Chapter 291: Choose the lesser of two evils, and ask Zhou Can
"I'm just a junior trainee. If reporter Mu has any questions, he can ask Director Zhang, Deputy Director Shi and others." Zhou Can felt a headache when he saw this female reporter.
Try to shirk it quickly.
"Hehe, don't think I don't know anything, Deputy Team Leader Zhou!"
She hummed twice with pride and directly stated Zhou Can's temporary position.
What it means is to tell Zhou Can not to try to fool her.
"I'm just a nominal position. I was forced by the senior doctors to make up the numbers." Zhou Can continued to protest. He was really afraid of being entangled by this female reporter.
"You ranked first in the total score of the regular training recruitment exam of Tuya Hospital. Was that just to make up the numbers? When you were doing regular training in the emergency department, the total number of surgeries increased by more than a thousand per month. Was that just to make up the numbers? When you were..."
She had a look of confidence that she had Zhou Can in her grasp.
"stop!"
Zhou Can quickly called a halt.
"You investigated me?"
He stared at Mu Ying's seductive face with some anger. If it were anyone else, no one would be happy if their past was exposed.
"Every one of us reporters has the potential to be the Ouchi 001 spy. It's not that I want to investigate you, but you are just too good. You are like a bright light in the darkness. It's hard for you to make others not notice you!"
She made her defense with confidence.
"Please rest assured, I won't keep Dr. Zhou too long. Since I've been waiting for you for nearly four hours, can you answer a few simple interview questions during your meal?"
Seeing Zhou Can's hesitation, she once again used the unique advantages of a beautiful woman.
"Please, please! If I fail to complete the interview, the leaders in the station will scold me."
She looked at Zhou Can with a pitiful expression.
"Just let your leader scold me. Just tell him that I don't want to cooperate with your interview." Zhou Can showed no sign of giving in.
If you think she is a beauty, you can win her over by acting coquettishly in front of her and begging her in a soft voice.
That would be underestimating him.
Seeing that Zhou Can showed no mercy at all, he and the nurse Ji You left her behind and walked straight towards a small room not far away.
She bit her thin red lips covered with lip gloss and chased after him.
"What disease does that pregnant woman have?"
No one answered her.
"We reporters are not bad people. The purpose of the interview is to report the truth to the public. Besides, isn't the pregnant woman out of danger? Reporting this will benefit the experts at your Tuya Hospital and Xinxiang Women's and Children's Hospital! You really don't have to treat me like a thief. I'm a serious TV reporter."
She still pesters Zhou Can.
Fortunately, at this time, Section Chief Tang came out of the room after finishing his meal.
Seeing the female reporter pestering Zhou Can, he immediately stopped Mu Ming and said politely, "Reporter Mu, if you have any questions, just ask me. Don't pester Doctor Zhou anymore. He has been busy rescuing patients and hasn't had lunch yet. Please be considerate."
Mu Ming knew that she couldn't interview Zhou Can alone anymore.
She was a little depressed, but there was nothing she could do.
"Then I'll wait until Dr. Zhou is free next time to interview him. Goodbye, Chief Tang."
She is decisive enough.
When he realized that he couldn't interview Zhou Can, he turned around and left.
If she were asked to interview Section Chief Tang, she would be thankful if she could get one true answer out of ten questions.
…
In the room, Zhou Can and Ji You found that the meals were all packed in insulated boxes.
The cuisine is pretty good, with three dishes and one soup, and it's obviously not the big pot food in the cafeteria.
"I didn't expect Dr. Zhou to be so resistant to beautiful women! That female reporter was very pretty and knew how to act coquettishly. It would be hard for an average man to resist her request. I was really surprised that you rejected her so cleanly and neatly."
Ji You also took this opportunity to chat with Zhou Can.
Want to increase the familiarity with each other.
After all, there are still more than five days before we need to work together to rescue various critically ill patients and deal with emergencies.
"Does it mean that in the perception of Ji Mei-ling, men should see that a beautiful woman cannot walk, and the lower body determines the brain?"
Zhou Can raised his eyebrows.
"Well... it's been said that heroes have always been tempted by beautiful women!" She probably didn't expect Zhou Can to speak so directly, and a little vulgarly, her face was slightly smoky, and she quickly changed the subject. "Doctor Zhou, how do you think the femoral head fracture of the pregnant woman should be treated?"
"We definitely can't , so we can only try to fix the fracture externally. Judging from the X-rays she took, external fixation can only correct the two largest fractures as much as possible, and I'm afraid it won't be able to take care of the other three smaller fractures."
Zhou Can has also been thinking about external fixation solutions.
After much thought, I can only choose the lesser of two evils.
The main part of the femoral head was kept in situ as much as possible, and the other three corner fractures and minor fractures were left to heal on their own. At least one of them would heal abnormally.
It may affect the patient's lower limb motor function after recovery.
Zhou Can’s idea was to wait until the pregnant woman gave birth, and then perform elective surgery to correct and repair the deformed healed area.
After the meal, the two returned to the emergency room and continued to stare at the pregnant woman.
At about 2:10 p.m., Deputy Director Shi's cell phone rang.
"Hello, Director Zhang!"
"Is the pregnant woman's condition stable?"
“So far, so good.”
"I received a patient in her 50s. Examination revealed abdominal effusion and liver cirrhosis. During anorectal examination, a tumor with a diameter of at least five centimeters was found on the anterior wall of the rectum. I always felt that this case was not as simple as it seemed. She had been treated in another hospital, which confirmed that she had rectal cancer and underwent surgery and radiotherapy."
Radiotherapy is a type of radiation therapy that uses some special high-tech rays to kill cancer cells.
It can effectively prevent cancer recurrence after surgery.
Especially for some tumors that cannot be completely removed, radiotherapy is of great significance. It can completely eliminate the remaining tumor cells.
It is necessary to explain here why after some cancer patients are diagnosed with cancer, doctors are not in a hurry to perform surgery on them, but instead prescribe radiotherapy.
Many patients may not understand and think that doctors deliberately add treatment items to make trouble for patients and make money in an unscrupulous way.
Patients are more worried that if they delay treatment for too long, the tumor will metastasize and they will miss the best time for surgical treatment.
In fact, the doctor has good intentions. The purpose of preoperative radiotherapy is to reduce the spread of cancer cells, lower the rate of lymph metastasis, and increase the chance of resection of recurrent tumors.
Therefore, whether it is preoperative radiotherapy or postoperative radiotherapy, doctors have their own comprehensive considerations, and it is definitely not making money as patients and their families imagine.
As for chemotherapy, it means using chemical drugs to treat cancer.
This treatment can have serious side effects, such as hair loss, edema, etc.
Chemotherapy is a treatment method that kills one thousand enemies but harms eight hundred of your own.
Some patients’ immune systems have already been severely damaged by cancer cells, and chemotherapy will cause their health to deteriorate. Many of them lose both their lives and their money.
With the emergence of new cancer treatment drugs, chemotherapy may be completely eliminated in the near future.
Currently, chemotherapy remains one of the most effective means of treating cancer.
Radiotherapy, chemotherapy and surgical treatment are known as the three weapons for fighting cancer.
If these three methods are still ineffective after trying them, the patient is basically sentenced to death.
In fact, many patients simply cannot survive the last course of chemotherapy.
If Director Zhang was only seeing a patient with rectal cancer, there would be no need to discuss this with Deputy Director Shi.
I heard her continue on the other end of the phone, "After this patient underwent surgery and radiotherapy at another hospital, the disease still recurred within a short period of time. The patient just asked me if it would be okay to just remove the entire rectum and do a fecal fistula diversion. I doubt it is that simple, so I would like to invite you to come over for a consultation."
Gastroenterology finally found its place.
Deputy Director Shi was very excited and quickly responded, "Okay, okay, I'll be right there!"
After hanging up the phone, Deputy Director Shi still looked excited.
"Xiao Zhou, you keep an eye on this. Director Zhang has received a patient with rectal cancer and asked me to come over for a consultation. I'll be back when I'm done."
"OK!"
Zhou Can agreed readily.
The pregnant woman is still stable, but she dare not leave. The doctors and nurses of Xinxiang Women and Children's Hospital have a lazy work attitude, which is very different from the doctors of Tuya Hospital.
Even the medical staff in the emergency room are so lazy, one can imagine what the work attitude of the medical staff in other departments will be?
It would be unforgivable if nothing happened in a hospital like this.
When a major accident occurs in a hospital, the hospital should face up to its own mistakes, strictly enforce its work style, and ensure safety.
However, Xinxiang Maternity and Child Health Hospital sent a large number of its top doctors abroad for further studies, and turned a blind eye to the improper work attitudes of its doctors and nurses.
Even if we invite experts from Tuya Hospital to create momentum and support the cause, something bad will probably happen sooner or later.
The rules of market competition are very fair and cruel.
Hospitals with major defects are ultimately destined to be eliminated.
It was precisely because the medical staff at Xinxiang Maternity and Child Health Hospital had developed a domineering attitude and were indifferent to the lives of their patients that Zhou Can was even more afraid to leave the pregnant woman.
Because she is still in danger.
About twenty minutes later, Deputy Director Shi called.
"Doctor Zhou, the cause of this patient's illness is a little difficult to diagnose. How about you come over and help take a look?"
Deputy Director Shi lowered his voice and spoke on the other end.
I guess it's a bit embarrassing to ask for reinforcements at the last minute.
"What about this pregnant woman?"
Zhou Can was a little worried.
"I'll ask Doctor Pang to come over and take a look. Everything will be fine."
Deputy Director Shi said.
"That's fine! I'll wait for Doctor Pang to come before going over!"
After Zhou Can hung up the phone, he looked at the two nurses, Ji You and Chen Qingling.
There are five people in their crisis management team. Chen Qingling is an instrument nurse. At critical moments, patients need to undergo surgery or provide invasive respiratory support, which requires her assistance.
"I have to leave for a while. Doctor Pang will be here soon. But for the safety of this pregnant woman, I still need you two to be more careful and keep a close eye on her."
Zhou Can instructed the two of them.
"clear!"
The two nodded in agreement.
Chen Qingling is older, at least close to 40, and is relatively steady. Ji You is younger, in his twenties, is conscientious and responsible at work, and has a decent professional level.
With these two people watching over the situation, plus attending physician Pang, nothing should go wrong.
Not long after, Dr. Pang from the Obstetrics and Gynecology Department rushed over.
After Zhou Can completed the handover, he rushed to the outpatient hall with confidence to help diagnose difficult cases.
When he arrived, several doctors were discussing the case together.
Deputy Director Shi looked around frequently, expecting Zhou Can to come.
Seeing Zhou Can arrive at this moment, he also breathed a sigh of relief.
It's a bit embarrassing to say it, but Director Zhang invited him to participate in the consultation. He originally thought that the opportunity to show his skills had finally come. Because the patient had rectal cancer, even if there were other conditions, most of them were digestive system diseases.
After learning about the patient's condition in detail, he found that this case was far from easy to diagnose as he had imagined.
It also made him realize that although the Department of Gastroenterology had made great contributions in diagnosing difficult cases before, without Zhou Can, he, the deputy chief physician, would be nothing.
"Doctor Zhou, this is the patient's examination data. Please take a look first."
Deputy Director Shi seemed to have found a savior.
After seeing this scene, no one from other doctors said anything, but when they looked at Deputy Director Shi and Zhou Can, there was something strange in their eyes.
The omnipresent reporter Mu was also watching this place closely from a distance.
Especially after Zhou Can arrived, her eyes were like an eagle, staring at Zhou Can without moving away.
Seeing Deputy Director Shi stuffing the patient's examination information into Zhou Can's hands with a relieved expression as if his savior had arrived, she couldn't help but raise the corners of her mouth.
"I've never seen a resident trainee who is better than the chief physician!"
She muttered to herself and was more interested in Zhou Can, the trainee.
Zhou Can took the examination data, and Director Zhang said to him at the right time , "Our current unanimous opinion is that the patient's rectal cancer is caused by metastatic cancer. Ascites is the best proof."
Indeed, if rectal cancer is the primary lesion, it should not cause ascites.
"Have you checked the abdominal fluid? For example, whether there are cancer cells in it."
Modern medical technology is advanced and there are many ways to check.
In cases like this, directly checking the composition of the peritoneal effusion may give a certain chance of finding the primary lesion.
"We checked! Here, this is it. The results show that well-differentiated signet ring cells were found in the peritoneal effusion."
After seeing Zhou Can's abilities, Director Zhang no longer treated him as a trainee, but directly promoted him to the level of chief physician.
During the discussion, she directly answered Zhou Can's questions.
This invisible reliance was enough to make Gao Jian and Du Leng, who were present, extremely jealous. Yang Chan didn't feel jealous because she was a classmate of Zhou Can, but she felt the pressure of competition.
I will hold back my energy and work harder in the future to catch up with Zhou Can.
Now, the gap between her and Zhou Can is very large.
She herself could clearly feel and realize this.
"Signet ring cells, then we should check the stomach! We can consider the possibility of gastrointestinal cancer metastasis."
Zhou Can spent three months in the Department of Digestive Surgery, but it was not in vain.
He is familiar with various digestive system cancers and has a deep understanding of them.
Director Zhang's eyes flashed with admiration.
This guy is really capable. Every step of the diagnosis is consistent with the results they discussed together.
You know, this group of experts also discussed for a long time before they determined that the possibility of stomach metastasis was very high. But Zhou Can easily pointed directly to the stomach. This is his level!
"Gastrointestinal imaging showed a mass in the greater curvature of the stomach, and metastasis of the mass was found in the anterior rectal wall and peritoneum."
Director Zhang continued.
Zhou Can read the relevant inspection materials.
"Her primary cancer is likely in the ovary."
A patient with ovarian cancer was diagnosed not long ago, and he was deeply impressed by the disease.
Ovarian cancer is even more insidious and cunning than lymphoma and is very difficult to diagnose.
They all have a common feature: the primary lesion does not show many symptoms, but the symptoms of the metastatic lesion are obvious. This is equivalent to the "repairing the plank road in the open and crossing Chencang in secret" in the Thirty-Six Stratagems.
It also has a bit of a feint to the east and attack in the west flavor.
This cancer is truly as cunning as a wolf.
"But the patient had an abdominal CT scan at another hospital, and no obvious ovarian lesions were found!" said Director Zhang.
"Ovarian cancer is very good at disguising itself. There is a quick way to diagnose it. By directly checking the pathology of gastric cancer, you can find out whether it is ovarian cancer metastasis." Zhou Can provided a solution.
