantly?

Subconsciously looking at the female patient on the hospital bed, she obviously looked much better.

"How is your wife's illness? Has it improved?" Director Zhang asked.

"Yes, yes! Didn't you and Dr. Zhou suggest my wife to have radiation therapy that day? We were very afraid of radiation therapy at the time and did not dare to accept this kind of treatment. Later, the doctors of Xinxiang Maternity and Children's Hospital did ideological work for us and taught us the science of radiation therapy. It even took me to watch the radiation treatment process of other patients.”

"Later, I inquired privately with those patients who had been treated, and found out that some of them had controlled their disease through radiotherapy. Some were cured directly and could be discharged from the hospital immediately. After discussing it with my wife, I decided to give it a try. Hey, I didn't expect my condition to improve the day after the radiotherapy."

When the patient's husband talked about it, he was elated.

For the family members, the happiest thing is to see their relatives get better after treatment.

(End of this chapter)