My medical skills can add experience points Chapter 120 His point of view is actually right, the situation is not good
Everyone is dumbfounded.
Director Shen was obviously very angry just now, why did he suddenly agree with Gui Peisheng's point of view?
The wind direction has changed a bit fast!
"May I have your name?"
Director Shen looked at Zhou Can carefully for the first time, his eyes were not as cold as before, but soft.
Even, with a hint of imperceptible appreciation.
"My name is Zhou Can!"
Zhou Can was quite calm in the face of this heavyweight chief physician.
Compared with other junior doctors who tried their best to curry favor and flattery, it was a breath of fresh air.
"From the emergency department, your name is Zhou Can... It turns out that you are Zhou Can! No wonder you performed so well!"
Instead of criticizing Zhou Can, Director Shen even praised him greatly.
Everyone's minds couldn't turn around for a while.
Which one is this all about?
Also, according to Director Shen's words, this Gui Peisheng seems to be very famous.
"Who is he?"
A doctor whispered to the person next to him.
"I know the champion of this year's standardized training recruitment examination. But the education is a bit low, only a bachelor's degree."
Gui Peisheng, who was in the same class, recognized Zhou Can.
Now Tuya, many postgraduate masters may not be able to enter.
The undergraduates who can enter Tuya all have absolute strength.
"It's really amazing to be the champion of the standardized training recruitment examination. Especially this year's competition is extremely fierce. No wonder even Director Shen has heard of his name."
These people obviously don't know some of Zhou Can's glorious deeds in the emergency department.
The perception of him is also extremely one-sided.
Director Shen's status is very high, and at his level, he can keep abreast of some major events in the hospital.
He knew that Zhou Can had made great achievements in the emergency department many times.
And there are many directors of major departments who appreciate this young man very much.
Some time ago, the 'top package', which was well known to the hospital's senior management, made everyone realize Zhou Can's influence. So many directors and directors of major departments have stood up to speak for Zhou Can.
In the end, Vice President Bai was forced to compromise.
What kind of terrifying energy is this?
"Teacher, are you really going to adopt this opinion of Gui Peisheng?"
Doctor Shan didn't understand why Director Shen's attitude suddenly changed 180 degrees?
"This Dr. Zhou is so persistent in insisting that the patient's leg condition is abnormal. We can't take his opinion lightly just because of his low rank. At least it deserves to be taken seriously."
No matter what Director Shen said, he was looking for a way out for himself.
If he didn't guess wrong, he might have realized the abnormality of the patient's leg under Zhou Can's reminder.
His status is so high and his reputation is so high that he cannot immediately admit that Zhou Can's point of view is correct.
Otherwise, wouldn't that be slapping himself in the face?
Therefore, those who can become leaders are all masters of adaptation.
It is a fool to realize that he has made a mistake and still hold on.
Even if such a person becomes a leader, it will not last long.
"Xiao Zhou, tell me about your diagnostic thinking carefully!"
Director Shen also took advantage of the situation and lowered his waist to re-examine the patient.
It can be seen that he checked very carefully this time.
He focused on the subcutaneous purpura on the patient's feet, and pressed the edematous area with his hands.
"At about eight o'clock, when I checked the patient, I found that his subcutaneous purpura had only reached this position. Now it has spread to this position of the ankle in about an hour. It shows that the purpura phenomenon on the patient's leg is in the Aggravated. This is definitely not normal. If it is the subcutaneous congestion caused by the wheel scrape before the operation, it should remain the same, and rapid expansion is impossible."
Zhou Can clearly described his observations and judgments.
"Also, the edema seems to be getting worse. When pressed by hand, it is very hard, indicating that the lymph fluid or water stasis inside is getting worse. IMHO, if no specific reason can be found for this situation, the failure rate of the operation is very high. "
By Zhou Can's saying that, he has saved enough face for Director Shen and Dr. Shan.
If the root cause of the problem is not found out in time and solved, the operation will fail 100%.
It may even affect the patient's life.
The lightest outcome is amputation.
And not amputation from the surgical site. If the treatment is not timely, there is a high probability that high amputation will be required, and the thigh will be amputated from the root.
"The Great Era of Rebirth"
In fact, when I got to that point, I was thinking about how to save the patient's life.
It is impossible to think about what to do if the legs are gone?
"Your analysis is very reasonable, and your observations are also very meticulous. What do you think is the cause?"
Director Shen seemed to be testing him.
"The possibility of blood vessel damage is small, and then only thrombus remains."
When Zhou Can said this, he glanced at Dr. Shan intentionally or unintentionally.
Female orthopedic surgeons are rare.
She was able to stay in the competition of orthopedic surgery and emerge.
It's not easy.
Female doctors have both advantages and disadvantages in surgery.
Their physical strength is not as good as that of male doctors, and their logical thinking is weaker. The psychological quality in the face of various emergencies is also worse than that of male doctors.
However, there are also very calm female doctors who are better than male doctors in rescuing patients.
In addition, female doctors are dexterous and have natural advantages in performing delicate operations.
Doctor Shan had no expression on his face.
Maybe she was pretending to be paralyzed on purpose to hide her inner embarrassment.
Because Zhou Can's diagnosis directly pointed to a problem with the vascular anastomosis.
This is the area she is most proud of.
She still has a little luck at this moment, after all, the final result has not come out.
"It's pretty good that you, a Gui Peisheng, can make a diagnosis to this point. Remember, edema and purpura appear at the same time. It may not necessarily be a thrombus, but it may also be a limb rejection. This part of the patient was almost severed. When he was operated on, there was only one layer of skin attached. The operation performed on him was not much different from the replantation of a severed limb. The difficulty was even much higher.”
Director Shen made a concluding speech.
It seems to be pointing Zhou Can, but more to save face for himself.
"Send the patient for a color ultrasound, just below the knee."
The corners of Zhou Can's mouth raised slightly, revealing an imperceptible smile.
Director Shen said that it was not a blood clot, but the examination he prescribed for the patient betrayed his heart.
Color Doppler ultrasonography is the most commonly used non-invasive examination device for detecting thrombus in blood vessels clinically.
It can very well judge whether there is thrombus in limb arteries, veins or organ blood vessels.
Whether it is the attending doctor or the resident doctor present, they are all aware of this.
It seems that this Gui Peisheng is really talented!
When everyone looked at Zhou Can, no one dared to look down upon him.
…
Director Shen soon finished his ward rounds.
As soon as he left, Zhou Can was dragged into the office by Dr. He.
"Doctor Zhou, you were too reckless just now. Even if you really think that there is something wrong with the patient's postoperative abnormalities, you can wait until Director Shen and the others leave after the room inspection. Director Shen, Doctor Shan and others worked together for that operation. They were proud of it after more than 11 hours of work. If you insist that there is a problem in front of patients and so many doctors, isn’t that demolishing them?”
Dr. He was almost scared to death just now.
Because Director Shen was angered, he will definitely be implicated as well.
"I know all of this. But have you ever thought about it? If you don't take advantage of Director Shen's ward rounds to respond to the situation, and react later, the patient's treatment will definitely be delayed. The sooner the leg is treated, the better for the patient. It's too late, But it will be too late."
Zhou Can's IQ and EQ are both fine.
If it wasn't for the emergency, how could he take the risk of offending the superior doctor and be this early bird?
"Anyway, please pay attention in the future. Otherwise, it will be difficult for me, a senior doctor, to be a man."
Doctor He helplessly set a hard rule for him.
Not every doctor can risk his own future for the benefit of his patients.
Because it's an act of fools.
This ward round incident did not have much impact on Zhou Can.
What to do and what to do.
Except for being a bit timid and putting more emphasis on future and interests, Dr. He is pretty good in other aspects.
Not only did he patiently teach Zhou Can how to manage the bed and how to deal with emergencies of various patients, but he also showed him the patient's film and taught him how to watch it.
Look at films taken by ultrasound, X-ray, CT, and MRI.
For orthopedics, more X-rays are taken.
During the internship, Zhou Can learned to watch movies. But learning is superficial.
After working with Dr. Xu for three months, my ability to watch movies has been strengthened. But the level is not so high.
Only look at the most basic.
There is no way to see the deep information revealed in the film at a glance like those experienced attending and chief physicians.
For example, Dr. Xu once took a look at the color ultrasound taken by a patient and immediately concluded that the patient had cardiovascular disease.
After checking, it was true.
As for how Dr. Xu saw it, Zhou Can is still puzzled.
This is the level.
Now, Dr. He instructs him on how to read the patient's X-rays, and he has gained a lot.
Especially for some undetectable fractures, it is a test of the doctor's eyesight and experience.
Doctors in the medical technology department can sometimes only mark a part, because their ability to see films is also limited.
This requires a pair of keen eyes of doctors and surgeons.
…
When it was time to get off work, it was agreed that Zhou Can would be on the night shift, but Dr. He did not give him this drudgery in the end.
Maybe seeing Zhou Can's potential is very strong, thinking that if he has a good relationship now, he might be able to use it sometime in the future.
Squeezing can only be a temporary pleasure.
In case Zhoucan develops resentment because of this incident, the loss outweighs the gain.
After Zhou Can got off work, Su Qianqian was already waiting for him in the outpatient hall of the hospital wearing large sunglasses.
"When did you come? Have you been waiting for a long time?"
Zhou Can walked over quickly, looking straight at the girl he loved so much.
Until now, he and Su Qianqian have been in love for almost a month.
It still feels a little unreal.
Others are playing flash marriage, and they are almost lightning love.
The two fell in love with little warning.
As if on the night of drinking with her, I fell in love directly.
Of course, for Su Qianqian, there may be a certain period of love preparation.
Specifically, it should have started when Zhou Can gave her the key late at night, when he punched and ran away the gangster's heroic act of saving the beauty.
After all, any girl hopes to have a strong boyfriend to protect her.
No girl likes a cowardly man.
The strength and arrogance that Zhou Can displayed are very popular among girls.
Later, Zhou Can broke into the liquor bureau to save her, and he didn't take advantage of her when she was drunk.
This made her impression of Zhou Can extremely good.
What really brought them together was the night at the darkest moment of life.
On that day, she had a major setback at work, suffered from uremia, and was burdened with a foreign debt of more than 300,000 yuan. The multiple pressures drove her to a desperate situation.
He even had a strong suicidal idea for a time.
When she was most desperate, it was Zhou Can who spent an unforgettable night with her.
The warmth brought to her, as well as the hazy sweetness of love, made her unforgettable for the rest of her life.
Then later, let alone.
Zhou Canhao spent 1.6 million to buy her album of songs, which helped her successfully terminate the contract. It even cost 4 million yuan and partnered with others to set up an entertainment company specially for her to support her.
May I ask, which girl can resist this kind of love offensive?
The moment Su Qianqian saw Zhou Can, an extremely happy smile bloomed on her face.
"I know you're at work, so I just sent you a WeChat message. How do you miss me?"
"Think! Think all over your body!"
"Bastard!"
She spat.
There are many people watching around.
"Hey, didn't you say that women like handsome men?"
"I can't argue with you! What to do next is up to you, the master."
she smiled.
"Didn't you say last time that you want me to take you to the amusement park to go crazy? It's like 5:40 in the afternoon, and it's no problem to play until around nine o'clock."
Zhou Can walked out with her arms around her.
"Okay! But you have to protect me. I'm the least courageous. When I see that Ferris wheel, my legs will go weak."
Like most girls, she is a child at heart.
She was overjoyed to hear that Zhou Can would take her to the amusement park.
The two of them had just walked not far away when Zhou Can noticed someone secretly filming and following them behind him. He couldn't help frowning slightly.
"Qianqian, don't look back. We seem to be being watched by the paparazzi."
Her fame is now rising steadily, even surpassing the previous peak period.
The paparazzi are everywhere.
For the sake of traffic, it is really disgusting to shoot all kinds of privacy of celebrities.
"Ah... so what should I do? I'm dressed up like this, but I'm still being targeted. These paparazzi's noses are really powerful."
She said a little depressed.
"Don't worry, everything is up to me. The hospital is my territory, let alone a paparazzi, even if there are ten of them, he'll be **** off."
Zhou Can walked towards the security guards of the two hospitals with his arms around Su Qianqian.
"Hi, I'm a doctor at the hospital."
Zhou Can showed his work certificate to the security guard. The status of a doctor is still quite high.
At least the hospital's security guards, cleaners, nurses, and some people who depend on the hospital for survival are willing to curry favor with the doctor.
"Hello, Doctor Zhou, please tell me anything."
Security is very good.
"There is a malicious person behind us who has been following us. I don't know what he wants to do. Please stop him for me. It's best to question him. Check your ID card."
Zhou Can confessed.
"No problem! You can move forward without worry, we won't let that person continue to follow you."
The security guard and his companion exchanged a look, and the two watched the stalker slowly approaching from the corner of their eyes.
Zhou Can and Su Qianqian walked fast, so did the follower.
As a result, after tracking for more than ten meters, he was directly captured by two security guards and pinned to the ground.
"What are you doing? Why are you following the doctors in our hospital?"
"Let me go, let me go!"
The candid paparazzi struggled frantically.
Zhou Can took Su Qianqian and took the opportunity to leave quickly.
"Hehe, it's really you. If I encounter this kind of paparazzi, there is nothing I can do. I can only avoid them."
Su Qianqian felt particularly safe when she was with Zhou Can.
With a little trick, he cleaned up the difficult paparazzi.
"Two days ago, there was a very bad paparazzi who threw me a photo of our date. Let me give him 20,000 yuan."
When Su Qianqian talked about this, his tone was full of anger.
"Didn't you give it?"
"Where can I get the money for him? I'll give him my life."
Su Qianqian still owed hundreds of thousands of debts, and she didn't even have the money to buy medicines for treatment.
The paparazzi came to blackmail her, which is really wicked.
"Besides, what's wrong with me falling in love? It's not some shady business."
"You are now in the rising period of your career. It is better to be cautious when announcing your relationship. Have you told Li Luo about this?"
Zhou Can asked.
"Didn't tell him."
She shook her head. UU reading www.uukanshu.com
"You should talk to him. He will give you professional guidance."
Zhou Can realized that there are many people who are popular.
If there is a chance, maybe she should find a reliable female bodyguard.
His woman does not allow anyone to hurt her.
…
The next day, Zhou Can and Jin Mingxi rushed to work in the orthopedic surgery department.
Today it was finally his turn to enter the operating room.
I heard from Jin Mingxi that two of their group of Gui Peisheng yesterday were insanely strong.
In total, only six people were able to stay and work in the operating room.
This made Zhou Can somewhat stressed.
Under the leadership of Dr. Yang, Zhou Can entered the operating room together with five other Gui Peisheng.
This 100,000-level laminar flow operating room is obviously much more advanced than the conventional operating room in the emergency department.
"Remember, your task is to assist in the operation. When you are off work, the chief surgeon will give you points based on your performance. If you perform well, you will have the opportunity to stay."
Doctor Yang explained a few words and left in a hurry.
Not long after, Dr. Shan, who had a deal with him yesterday, two nurses, and two assistant doctors walked into the operating room together.
Perhaps considering the large number of trainees entering the operating room, they did not bring interns into the operating room.
"Yo, it's pretty early!"
Doctor Shan's gaze swept over the six of them.
When she found that Zhou Can was also inside, she was slightly surprised. The look at Zhou Can is also cold.
Zhou Can thought something was wrong.
Judging from the situation, Dr. Shan is likely to be the chief surgeon.
He offended her yesterday, and if she puts on small shoes today, he is likely to be eliminated directly. +Bookmark+