My Medical Skills Give Me Experiences Chapter 147

The status is obtained by fighting for a little bit of strength.

In this group consultation, Zhou Can's pathological diagnosis ability was even stronger than that of Dr. Zou and Tang Li. As for those residents and postgraduates, they are even more incomparable with Zhou Can.

Even though they said a lot, adding one piece is not as good as Zhou Can's words.

That's how doctors see and treat diseases.

Some doctors don't have any real skills, they only know how to preach science according to the script, and do science popularization in front of patients. But none of them hit the point.

Talking too much is tantamount to farting.

Because what patients need is to find out the focus of the disease and diagnose the cause, instead of going to the hospital to study.

If patients want popular medical knowledge, they can search at home on Zhihu, Baidu, and Dingxiang. Websites such as Zhixin and Metz provide more professional medical knowledge.

More professional content such as medical papers and surgical operations.

It is difficult for ordinary people to understand.

Zhou Can was poached by Director Wen in the operating room before, just wanting to use his implantation skills.

As for Director Wen's words about cultivating him well, just listen to it.

At this moment, Director Wen found that his diagnostic ability was so outstanding, and Zhou Can's flattery just now was very well done.

Only then did he decide to increase the training of Zhou Can.

In fact, it's not a real cultivation, it's mainly the use of Zhou Can's value.

Except for Director Wen himself, Director Wen's group has no outstanding generals. Zhou Can's diagnostic ability is strong, helping to check together can reduce the misdiagnosis rate and missed diagnosis rate of patients in the group.

On the contrary, Dr. Shan helped him apply for a login account in the group when he was in orthopedic surgery before, which really cultivated him as his own.

Director Wen is more like not letting the eagle see the rabbit, and the interests come first.

In the 22-bed patient, the second focus of epilepsy was detected, and the next step was to formulate a treatment plan.

"Now the cause of the exacerbation of epilepsy has been identified. According to the situation, the cavernous hemangioma in the patient's brain should be removed. However, considering that the patient's life is not endangered at present. In addition, it is only an occult vascular malformation, not a real one. tumor. In a short period of time, the risk of giving the patient a second craniotomy is extremely high.”

"So I think it will be safer to elect a second craniotomy for the patient after two or three months."

Director Wen was very cautious about the patient's second operation.

When the chief physicians formulate the operation plan, they are basically all cautious.

Nothing else, I have been frightened many times, and finally became a disease.

In the profession of doctors, one must be in awe of life, one must be both bold and timid.

Only in this way can the trees be evergreen and reduce the accident rate.

A cavernoma is simply a vascular malformation that lacks an arterial component.

It generally develops slowly.

After two or three months of surgery, the problem is not big.

Performing a second craniotomy in a short period of time is mostly helpless.

Mostly due to the obvious secondary intracranial hemorrhage or cerebral edema after the first craniotomy, the mass effect is prominent. If the surgical treatment is not performed in time, it may be life-threatening.

Such a major operation, whether it is a craniotomy or not, should not be performed frequently in a short period of time.

Unless the operation is not performed immediately, the patient's life will be in danger.

Because the second operation means that intravenous general anesthesia is required for endotracheal intubation.

It has a great impact on the environment in the patient's body and is prone to cardiopulmonary complications.

In addition, due to the short interval between two operations, the patient may be complicated by anemia, electrolyte imbalance, hypoproteinemia and other diseases.

The possibility of lung infection and urinary tract infection will also be greatly increased.

Just imagine, after a major operation, the patient is already seriously injured and needs to rest and recover. A series of serious complications again, for the patient, it is tantamount to the gate of hell.

Therefore, for the sake of safety, doctors will try their best to avoid frequent operations on patients.

Even if it is a minor operation such as tooth extraction, if multiple teeth need to be extracted at the same time, the doctor will advise the patient to perform multiple times.

"Tang Li, it's still up to you to communicate with the family members, is that okay?"

Director Wen looked at her.

There is a female doctor in the group, which is actually pretty good.

It can adjust the working mood of doctors, and can also share many tasks when necessary.

"No problem, we promise to complete the task!"

She smiled sweetly.

Look very confident.

"Hehe, you are quite confident!"

In a good mood, Director Wen laughed and teased her.

"To be honest, if the patient's lesion cannot be detected, I will not dare to communicate with the family members anymore. I am afraid of being beaten. Now that the lesion has been detected, and it is an invisible lesion itself, it is the brilliant medical skills of our hospital. I am completely confident in talking to the family members about this matter. I believe that as long as the family members are not extremely barbaric, most of them will gladly accept the suggestion of elective surgery."

Her explanation made everyone burst into laughter.

The happiness of doctors is very simple. Every time they successfully treat a patient, they will feel a sense of accomplishment and be happy from the bottom of their hearts.

After Zhou Can joined Director Wen's group, his treatment also underwent some significant changes.

During ward rounds and shift shifts, few doctors and nurses in the inpatient department dared to be cold in front of him.

And he found that the supernatural doctors are very realistic.

The news that I was appreciated by Director Wen has not been publicized at all.

Like having wings, all the doctors and nurses in the inpatient department knew about it.

From this point, it can also be seen that the doctors and nurses outside the gods have their own small circles and intricate relationships.

All kinds of important information in some departments are shared with each other.

At present, only Dr. Zou in the group has a somewhat indifferent attitude towards Zhou Can.

Zhou Can also understood that Dr. Zou lost face, that's why he did this.

Zhou Can didn't care about this.

It is even more impossible to deliberately hide his clumsiness in order to please Dr. Zou.

It is time to fight for the chance of surgery and report the situation of the patient.

All Dr. Zou has to do is adapt.

The first day of divine training was soon over.

Zhou Can's harvest is beyond imagination.

Stand out directly from the 20 regular trainees and get the qualification to study with the chief physician.

It may be because he was not arranged to be on duty at night because he was working outside the gods on the first day.

You should know that interns, regular trainees, and graduate students are the key care objects on duty.

After returning to the apartment after get off work, he continued to practice the advanced medical skills of fast knife technique and insertion, grasping, and passing.

Jin Mingxi got off work much later than him.

It's almost eight o'clock in the evening before I get off work.

As soon as he entered the apartment, he collapsed on the bed as if he had collapsed.

"Oh, I'm exhausted. The living environment outside the gods is really bad. I don't even think of Pearson as a human being."

Jin Mingxi trained two departments and never complained of being tired.

Today is the first day of regular training in Shenwai, and I am complaining here. It can be seen that the workload of Shenwai is really huge.

Not to mention him, even Zhou Can is not much better.

Before working under Cheng Gang, he was treated like a slave.

Fortunately, he jumped to Director Wen's group with his ability, which made him feel much more comfortable.

"That's how you want to learn technology! You have to endure hardships and hardships to become a master. Haven't you heard of it?"

Zhou Can turned around and said to him with a smile.

"You say standing up and talking doesn't hurt your back! Don't think I don't know. Now that you are appreciated by Director Wen, and a chief physician will take you personally, how can you know the suffering of us low-level salted fish!"

Jin Mingxi rolled a big white eye.

There was no envy in his tone.

"Haha, your news is very well-informed."

Zhou Can was able to soar into the sky and live a better life than other Gui Peisheng. If he was not proud at all, then he would be sorry for his age.

As for humans, from infancy to old age, every life stage has its own characteristics.

He has done so well, if he is not proud at all, he is a saint.

"When your position is a little stronger, can you say a few words for me? The resident doctor above me is really hateful, even more hateful than Zhou Papi and Huang Shiren in ancient times. Give me all the dirty work. , After finishing, they still have to be scolded by them."

Jin Mingxi is not a newbie in the workplace.

Knowing Zhou Can's current weight.

There is a chief physician on top, whose status in the department is much higher than that of ordinary residents.

As long as Zhou Can helps to say hello, the resident doctor above will not dare to oppress him like this again.

"When assigning tasks, isn't there a Gui Peisheng named Chen Hao in your second ward team? Doesn't he have to work?"

Zhou Can asked.

"Don't mention that guy. That guy is very good at business. Whenever he has the opportunity, he flatters the resident doctor above him. In just one day, he has already had a heated fight with that resident doctor. I am stupid and I can't save face, and I can't let go of my dignity, so I'm at a disadvantage. I'll do all the hard work and dirty work."

When Jin Mingxi mentioned this matter, he was full of heartache and blood and tears.

Zhou Can laughed out loud after listening.

Everyone's way of life is different. Some people are good at flattering and flattering their bosses. Some people just work with their heads down.

Honest people are bullied everywhere.

It is actually very difficult to meet a Bole like Dr. Xu.

"What's the name of your senior resident doctor?"

A good **** friend was bullied, and Zhou Can happened to have this ability, so he naturally wanted to help if he could.

"Dave."

Zhou Can had never heard of the name of this resident doctor.

But he has just arrived outside the gods, and he is not familiar with personnel.

"Do you know who the attending physician above Dai Wei is?"

Zhou Can felt that it would be better to greet Dai Wei's attending physician at the next level directly.

With Zhou Can's current status, he really has this ability.

"It seems to be Dr. Ou Xinjin. I'm not sure. I just saw him report to Dr. Ou."

Jin Mingxi is also not familiar with the personnel in the department.

"Okay, I'll do my best."

"Hey, brother, treat me well. I knew you would agree." Jin Mingxi smiled happily.

When the status is low, someone will give you a hand, which will indeed bring a great advantage.

There will be many benefits as well.

If no one greeted him, he would have to work hard outside the gods for two months, and he would not learn much about technology, but he would bear a lot of scolding.

The next day, Zhou Can arrived at the hospital at only seven o'clock.

According to regulations, they had to arrive at the department of the hospital before 7:40. Forty minutes in advance, in order to have enough time to check the cases in the group.

He took a look, and there were three surgeries in this group today.

Dr. Zou has one for secondary surgery, and Director Wen has two.

Check out Dr. Zou's second-level surgery first. This is a traumatized patient with a fractured skull requiring surgical reduction.

After carefully checking the CT and X-rays taken by the patient, the fracture site is not large, but the condition is serious.

A piece of skull collapsed directly into it, with a depth of more than 1cm.

If it is other parts, such as the chest cavity and abdominal cavity, the depth of 1cm is nothing at all.

But after the skull fracture of the head, it collapsed by one centimeter, which is very scary.

It can directly cause hematoma, cerebral effusion, epilepsy, coma and other symptoms.

Zhou Can watched the patient's skull fracture repeatedly, and if he could participate in this operation, he would be willing to do so. In orthopedic surgery, fracture articulation techniques and manual reduction techniques will definitely come in handy.

However, when he thought about the relatively stiff relationship between Dr. Zou and him at present, he finally dispelled the idea of ​​following Dr. Zou's surgery experience.

Look at Director Wen's two surgeries.

One is a brain operation for a comatose patient in a car accident, which is a fourth-level major operation. The injury is serious and the condition is complicated.

The department dared to entrust this operation to Director Wen, which showed that Director Wen might really do what Zhou Can guessed. The strength of traditional surgery is strong, but the strength of emerging interventional and endoscopic surgery is poor.

As for the reason, it is probably because Director Wen only has traditional surgery talent, but not advanced surgery talent.

In any case, the doctors who can be awarded the titles of Deputy Senior and Senior Professionals in Tuya Hospital are all powerful.

They may have their own flaws and weaknesses, and they are by no means ordinary people.

It took Zhou Can nearly half an hour to finally see all three surgical cases in the group today. With about ten minutes left, he was not idle, but began to check the cases that had not yet been operated on and those that had not been discharged after surgery.

The doctors in the group have arrived one after another.

He is not the only one who is diligent.

There are two graduate students who are equally diligent.

Instead, the three resident doctors and another graduate student hurried to the department. UU reading www.uukanshu.com

"Doctor Zhou came quite early!" Tang Li greeted him with a smile.

"My level is already poor, and there are too many things to learn. If I don't come sooner, I'm afraid I will be rejected by you!"

Zhou Can responded modestly with a smile.

cluck!

She covers her mouth and chuckles.

"A man's mouth, a deceitful ghost, I don't believe you. You performed so well yesterday, how dare you say that your level is poor?" Her level is two levels higher than Zhou Can's, and it is somewhat ambiguous to say these words.

But it also fits her style.

Make full use of the advantages of women and try to build a good relationship with powerful male doctors in the group.

Why do you say this way?

Because Tang Li only talks to Director Wen, Dr. Zou, and Zhou Can in such a 'flirtatious' style, or coquettish and cute style.

This is not the attitude towards those residents and postgraduates.

When talking to these people, she seemed quite aloof.

Fully revealing the majesty of a senior doctor.

"The word excellent is only suitable for you and Director Wen and others. I dare not be it."

Zhou Can's emotional intelligence is very high, and the word "you" has opened up the distance between the two without making her feel disgusted.

He didn't dare to have any ambiguity with this doctor Tang Li.

Maybe, Director Wen felt uncomfortable when he saw it, and it's possible to just give him a cold seat.

Besides, he has such a beautiful and excellent girlfriend as Su Qianqian, so he really doesn't feel much when looking at other women.

Tang Li's appearance can only be regarded as relatively beautiful, and she is not too young, thirty-five or sixteen years old.

How could Zhou Can be so foolishly fascinated by her frivolous words?

"It's very lively! Have you two checked the house today?"

Director Wen hurried into the office.

Chapter end