My Medical Skills Give Me Experiences Chapter 291

【My medical skills can add experience points】【】

"I'm just a small-scale Pearson. Reporter Mu can ask Director Zhang, Deputy Director Shi and others if you have any questions." Zhou Can felt a little headache when he saw this female reporter.

Quickly try to evade.

"Hmph, don't think I don't know anything, Deputy Team Leader Zhou!"

She snorted twice proudly, and directly stated Zhou Can's temporary position.

It means to tell Zhou Can not to mess with her.

"I'm just a fake job, and I was caught by the superior doctor to make up for it." Zhou Can continued to argue that he was really afraid of being entangled by this female reporter.

"Tuya Hospital's overall score in the regular training recruitment exam is number one. Is it also made up? When you were in the emergency department for regular training, did you also make up the number when the total number of surgeries increased by more than a thousand in a month? You are..."

She stared at Zhou Can's determined expression.

"stop!"

Zhou Can quickly stopped.

"You investigate me?"

He stared angrily at Mu Que's seductive face that could bring disaster to the country and the people. If it were anyone else, no one would be happy if the old man was picked out.

"Every one of us reporters has the potential to be an Ouchi 001 agent. It's not that I want to investigate you, but that you are too good. Like a bright light in the dark, it is very difficult for others not to pay attention to you Woolen cloth!"

She justified herself confidently.

"Don't worry, I won't hold up Dr. Zhou for too long. For the sake of the little girl waiting for you for nearly four hours, please answer my simple interview questions during meal time, okay?"

Seeing Zhou Can's expression of hesitation, she once again took advantage of the unique advantages of beautiful women.

"Please, please! If the interview task cannot be completed, 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 didn't mean to let go.

If you think she is a beautiful woman, you can take him down by acting like a baby in front of him, and begging with soft words.

That would have underestimated him too much.

Seeing that Zhou Can didn't show any affection, he and the female nurse Ji You left her and walked straight to a small room not far away.

She bit her thin red lips, which were painted with lip gloss, and chased after her.

"What's wrong with that pregnant woman?"

No one answered her.

"We reporters are not bad people. The purpose of the interview is to report the truth of the matter to the public. Besides, hasn't this pregnant woman turned from danger to safety? Reporting it is beneficial to the experts of Tuya Hospital and Xinxiang Maternity and Children's Hospital! You really didn't You must guard me like a thief, I am a serious TV reporter."

She still lingers on Zhou Can.

Fortunately, at this time, Chief Tang came out of the room after eating.

Seeing the female reporter pestering Zhou Can, he immediately stopped Mu Tie, and said politely, "Reporter Mu, please ask me any questions, and don't pester Dr. Zhou anymore. She is so busy trying to save patients that she hasn't had lunch yet." , please measure it."

Mu Jie knew that there was no way to interview Zhou Can alone.

She was a little depressed, but helpless.

"Then I will interview Dr. Zhou when he is free next time. Goodbye, Chief Tang."

She is decisive enough.

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【My medical skills can add experience points】【】

Finding that Zhou Can could not be interviewed, he turned around and left.

Let her interview Section Chief Tang, thank God if she can tell the truth in ten sentences.

In the room, Zhou Can and Ji You found that the food was packed in an incubator.

The cuisine is not bad, three dishes and one soup, obviously not the big pot dishes in the cafeteria.

"I didn't expect Dr. Zhou's resistance to beauties is quite strong! That female reporter is very beautiful, and she can act like a baby. It is difficult for ordinary men to resist her request. You will refuse so cleanly, it really makes me cry." I was quite surprised."

Ji You also took this opportunity to chat with Zhou Can.

Want to increase a little familiarity with each other.

After all, there are still more than five days to work together to rescue all kinds of endangered patients and deal with emergencies.

"Could it be that in Ji Meimei's cognition, men should see that the beauty can't walk, and the lower body determines the brain?"

Zhou Can raised his eyebrows.

"Well... the heroes from ancient times must be saddened by beauty!" She probably didn't expect Zhou Can to speak so directly, with a little vulgarity, her face was slightly smoky, and she quickly changed the subject. "Doctor Zhou thinks how should the femoral head fracture of the pregnant woman be treated?"

"Surgery is definitely not possible, so we can only find a way to do external fixation of the fracture. Judging from the X-ray films she took, external fixation can only ensure that the two largest fractures can be corrected as much as possible, and the other three are more serious. I am afraid that there is no way to take care of minor fractures."

Zhou Can has also been thinking about external fixation.

After much deliberation, we can only choose the lesser of two harms.

Try to ensure that the main part of the femoral head heals in situ. As for the other three corner fractures and minor fractures, they can only be allowed to heal on their own. At least one of them will have a malunion.

It may affect the motor function of the lower limbs of the patient after rehabilitation.

Zhou Can's idea is to wait until after the pregnant woman gives birth, and then elective surgery to correct and repair the malunion.

After the two of them finished their meal, they went back to the emergency room and continued to stare at the pregnant woman without mentioning it.

About ten minutes past two o'clock in the afternoon, Deputy Director Shi's cell phone rang.

"Hello, Director Zhang!"

"Is the condition of the pregnant woman stable?"

"So far so good."

"I have treated a patient in his fifties. Examination revealed peritoneal effusion and liver cirrhosis. During digital **** examination, he found a tumor on the front wall of the **** with a diameter of at least five centimeters. I always feel that this case It's not as simple as it looks on the surface. She was treated in an outside hospital, and the diagnosis of the outside hospital was rectal cancer, and surgery and radiotherapy were performed."

Radiation therapy is radiation therapy, which uses some special high-tech rays to kill cancer cells.

Can effectively prevent postoperative cancer recurrence.

Especially for some tumors that cannot be removed cleanly, radiotherapy is of great significance. It can completely destroy the remaining tumor cells.

Here we must explain why some cancer patients are found to be cancer, but the doctor is not in a hurry to perform surgery on the patient, but prescribes a radiotherapy plan.

Many patients may not understand it, and think that doctors are deliberately increasing treatment items, tossing patients, and earning ignorant money.

Patients are more worried that the tumor will metastasize if it is delayed for a long time, and the best opportunity for surgical treatment will be missed.

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【My medical skills can add experience points】【】

In fact, the doctor is well-intentioned. The purpose of preoperative radiotherapy is to reduce the spread of cancer cells, reduce the rate of lymphatic metastasis, and expand 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 by no means making black-hearted money as imagined by patients and their families.

As for chemotherapy, it means the use of chemical drugs to treat cancer.

This treatment can have serious side effects such as hair loss, puffiness, etc.

Chemotherapy is a treatment method that kills one thousand enemies and harms eight hundred.

Some patients' immunity itself has been badly damaged by cancer cells, and then given chemotherapy, the patient's health is deteriorating. Many are empty of money and people.

Chemotherapy may become obsolete in the near future with the advent of new drugs for cancer treatment.

Currently, chemotherapy is still one of the most effective means of treating cancer.

Radiotherapy, chemotherapy, and surgical treatment are known as the three tricks to deal with cancer.

After all these three tricks have been used, they still do not work, and the patient is basically sentenced to death.

In fact, many patients simply cannot survive the last course of chemotherapy.

If Director Zhang was only treating a patient with rectal cancer, there was no need to discuss it with Deputy Director Shi.

I heard her continue to say on the other end of the phone, "This patient relapsed within a short period of time after receiving surgery and radiotherapy in another hospital. The patient just asked me if I should just cut off the entire **** and make a **** fistula." It's okay if you change the route? I suspect it's not that simple, so I'd like to invite you over for a consultation.”

Gastroenterology finally has its place.

Deputy Director Shi was very excited, and quickly responded, "All right, all right, I'll be right over!"

After hanging up the phone, Deputy Director Shi still looked excited.

"Xiao Zhou, keep an eye here. Director Zhang has picked up a patient with rectal cancer. Please ask me to come over for a consultation. I'll be back when I'm done."

"OK!"

Zhou Can readily agreed.

The pregnant woman is still stable, but he dare not walk away at all. The doctors and nurses of Xinxiang Maternity and Children's Hospital have a lazy working attitude. Compared with the doctors of Tuya Hospital, the gap is very obvious.

Even the medical staff in the emergency room are so slack, one can imagine what kind of work attitude the medical staff in other departments will have?

It's unacceptable for such a hospital to have no accidents.

When a major accident occurs in a hospital, it should face up to itself, strictly control the work style, and ensure safety.

However, the practice of Xinxiang Maternity and Children's Hospital is to send a large number of top doctors from the hospital to study, and they don't care about the doctors and nurses in the hospital.

Now even if experts from Tuya Hospital are invited to come over to build momentum and stand on the platform, it may cause trouble sooner or later.

The laws of market competition are very fair and cruel.

Hospitals with major flaws are ultimately doomed to be eliminated.

It is precisely because the doctors and nurses at Xinxiang Maternity and Children's Hospital have developed a lordly style and are relatively indifferent to the lives of patients, Zhou Can is even more afraid to leave this pregnant woman.

Because she is still in a dangerous period.

About twenty minutes later, Deputy Director Shi called.

"Doctor Zhou, the cause of this patient is a bit difficult to diagnose, why don't you come over and help?"

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【My medical skills can add experience points】【】

Deputy Director Shi lowered his voice and spoke over there.

It is estimated that it is a bit embarrassing to ask for reinforcements temporarily.

"What about the pregnant woman?"

Zhou Can was a little worried.

"I asked Dr. Pang to go over and watch, and everything will be fine."

Deputy Director Shi said.

"That's fine! I'll wait until Dr. Pang arrives before going there!"

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 equipment nurse. At critical moments, patients need to perform surgery or invasive respiratory support, which requires her assistance.

"I have to leave for a while, and Dr. Pang will come over later. But for the safety of this pregnant woman, I still need you two to be more careful and keep an eye on it."

Zhou Can told the two of them.

"clear!"

The two nodded in agreement.

Chen Qingling is older, at least close to forty years old, and she behaves fairly prudently. Ji You is relatively young, in his twenties, serious and responsible in his work, and his professional level is quite good.

With these two people watching, plus Dr. Pang at the attending level, there shouldn't be any trouble.

Not long after, Dr. Pang from the Department of Obstetrics and Gynecology rushed over.

After Zhou Can handed over, he rushed to the outpatient hall to help diagnose difficult cases together.

When he arrived, several doctors were discussing together.

Deputy Director Shi looked around frequently, longing for Zhou Can's arrival.

Seeing Zhou Can present at this moment, he also quietly breathed a sigh of relief.

It was a bit embarrassing to say it, so Director Zhang invited him to participate in the consultation. The opportunity he had thought to show his skills finally came. Because the patient had rectal cancer, even if there were other conditions, it was mostly a digestive system lesion.

As a result, after knowing the patient's condition in detail, he found that this case was far from easy to diagnose as imagined.

It also made him realize that the Department of Gastroenterology has made a lot of achievements regardless of the previous diagnosis of difficult cases. But without Zhou Can, he is nothing as the deputy chief physician.

"Doctor Zhou, here is the patient's examination data, you can take a look first."

Deputy Director Shi seemed to have found a savior.

After this scene, in the eyes of other doctors, no one said anything, but when they looked at Deputy Director Shi and Zhou Can, there was something strange in their eyes.

The all-pervasive reporter Mu was also staring at this side not far away.

Especially after Zhou Can arrived, her gaze was like an eagle, and she never moved away from Zhou Can.

Seeing that Deputy Director Shi stuffed the patient's examination materials into Zhou Can's hands, showing a relaxed expression as if a savior had come, she couldn't help but twitched the corners of her mouth.

"It's been a long time seeing Gui Peisheng, who is stronger than the chief physician!"

She muttered in a low voice, and she was more interested in Zhou Can, a regular student.

Zhou Can took the examination materials, and Director Zhang said to him in a timely manner, "Our current consensus is that the patient's rectal cancer is considered to be caused by metastatic cancer. Ascites is the best proof."

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Indeed, rectal cancer should not cause ascites if it is the primary lesion.

"Did you check the peritoneal effusion? For example, whether there are cancer cells in it."

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【My medical skills can add experience points】【】

Modern medical technology is advanced, and there are many inspection methods.

In this case, direct examination of the composition of the peritoneal effusion also has a certain probability of finding the primary lesion.

"I've checked it! Here, this is the one. The results suggest that well-differentiated signet ring-like cells were found in the peritoneal effusion."

After Director Zhang saw Zhou Can's ability, he no longer regarded him as a regular trainee, but directly promoted him to the rank 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 present feel extremely jealous. Because Yang Chan and Zhou Can are classmates, she doesn't feel jealous, but feels the pressure of competition.

Holding back all his energy, he will definitely redouble his efforts in the future to try to catch up with Zhou Can.

Now, the gap between her and Zhou Can is very large.

She can clearly feel this point herself, and UU Reading www.uukanshu.com also realized it.

"Signet ring-like cells, you should check the stomach! You can consider the possibility of gastrointestinal cancer metastasis."

Zhou Can spent three months in the digestive surgery department, which was not for nothing.

For various cancers of the digestive system, he can count the treasures and has a deep understanding of them.

A gleam of appreciation flashed in Director Zhang's eyes.

This kid is indeed a bit capable, and every step of the diagnosis is consistent with the diagnosis results they discussed together.

You know, it took a long time for this group of experts to determine that the possibility of stomach metastasis is very high. Zhou Can pointed directly at his stomach with ease, this is the level!

"Gastrointestinal imaging showed a tumor in the greater curvature of the stomach, and tumor metastasis in the anterior wall of the **** and peritoneum."

Director Zhang continued.

Zhou Can read the corresponding inspection materials.

"Her primary cancer was most likely in the ovaries."

Not long ago, a patient with ovarian cancer was diagnosed, and he was very impressed with the disease.

Ovarian cancer is even more insidious and deceitful than lymphoma, making it very difficult to diagnose.

They all have a common feature, the primary lesion does not show much symptoms, but the symptoms of the metastatic lesion are obvious. It is equivalent to Mingxiu plank road in Thirty-six Strategies, crossing Chencang secretly.

There is also a taste of slapstick.

This cancer is really as cunning as a wolf.

"But the patient had an abdominal CT scan in another hospital, and no obvious ovarian lesions were found!" Director Zhang said.

"Ovarian cancer is very good at disguising, and there is a fastest way to diagnose it. Directly check the pathology of gastric cancer, and you can find out whether it is ovarian cancer metastasis." Zhou Can provided a solution.

Chapter end