My Medical Skills Give Me Experiences Chapter 153

"Doctor Ou, you came at a good time. This patient has a high fever of 39.2 degrees. After reading his examination report and other materials, I think it is impossible to simply reduce the fever!"

Zhou Can spoke directly.

His approach was very clever, and he didn't hold on to Dai Wei and Chen Hao because of his power.

I believe that Dr. Ou's attitude just now has given the two of them some b points in their hearts.

It's just that he was a little puzzled. Many people in the department knew that they were appreciated by Director Wen. Don't these two people know? Or do you only know a little bit, so you don't take yourself seriously?

Not to mention Zhou Can's high status in the neurosurgery department, at least ordinary residents don't have much confidence in front of him.

Even Cheng Gang, who used to be extremely unfriendly to him, has lowered his eyebrows and is pleasing to the eye now.

That is to say, he couldn't save face, so he didn't take the initiative to curry favor.

Why is Dai Wei so blind?

"Is Dr. Dai angry just because of this?" Dr. Ou looked at Dai Wei after listening to Zhou Can's explanation.

"Uh... I might have been in a hurry just now. I was mainly worried that what Dr. Zhou said would cause unnecessary disputes between doctors and patients." Dai Wei also acted according to the wind.

After discovering that Dr. Ou had a very friendly attitude towards Zhou Can, he immediately turned off the engine to cool down.

"Because he is just a training doctor, do you think his opinions are outrageous? Let me tell you, Dr. Zhou Can has made great contributions in many director-level consultations. And just today, he followed Director Wen for a consultation. A fourth-level operation, and made a great contribution. In the future, don't underestimate the opinions of lower-level doctors."

The relationship between Dr. Ou and Dai Wei does not seem to be bad.

Otherwise, I would not have said these words.

Many details about Zhou Can were exposed in public, indicating that Dr. Ou had already inquired about Zhou Can's deeds in the emergency department.

Whether Tuya Hospital is big or small, the personnel relationship inside is intricate.

Maybe a certain doctor or nurse in the emergency department happened to have some personal relationship with Dr. Ou. Even classmates.

Dr. Ou witnessed the whole process of Zhou Can being appreciated by Director Wen yesterday. Out of curiosity or other interests, he asked acquaintances to inquire.

Obediently, it's amazing.

It turned out that this Gui Peisheng was so crazy.

"He has made great achievements in the director-level consultation and the fourth-level surgical operation... Oh my God! This is really flooding the Dragon King Temple. I actually regarded Dr. Zhou as the kind of showman who has high eyesight and low power. Gui Peisheng. This is my fault, and I will correct it in the future."

After hearing Zhou Can's brilliant record, Dai Wei shrank his neck in fright, and quickly took remedial measures.

It is very wise to take the initiative to apologize at the first time.

"I'm not as powerful as Dr. Ou said. At best, I just had better luck. For this patient, I strongly recommend measuring his blood pressure. If he has symptoms of hypotension, he must be highly vigilant."

Zhou Can's goal has been achieved, and he just said it out.

Then move on to business.

It can minimize Dai Wei's embarrassment.

As for that flattering doctor Chen Hao, Zhou Can never took him seriously from the very beginning.

Almost like air.

"Xiao Chen, measure the patient's blood pressure immediately, don't just stand still." Dai Wei's ability to survive in the workplace is quite strong.

After knowing that Zhou Can is very powerful, he could only look up, not only did his attitude towards Zhou Can change a hundred and eighty degrees.

And Zhou Can's good friend Jin Mingxi also changed.

The treatment of the sycophant Chen Hao fell off a cliff.

"Isn't Dr. Jin treating this patient?"

Chen Hao whispered.

Obviously some are not used to this sudden change of treatment.

"Be quick!"

Dai Wei's gaze and tone were already quite cold.

Only then did Chen Hao realize that the sky had changed. Immediately honestly fetched a sphygmomanometer and measured the patient's blood pressure.

Dr. Ou and others were waiting for the blood pressure results.

"Is this sphygmomanometer broken? Why is the systolic blood pressure only 100mmhg?" Chen Hao whispered softly after taking the initial blood pressure measurement.

"Xiao Chen, don't dawdle, has the result come out yet? Dr. Ou and Dr. Zhou are waiting!"

Dai Wei directly ranked Dr. Zhou at the same level as Dr. Ou. This is full of desire to survive!

Zhou Can didn't think there was anything wrong.

Jin Mingxi next to him was envious.

Jin Mingxi was about to be evaluated as a deputy senior professional title in the County People's Hospital before, but now he is admitted to Tuya as a regular trainee. Is it considered that the more mixed the lower the position?

Then look at Zhou Can, who is also Gui Peisheng, whose hidden status has already caught up with the attending.

Apart from envy, Jin Mingxi was also secretly happy.

After such a commotion just now, Dr. Dai already knew Zhou Can's strength, and his attitude towards Zhou Can became very respectful.

With Zhou Can's support, Jin Mingxi believes that the future will be easier.

When Dai Wei oppressed him, he definitely didn't dare to be as unscrupulous as before.

Chen Hao was sweating profusely and ran to the nurse's station to borrow a new blood pressure monitor.

Measure again.

"What's the matter, the systolic blood pressure is only 98mmhg."

Chen Hao couldn't believe the result.

"Idiot, it's not good to measure blood pressure. How could the patient's blood pressure be so low? Let me measure it."

Dai Wei went into battle himself.

The result is still the same, the systolic blood pressure is only 98mmhg.

At this moment, both Dr. Ou and Dai Wei realized the seriousness of the problem.

Experienced doctors usually regard systolic blood pressure lower than 90mmhg as a threshold of shock blood pressure.

The patient's hypotension was close to the shock blood pressure, which frightened them immediately.

"Fortunately, Dr. Zhou's advice to measure blood pressure almost caused a catastrophe."

Dai Wei wiped the cold sweat from his forehead, feeling scared for a while.

He also had the first personal experience of Zhou Can's strength.

No wonder he was able to directly gain the appreciation of Director Wen by virtue of his status as Gui Peisheng. His skills are indeed amazing.

At this time, the patient has begun to rave.

Clearly deranged.

His family calls didn't do much either.

The condition progresses very quickly.

In other words, they didn't pay attention to the abnormal state of the patient at all before.

After all, it is normal to talk nonsense under high fever.

"Doctor Zhou, the patients are already like this, so please tell me the rest of your diagnostic opinion! Although I am an attending physician, pathological diagnosis has always been a weakness. You can check the patient's information, pass the patient's high fever symptoms, It can be diagnosed that the patient has hypotension, and it is very dangerous, which means that you must have the diagnosis in your mind."

When Dr. Ou saw that the patient he was in charge of was in danger, he couldn't help feeling very nervous.

Ask him to diagnose slowly, maybe he can find out the reason.

Now that someone is more powerful than him, he doesn't need to bother with that.

Moreover, the patient's condition took a turn for the worse, and the longer the delay, the more dangerous it would be.

Only now did the family members understand that this young doctor who had an interesting chat had extremely superb medical skills.

Their eyes were also looking at Zhou Can, full of pleading.

"First of all, I'm just making a preliminary diagnosis based on some clues, and the result may not be accurate. I suggest taking blood for a test immediately. The patient may be in septic poisoning shock."

Zhou Can said it modestly, not sure about the result.

In fact, diagnosis experience points have already been earned.

He was very sure of the diagnosis.

"The patient is obviously not in shock yet! And isn't the blood pressure lower than 90mmhg to be defined as shock?"

Dr. Dai Wei was very puzzled.

"Pedantic! Who said that the systolic blood pressure must be lower than 90mmhg in shock? Your dogmatism is unacceptable. Infected with toxic shock, you can't blindly use the blood pressure value as the only standard."

Dr. Ou should have taught Dai Wei as a student.

Otherwise, I wouldn't scold Dr. Dai for being pedantic and dogmatic.

"Doctor Zhou, please tell him the references for infectious and toxic shock." Doctor Ou left this opportunity to show off to Zhou Can.

Of course, you may also want to create more opportunities for the two to repair the relationship.

"Hypotension, high fever, unconsciousness, and then you look at the patient's neck, and the performance is extremely unnatural. It shows that there is neck stiffness. These four evidences are combined, and it is basically confirmed that it is an infection and toxic shock. However To be on the safe side, wait until the blood test results come out, basically foolproof."

From the moment Zhou Can entered the ward, he noticed that the patient's face and lips were extremely pale.

Fingertips are slightly cyanotic.

Later, it was found that the patient's neck had ankylosis, and the rotation and stretching were extremely unnatural.

Combining various symptoms, he boldly concluded that the patient was actually in a state of shock.

Use indomethacin suppository to treat the anus, which is a typical treatment for headaches and feet.

Blind, superficial, treating the symptoms but not the root cause.

It can even be said to be the opposite.

When we humans have a fever, as long as the fever does not exceed 39 degrees, there is basically no need to rush to cool down the fever.

This is because the body is activating the immune mechanism to eliminate invading viruses, bacteria, etc.

The most common fevers are inflammation and cold.

Some people take a lot of antipyretics as soon as a child has a fever after a cold. The fever subsided, but I also missed an opportunity to rely on the body's own immune mechanism to kill the virus.

To put it more vividly, when our body starts to have a fever, it means that the body is preparing to fight the virus that invades the body.

It constantly burns the body's stored energy, raises body temperature, and begins to destroy the virus.

At this time, people who don't have medical knowledge take a lot of antipyretics directly, which is basically equivalent to a fatuous emperor. The general in front is leading the charge to kill the enemy, and it seems possible to win.

As a result, the emperor directly ordered Ming Jin to withdraw his troops and retreat.

In the end, he ordered to kill the leading general.

Then the viruses rejoiced. When they met such a stupid emperor, who would they kill if they didn't kill him?

Viruses began to crazily attack more organs and tissues of the body.

A small cold may eventually turn into a severe cold, or even death.

Many people think that after catching a cold, drinking a lot of warm water is nonsense.

Can water cure diseases?

The answer is that it can cure diseases.

Drinking plenty of water can keep your body metabolism running efficiently. Excrete a large number of viruses and harmful substances from the body through urine and other methods.

This is actually very beneficial to the recovery of the body.

When it comes to body temperature, there is one thing that actually deserves the vigilance of all human beings.

Human body temperature has been dropping.

Thousands of years ago, or even tens of thousands of years ago, what was the body temperature of our ancestors, because technology was very backward at that time, so it was impossible to know.

Only since human beings were able to measure body temperature, the average human body temperature has dropped from 37 degrees to 36.6 degrees in two hundred years. 37 degrees has become the history of human normal temperature.

Some people may think that the body temperature drops by 0.4 degrees, which is nothing at all.

In fact, every time the body temperature drops by 1 degree, the immunity will drop by more than 30%.

Conversely, when the body temperature rises by 1 degree, the immunity is enhanced by 56 times.

So, when our body has a fever in the future, don't rush to reduce the fever! As long as it is below 39 degrees, you can observe it, pay attention to replenish water and keep warm.

Help our body to defeat the disease together and eliminate the virus.

After Zhou Can diagnosed the patient's cause, there was no need for him to stay here.

"Doctor Ou, Doctor Dai, I'm leaving first! If this patient is diagnosed with toxic shock, he must not delay. Especially if such symptoms occur after surgery, it is very dangerous."

Before leaving, Zhou Can told the two of them.

"Understood! I will report this matter to Director Wu now." Doctor Ou's face was serious. "Thank you very much for helping us rule out a hidden accident today. In the future, Dr. Zhou will have time. I really want to ask you to visit the ward every day and help check it together."

Doctor Ou is very grateful to him.

But he also knew that it would be unrealistic for Zhou Can to help with rounds every day.

Occasionally, I can come over and help with an investigation, which is considered special care.

"It's easy to say, easy to say! Dr. Jin is my good brother. After work, as long as I have time, I will definitely come to see him often."

Before Zhou Can left, he once again emphasized the relationship between Jin Mingxi and him, and his intention could not have been more obvious.

It's basically telling Dr. Ou and Dai Wei, please take care of my good brother.

"Now that I know that Dr. Jin is a friend of Dr. Zhou, I will definitely focus on training him." Jiewei said in person.

"Walking with tigers and wolves are beasts. Dr. Zhou is so powerful, and Dr. Jin must be no different. If you don't say it, it is really possible to bury a talent. If Dr. Jin's surgical ability is not bad, in the future I'll take you to surgery."

In order to curry favor with Zhou Can, Dr. Ou directly sold a huge favor.

A big piece of pie fell from the sky and hit him on the head, which made Jin Mingxi very happy.

"Thank you, Dr. Dai! Thank you, Dr. Ou! I have done a lot of operations in the emergency department, and I will ask Dr. Ou to help me in the future."

Jin Mingxi is also amazing.

Hit the snake with the stick.

He immediately hugged Dr. Ou's thigh.

"Okay, I have two surgeries tomorrow, and you can just follow me into the operating room." Dr. Ou didn't refuse.

After speaking, he looked at Dai Wei.

"Doctor Dai, don't arrange some work for Dr. Jin tomorrow, let him follow me into the operating room and try."

Dr. Ou's character is quite straightforward.

Say hello to Dr. Dai face to face.

"No problem. Anyway, Xiao Chen doesn't have much work, so I can arrange for Xiao Chen to do more."

Dai Wei's words almost made Chen Hao faint in the toilet.

Who would have thought that misfortune would fall from the sky. They were flattering and filming together, but suddenly there appeared an extremely stubborn Gui Peisheng. With just one sentence, Jin Mingxi, a 'serf', stood up and sang.

He, who rose to power by flattering, was directly regarded as an abandoned son.

Sure enough, strength is the real king.

Other twists and turns, in the face of absolute strength, are all floating clouds.

"goodbye!"

Zhou Can waved his hand and left satisfied.

Before seven o'clock, Jin Mingxi came back.

As soon as he entered the dormitory, his face was full of joy.

Put two big hot chicken legs directly in front of Zhou Can.

"Zhou Can, buddy. If you hadn't supported me to speak today, I'm afraid I would have been bullied to death by Dr. Dai and Chen Hao. Let's not fix those fake ones, just come here with two big chicken legs to express our thanks .”

Jin Mingxi's face was full of smiles.

For helping him so much, two chicken legs are not worth mentioning at all. But if the two are good friends, that's different.

Just think about it.

In the future, if Zhou Can needs help, Jin Mingxi will spare no effort to provide help for free.

"Haha, I won't be polite if you have two big chicken legs!" Zhou Can went to wash his hands, UU read www. uukanshu.com While it's hot, pick up the chicken legs and enjoy them beautifully.

"Originally, I should invite you to have a big meal. But you also know that Gui Peisheng's salary is only so small every month. I save money every day, and after excluding expenses, I don't owe credit card money at the end of the month. Burned high incense. Let me ask my wife to reach for it, I really have no face to say that."

Jin Mingxi has been in the provincial capital to participate in the training for more than half a year.

When I first came here, I was quite generous.

Life is tight now.

This is why most medical students complain about the training system.

It was like being exploited in vain by the hospital for one to three years.

A family wants to train a medical student, and the money and energy spent are extremely huge.

After graduating from school, for one to three years of regular training, the family basically has to subsidize part of it.

If you are a finance major, you will basically have a high annual salary after working for three years.

Therefore, the idea of ​​being a doctor in order to make money should not be there.

"No wonder, my lord said that I seldom see you going on a tryst with that classmate named Ye Zi recently. It turns out that you have emptied your pockets. I think this is very good. I was really worried about your wife a while ago!"

Zhou Can and Jin Mingxi are very close, so he dared to say this.

"Don't talk nonsense! Am I that kind of person? Besides, Ye Zi invited me out to play, not for my money at all. She has achieved financial freedom long ago."

Jin Mingxi's old face flushed for a while, but he still did not forget to defend his female classmate.

Zhou Can just smiled and stopped talking about it.

We are all adults and have the right to choose our own way of life.

After Zhou Can gnawed the chicken leg, he continued to practice the sharp knife technique.

Today, after experiencing the power of the quick knife technique in the operating room, he seemed to be possessed, frantically pursuing a higher realm.

Chapter end