Chapter 301: Being scolded but still happy, the stubborn family members figured it out
I also understood Director Zhang's diagnostic ideas and intentions.
His pathological diagnosis skills at the deputy director level are already on the same level as many of the experts present.
"Director Zhang, you mean to hospitalize the patient, fast him, give him fluids, suppress his acid, decompress his gastrointestinal tract, and try to control his vomiting and diarrhea symptoms, right?"
Zhou Can asked her this question just to verify whether his diagnostic skills had really risen to the level of deputy director.
“That’s absolutely right!”
Director Zhang nodded with satisfaction. She felt particularly happy to see the younger generation grow quickly and understand her intentions.
“Do you know why we need to treat the symptoms and control the two initial symptoms of diarrhea and vomiting?”
Director Zhang wanted to further test Zhou Can's diagnostic thinking.
Many novice doctors watch their senior doctors prescribe various tests or perform experiments and tests on patients, but they simply don’t understand why their senior doctors do this.
Because their diagnostic level is not at the same level as that of senior doctors, they really cannot understand the deeper meaning of it.
It's like playing chess. The other person places the pieces here and there seemingly without any plan, and because you are not good enough, you have no idea what the other person's formation is.
It was not until the other party revealed their murderous intentions and tightened their net step by step that I realized the cleverness of it.
Zhou Can is just a resident doctor. It is too demanding for Director Zhang to require his diagnostic thinking to reach the same level as the director.
In the past, Zhou Can would definitely have found it difficult to give a satisfactory answer.
At this moment, his pathological diagnosis was also at the director level. Although he was only at the deputy director level, it was still a serious director-level medical skill level.
Both associate senior professional and senior professional titles are considered senior professional titles.
It is a grading of professional level.
Zhou Can pondered for a moment, then said calmly, "Your diagnostic approach should be somewhat similar to mixing pearls with fakes."
"Fake eyes mixed with pearls" is a derogatory term. Zhou Can used this term to describe Director Zhang Bihua's diagnostic thinking. Isn't this a roundabout way of scolding her?
Yang Chan, who was standing behind Director Zhang, and Ji You, who was standing next to Zhou Can, were both worried about Zhou Can.
The day before yesterday, Du Leng criticized Director Zhang in public, but was criticized for nothing.
Still sitting on the bench.
Doctor Zhou is usually a very smart person, why did he scold Director Zhang today? Isn't this asking for trouble?
Just when they thought Zhang Bihua was going to teach Zhou Can a lesson with a stern face, they unexpectedly saw a happy smile on Zhang Bihua's face.
Even after being scolded by Zhou Can, why are you still smiling so happily?
Yang Chan was confused. What happened today? Zhou Can, who had a high EQ, scolded Director Zhang in public. However, Director Zhang still smiled happily, looking very happy.
It's so magical.
"The phrase 'fake pearls mixed with fake eyes' is very descriptive. Go on!"
Director Zhang just smiled, which seemed not enough to express her inner joy. Then she praised Zhou Can again, and only then did she feel comfortable.
"The patient has many, complex symptoms involving multiple organs and tissue systems. If you want to force the real lesion to show up, you have to remove the obstacles that may be deceiving. As long as the two initial symptoms of vomiting and diarrhea are controlled, you can observe whether the patient's other symptoms have changed, so as to identify the real cause of the disease."
Zhou Can explained it again according to his own understanding.
The family members and Yang Chan and others were all very surprised to hear this.
I have never seen this method used to find the cause of a disease. These experts are truly experts, with many means and methods.
"You are absolutely right! Dr. Zhou has such a high level of diagnostic ability now. Your future achievements will definitely be far higher than mine. I dare not even imagine what heights you will reach in the future."
Director Zhang was full of praise for Zhou Can.
To become an outstanding young doctor, diligence and talent are both indispensable. A little luck and opportunity are also needed.
"Teacher, I still don't quite understand. Why is it called the "Fake Eyes and Pearls" Diagnosis Method?"
Yang Chan touched her hair subconsciously.
They say that people with long hair have short knowledge.
Her hair is not long, it is only shoulder-length now. Even after tying it into a ponytail, it still doesn't reach her shoulders.
But she tied her hair into a ponytail, looking capable and youthful.
The youthful vitality that emanates naturally, paired with a ponytail, reveals a vibrant beauty.
"This patient has more than a dozen symptoms, and it is very difficult to find the real cause. Because the real cause may be covered up or hidden. It's like there are two fish eyes mixed in a large basin of pearls. If you want to find the fish eyes, it is difficult to succeed by just searching. Because pearls are very dazzling, their precious light will interfere with people's vision, making it difficult for people to find the two fish eyes mixed in."
"At this time, if you want to find the fish eye, you have to change your thinking. Don't look for the fish eye directly, but pick out the pearls inside. By then, when all the pearls have been picked out, what's left is the fish eye, right? In fact, you only need to pick out some of the pearls, and the fish eye will be exposed automatically."
"If we can control the patient's diarrhea and vomiting, the previously hidden cause of the disease will become apparent. Then it will be much easier to find out the cause."
Zhang Bihua patiently taught her beloved disciple.
She took care of Yang Chan meticulously, just like she would her own daughter.
"Doctor Zhou, Professor Zhang, after listening to your discussion just now, I have a lot more confidence. We have come to the right place this time. I believe my son can be cured here."
The boy's father felt ashamed when he thought of his previous doubts about Zhou Can.
This young doctor is much more capable than he thought.
Even Professor Zhang praised him highly.
Moreover, listening to the two discussing his son's condition, the young doctor Zhou was not at all inferior. The diagnosis was clear and the direction was clear, which gave him hope that his son would be cured.
It goes without saying that the patient was subsequently admitted to the hospital for treatment.
…
The day's diagnosis ended quickly.
Zhou Can gained a lot from his first day of independent consultation, especially his ability to work independently, which was greatly improved.
He saw a total of seven patients that day. Except for one extremely difficult case that required hospitalization for observation and further diagnosis, the other six patients were either discharged after treatment or hospitalized for surgery.
During the diagnosis process, he also discovered many of his own shortcomings.
There are both lack of knowledge and experience.
It's a good thing to be able to help him discover his own shortcomings.
After this specialist clinic, he can study more specifically when he returns to the Department of Internal Medicine to continue his regular training.
After get off work, the first thing Zhou Can did was to go to the emergency room to visit the pregnant woman.
The situation is not bad, the vital signs have become more stable.
Her blood pressure has risen, and her spontaneous breathing function has recovered a lot. From the sound of her breathing, we can tell that her lung function is recovering rapidly.
People who exercise regularly recover much faster than those who don't.
In clinical practice, Zhou Can had already discovered this phenomenon.
For the same degree of pneumonia, some people recover in a few days after taking medicine and symptomatic treatment, but some people's condition worsens due to poor physical condition and eventually progresses to severe pneumonia.
"Ji You and I will be on night shift tonight. I think we can consider removing the ventilator tomorrow after we guard her for another night."
Zhou Can was very happy to see that the pregnant woman's condition was getting better.
"Jiyou, can you please work hard for another night?"
He turned to look at Ji You who had come to the emergency room with him.
"No problem at all."
She gladly accepted the night shift.
Yesterday, she accompanied Zhou Can on the night shift and had a midnight snack with her, which she enjoyed very much.
…
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.
Before removing the ventilator, one thing needed to be done, which was to help her perform external fixation of her femur.
This is because if the ventilator is suddenly removed, her respiratory function cannot return to normal immediately.
If the femur is fixed immediately after the ventilator is removed, it will definitely cause great stimulation and impact on her body. This is very likely to cause danger, and in medicine it is called a stress response.
For example, if a patient needs surgery on two parts of his body at the same time, for safety reasons, doctors generally recommend two surgeries at different times, rather than just one.
After Dr. Pang came to take over, Zhou Can went back to the hotel to wash up, not to mention having breakfast.
When we were having breakfast, Director Zhang was still in the restaurant on the first floor of the hotel.
Zhou Can went over and talked to her about the treatment of pregnant women.
"Since you have evaluated her and formulated a treatment plan, let's do it as soon as possible. Let's go to the emergency room now and help her perform femoral external fixation. Then we will check her condition during the lunch break. If there is nothing abnormal, we can consider removing the ventilator and transferring her to the general ward for further treatment."
Director Zhang gave a relatively safe treatment process.
These chief physicians are very cautious and prudent in what they do.
"This is a very good way to do it. It will not affect the normal consultation and will give the pregnant woman a good buffer time to adapt."
Zhou Can strongly agreed with the operating procedures established by Director Zhang.
After breakfast, he went to the emergency room with Director Zhang. Director Zhang first assessed the patient's condition and confirmed that the fetus in the abdomen was not in danger, and then prepared to implement the next step of external fixation of the fracture.
"Xiao Zhou, you will perform the external fixation of the fracture site. I will be responsible for the safety of the pregnant woman and the fetus during this period." Director Zhang basically gave him a guarantee, allowing him to do what he wants without any worries.
Zhou Can had studied many times how to perform external fixation on pregnant women.
Now you can directly operate it.
"Ji You, after I lift the patient's right foot, you hold her foot up and keep the height and angle of the foot unchanged." All the necessary items for external fixation of fractures had already been prepared.
It requires multiple people to work together to succeed.
"OK!"
Ji You never compromises on Zhou Can's orders.
After working the night shift together for two nights, her relationship with Zhou Can became much closer than before.
"Chen Qingling, you will assist me when the time comes and be responsible for handing the corresponding equipment to me." He only had two nurses under him, and both of them were put to use.
"no problem!"
Chen Qingling is an experienced nurse. She is efficient and effective in her work and is very skilled in coordinating and assisting in all aspects.
After everything was arranged, Zhou Can began to perform the operation. He straightened the patient's right leg and then lifted it up little by little. According to the fracture image on the X-ray film, he tried to close the fracture ends as much as possible.
“Oh… mmm…”
The pregnant woman uttered a sound of pain and her blood pressure dropped instantly.
Zhou Can was so scared that she stopped immediately. Fortunately, her blood pressure quickly rose again. It must have been the severe pain that stimulated her.
After more than an hour of hard work and with the cooperation of several people, the external fixation of the pregnant woman's femoral fracture was finally completed.
Zhou Can checked it and was quite satisfied.
It definitely cannot be rated as perfect.
[You have successfully performed a difficult fracture external fixation operation, experience points +1, bonus experience points +100. ]
Zhou Can was so happy that he couldn't stop smiling after earning 101 experience points for fracture external fixation.
However, after experiencing the highest experience point reward of 10,000 points, the joy brought to him by this 100-point experience point reward was much less than before.
The human heart is the most difficult to satisfy .
There is an ancient poem that perfectly reflects the greed of human nature.
"I run around all day just to get hungry. As soon as I am full, I think about clothes. After I have enough food and clothes, I still want a beautiful wife. I marry a beautiful wife and give birth to a son, but I regret that I have no land and no foundation. I buy a lot of land, but I have no boat or horse 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, once 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 you should think about is how to live forever.
Many emperors in ancient times have fully demonstrated this.
Countless emperors sought the elixir of immortality.
After Zhou Can successfully performed the external fixation surgery on the fracture, Director Zhang did not leave immediately.
Instead, the fetal heart rate and various vital signs of the pregnant woman are closely monitored.
Half an hour later, she was relieved when she found nothing abnormal.
"There's no problem for now. Doctor Pang, this patient is in your care. You must remain highly vigilant at all times and not make any mistakes."
Zhang Bihua warned her seriously.
Xinxiang Women's and Children's Hospital has decided to publicize this pregnant woman's case as a typical example. Now that the country has been conquered, all we need to do is hold on.
At this critical moment, neither Director Zhang nor Xinxiang Maternity and Child Health Hospital wanted any accidents to happen.
Xinxiang Maternity and Child Hospital needs to use some typical difficult cases to increase its visibility. The condition of this pregnant woman has a high publicity value and has long been listed as a publicity focus.
Director Zhang is leading a team to carry out expert consultation activities this time , and performance is also required.
Three days have passed and this is the fourth day.
Every difficult case, from diagnosis to treatment, is very difficult, so she naturally does not allow any accidents to happen during the nursing process.
"Please rest assured, I will take good care of the patient!"
While Dr. Pang made a firm statement, he also glanced at Zhou Can with some guilt.
What happened the day before yesterday has made Dr. Pang nervous. He is afraid that Zhou Can will complain to Director Zhang.
Fortunately, so far, Director Zhang's side has been calm.
It seems that Zhou Can helped her keep this matter secret.
Dr. Pang was naturally grateful for this.
"Xiao Zhou, your consultation yesterday was very effective. Please continue today." After arranging Dr. Pang, Director Zhang looked at Zhou Can.
"I'm fine."
Zhou Can agreed readily.
Everything is difficult at the beginning, but he had already taken the first step successfully yesterday and had overcome his inner fear. Now he was looking forward to seeing patients alone.
This is independent diagnosis and treatment in the true sense.
It is of great help to improve his personal diagnosis and treatment ability, and also lays a solid foundation for him to practice medicine in the future.
After 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 concentrated in one ward to facilitate the diagnosis and treatment by doctors from Tuya Hospital. Daily management is handled by medical staff from Xinxiang Women and Children's Hospital.
"Hello, Professor Zhang!"
Patients would greet Zhang Bihua from time to time.
This also shows that Zhang Bihua is very well-known. A large number of the patients admitted were diagnosed by Director Zhang himself and then admitted to the hospital.
"Hello, Professor Zhang! Hello, Doctor Zhou!"
When they walked to the sixth bed, the family members took the initiative to greet Director Zhang and Zhou Can with a smile.
Zhou Can took a look and realized that this was the husband of the diabetic patient with polydipsia and diabetes insipidus. Seeing his happy face, could it be that his wife's condition had improved significantly?
I subconsciously looked at the female patient on the bed and found that her complexion was much better.
"How is your wife's illness? Is it getting better?" Director Zhang asked.
"Yes, yes, yes! Didn't you and Dr. Zhou recommend that my wife undergo radiotherapy that day? We were very afraid of radiotherapy at the time and didn't dare to accept this treatment. Later, the doctors at Xinxiang Women's and Children's Hospital persuaded us, popularized radiotherapy knowledge to us, and even took me to watch other patients' radiotherapy process."
"Later, I asked those patients who had been treated privately and found out that some people controlled their condition through radiotherapy. Some were even cured and could be discharged from the hospital immediately. My wife and I discussed it and decided to give it a try since we were going to die anyway. Hey, I didn't expect that the condition would improve on the day after radiotherapy."
The patient's husband was very excited when he talked about this.
For family members, the happiest thing is to see their loved ones’ condition improve after treatment.
