Chapter 349: Body organs are connected to each other, Cheng Dazhuang's opportunity
Opportunities for further study are generally given to young doctors in their thirties and forties, because they have great potential for growth and can make great contributions to the hospital after returning from their studies.
After seeing Zhou Can's superb operation, Director Wang was really impressed from the bottom of his heart.
He is extremely eager to acquire the same skills as Zhou Can.
He thought to himself, if a resident in Tuya could be so capable, if he, a chief physician, went to Tuya for further training for a few months, he would definitely be more capable than Zhou Can!
However, he could never have imagined that although Zhou Can was only a regular trainee, he was a unique existence.
Zhou Can's ability is so great that even .
Director Wang, the chief physician of the county people's hospital, might not even be able to make a name for himself in the past.
"Director Wang, Doctor Zhou, the patient's heartbeat has returned to normal!"
Head Nurse Liu shouted in surprise.
After the blocked blood vessels are cleared, blood supply returns to normal, the blood circulation of the heart is restored, and the beating of the heart naturally returns to normal. The beating of the heart is a complex and delicate process.
The sinoatrial node cells at the junction of the right atrium and the superior vena cava have the highest autonomy, so the sinoatrial node starts to get excited, becomes the pacemaker, and sends out excitement, which then sequentially moves to the atrioventricular node, atrioventricular bundle, and finally to the left and right ventricular muscles to complete a heartbeat. If any part of this series of conduction systems is obstructed, serious arrhythmias or cardiac arrest may occur.
It is not as simple as most people think, that the myocardium simply contracts and the nerve signals control the discharge.
Even the heart is closely connected with the functioning of various organs throughout the body.
For example, we all know that the kidney is a fluid organ of the human body, and it also filters the blood.
When our heart feels a little tired and wants to relax, it can send a signal to the kidneys, "Brother Kidney, I am working non-stop 24 hours a day. My master has no sympathy for me and has eaten a lot of high-salt food to satisfy his appetite, which has caused my blood to become viscous and greatly increased my workload. I am too tired. Please help me think of a solution. Otherwise, if I collapse, you will all suffer."
After receiving the distress signal from the heart, the kidneys couldn't help but shiver and became very nervous.
The big brother of the heart cannot fall down. If it stops functioning, we are all finished.
As a result, the kidneys begin to adjust the "pump" mechanism, start to increase the absorption of sodium, and accurately excrete large amounts of sodium from the body with urine.
In this way, the viscosity of the blood decreases and gradually returns to normal, and the work of the heart is reduced.
From this point we can see that every organ in the body has its unique function and is closely connected with other organs.
However, no matter which organ in the body, although it has a strong self-regulatory ability and can tolerate the owner's misbehavior and extravagant life, there is a limit.
If they eat high-salt food, high-sugar food, or fried food for a long time, they may become exhausted.
If one of the organs fails, the other organs will be affected.
The body collapses at this point.
The owner of the body will feel obvious discomfort and develop various bad symptoms. This is when he is sick.
Chinese medicine often says that diseases come from the mouth, and that’s really not bullshit.
Many diseases are caused by diet.
…
The heart patient was successfully saved after emergency interventional surgery to remove the clot and insert a stent.
"Dr. Zhou, thank you so much today! Our county people's hospital can perform interventional surgery, but it's far inferior to yours. If possible, I will learn more from you in the future!"
Director Wang seemed very happy.
The patient was successfully saved, and I believe every medical staff member felt joy from the bottom of their hearts.
"I don't deserve to be asked for the advice! We can communicate with each other if there is a chance."
Zhou Can thinks it is a good thing to help the People's Hospital in his hometown improve its medical level. As long as he has time, he would be happy to give some advice to the doctors in the county people's hospital.
"Dr. Zhou is young and promising. Today, you really opened my eyes! When I saw you finish the angiography operation, I was shouting in my heart, oh my god, this is a cardiac artery angiography, how can it be so simple?"
Head Nurse Liu Bin's words made everyone burst into laughter.
"Later, I realized that I was still too young! Because Dr. Zhou only took less than seven minutes to perform the coronary artery thrombectomy and stent surgery, and the key is that he did it so well, and it was all successful in one go. This completely overturned my understanding of heart stent surgery. The chief physician of our hospital needs more than half an hour to insert the catheter during heart stent surgery. It takes at least two or three hours to complete the entire operation."
The speed of performing surgery is indeed one of Zhou Can’s major advantages.
"Head Nurse Liu, didn't you study at Tuya? Even Dr. Zhou can do it so fast, so wouldn't other attending physicians and chief physicians be even faster? Could it be that Tuya's chief physician can complete a heart stent surgery in just one or two minutes?"
Director Wang asked curiously.
Heart stent surgery involves many technical difficulties, and it is simply unimaginable to complete the surgery in one or two minutes.
But after witnessing Zhou Can's terrifying speed, even if he was told that Tuya's chief physician could perform a heart stent surgery in one minute, he would not believe it.
"Uh... I don't think there is one. I remember that the most skilled doctor in Tuya Cardiothoracic Surgery was Chief Physician Hu Kan, but Chief Hu was very slow in performing surgeries. It seemed that all doctors in the Cardiothoracic Surgery Department were a bit slow in performing surgeries. They were mainly steady. The surgical accident rate was very low."
The department that Head Nurse Liu should choose for further study should be cardiothoracic surgery.
And you may get the opportunity to study in the operating room.
"Then tell me, how long does it take for an ordinary doctor in Tuya to perform a heart stent surgery?"
Director Wang did not give up and continued questioning.
"It seems like it will take two or three hours! In case of a difficult situation, it may even take seven or eight hours." Head Nurse Liu thought about it seriously before answering.
"It takes so long! It's not much faster than our hospital!" Director Wang nodded, feeling relieved.
Suddenly realizing something, he turned to look at Zhou Can.
"Doctor Zhou, then you are the only one who is fast in surgery! Are you really a resident doctor? In my impression, the best a resident doctor can do is sew skin, pull hooks, or run errands to get test reports and medicines. It is impossible for a resident doctor to perform such a high-risk surgery. But your technique of placing a heart stent is so skillful. You are definitely not a resident doctor!"
Not to mention Director Wang, other people had also begun to doubt Zhou Can's true identity.
"Doctor Zhou and I are childhood friends. We keep in touch regularly. I'm sure he is a resident doctor and he would never lie to you." Cheng Dazhuang looked at his childhood friend with complicated eyes.
He really didn't expect that after just a few years of not seeing each other, Zhou Can graduated from college in the same year as him, and they were both still doing internships two years ago, but now there is such a huge gap in their medical skills.
The heart stent surgery skills that Zhou Can just demonstrated were enough to defeat Director Wang and others in their hospital.
In just two years, a medical student who had only been an intern for one year could be trained to such an excellent level. Tuya Hospital is simply a temple for training top medical talents...
No wonder so many medical students and social doctors are scrambling to get the qualification for regular training at Tuya Hospital.
With such great benefits, it is worth it no matter how much it costs to squeeze in.
"My surgical ability is really nothing. I'm just a resident in Tuya. I definitely didn't deceive you." Zhou Can gave a wry smile.
Being too good is not a good thing!
It is easy for people to suspect your identity.
Just the explanation gave Zhou Can a headache.
"How can there be such an amazing intern? I need to ask Tuya's teachers about your background. Doctor Zhou is so amazing at performing cardiac angiography and heart stent surgery, so he must be working in the cardiothoracic surgery department, right?"
Head Nurse Liu became increasingly curious about his identity and decided to ask the teachers she met while studying at Tuya.
The teachers that trainees know are generally not of very high level.
Most of them are within the two levels of head nurse and attending physician.
"I did a residency in cardiothoracic surgery. Actually, you really don't need to ask, I'm just a junior intern."
Zhou Can just came to see his childhood friend , which was equivalent to visiting the county people's hospital in his hometown.
He was somewhat worried about receiving an overly enthusiastic reception if his true identity was revealed.
He had long seen through human nature.
As long as they smell the scent, the management of the County People’s Hospital will definitely swarm over like flies.
"Doctor Zhou, it's too late to say that. I've already sent the message!"
Head Nurse Liu raised her cell phone towards Zhou Can with a slightly smug smile.
What was displayed was a WeChat chat screen.
As for who was on the other end of WeChat, he didn't know.
However, he is familiar with almost all the medical staff in the cardiothoracic surgery department, except for those newly recruited in the past two years.
I'm not exaggerating, Zhou Can has a considerable influence in cardiothoracic surgery.
"It's not something shameful anyway, just ask if you want to!" Zhou Can shook his head helplessly.
"Doctor Zhou, can I ask you a question?"
Nurse Tutu finally found an opportunity to interrupt.
Her status was relatively low, so she didn't dare interrupt when the chief physician or head nurse was talking.
Now that she saw that the conversation between Head Nurse Liu and Zhou Can had come to an end, she seized this opportunity.
If you don't ask, you will never have another chance.
"Speaking!"
Zhou Can was not at all arrogant and treated Head Nurse Liu and Tutu the same way.
"How do you know that the blood pressure in the two arms of this heart patient is different? Can you give me the scientific explanation?"
"Well, the principle is very simple! When the patient's heart arteries become narrow or even blocked, it is very easy for the blood pressure on both sides of the body to be different. Blood pressure is not only related to the total amount of blood in the blood vessels, but also to the size of the internal space of the blood vessels, the heart's pumping speed, and the blood circulation in the ventricles."
Zhou Can explained with a smile.
"Generally speaking, when the blood pressure on both sides of the body is different, some abnormalities can be detected with the naked eye. For example, the surface skin of the patient's body may be redder on the side with higher blood pressure, giving the feeling of red light. If the blood pressure difference is too large, you can even feel it by touching the pulse of the patient's two arms."
"In the future, when you encounter asymmetric blood pressure in clinical practice, you must be especially careful. It is either a heart attack or a precursor to an acute or critical illness such as cerebral hemorrhage."
Zhou Can was knowledgeable and spoke eloquently, which made the young nurse nod her head repeatedly and admire him very much.
When I looked at him, there were countless little stars in my eyes.
"So that's how it is! Thank you for your advice!"
She thanked Zhou Can gratefully.
Other medical staff also benefited greatly and remembered Zhou Can’s words.
In fact, Zhou Can has learned a lot of clinical experience and knowledge from those chief physicians, so much so that he could not finish writing several books.
"The patient is fine now. I came here today mainly to catch up with my childhood friend Cheng Dazhuang. I won't bother you any more."
Zhou Can brought Cheng Dazhuang out because he wanted to improve Cheng Dazhuang's status in this hospital.
We need to let those present know that Cheng Dazhuang has a backer and connections.
"Da Zhuang, let's go back to your duty office and talk! I should be back soon!"
Zhou Can subconsciously raised his wrist and glanced at his watch.
It was an unintentional act, but who would have thought that Director Wang's eyes narrowed slightly after seeing the watch he was wearing.
This is a watch worth hundreds of thousands of dollars, not everyone can afford it.
However, he did not point it out, and in his heart he looked up to Zhou Can even more.
"Teachers, I will go back to my duty now!"
Cheng Dazhuang greeted Director Wang and others.
Normally, he had no chance to talk to Director Wang. Director Wang wouldn't even look at him straight in the eye. People are just so realistic.
Now, with Zhou Can, Tuya's doctor, as his friend, things are completely different.
When Director Wang looked at him, his face was full of smiles.
"Sure, sure! Da Zhuang, please entertain Doctor Zhou. If there is anything else during your shift, you can ask Doctor Luo to do more."
Look at the cordial tone, the friendly attitude.
Cheng Dazhuang even had some illusions. When did Director Wang become so amiable?
"Okay! Thank you Director Wang!"
Cheng Dazhuang quickly thanked him.
Doctor Luo Jian, who was standing beside him, was feeling depressed. It seemed that all the work tonight would fall on his shoulders.
"Doctor Cheng, just rest assured and accompany your good friend. Leave the matters of the ward to me."
Regardless of whether you are willing in your heart or not, as long as you have a little emotional intelligence, you must express this attitude at this time.
I have to express this attitude even if I have to grit my teeth.
This is called knowing the current affairs and being appropriate to the times.
Cheng Dazhuang accompanied Zhou Can back to the doctor's office on the third floor of the inpatient department. Along the way, he was as happy as if he had won the lottery.
"A-chan, you are amazing. It's only been a few years and your medical skills are so impressive. You have to teach me more in the future."
"Isn't that bullshit? I told you, if you have any medical questions, you can always send me a WeChat message. As long as I can answer them, I will definitely answer them for you. Even if I can't answer them, I can ask the teacher for help."
Zhou Can really has the confidence.
He knew too many chief physicians in various departments of Tuya Hospital.
And most of them are department heads and academic leaders.
"Haha, that's great! I feel much more confident now, and I have renewed my hope for the medical license exam. I am so lucky to have known such an amazing childhood friend like you."
Cheng Dazhuang smiled happily, and he regained his vitality and enterprising spirit.
Zhou Can was also very happy to see the changes in his childhood friend.
…
Not long after Zhou Can and Cheng Dazhuang left, head nurse Liu Bin was extremely shocked and said to Director Wang, "Oh my God, no wonder this Doctor Zhou is so amazing! Do you know where he came from?"
"What is his origin?"
Even though Director Wang knew that Head Nurse Liu was keeping him in suspense, he could only press on.
