【My medical skills can add experience points】【】
After the patient left, Director Zheng got up and held Zhou Can's hand tightly.
"Doctor Zhou, thank you for coming to help! The diagnosis of this case is very difficult. When the results of the small intestine perfusion test come out, I will ask you to continue to help diagnose it."
The reason why Zheng Hongtao treated Zhou Can so politely was because the diagnosis of this disease required a great deal of reliance on Zhou Can.
There is also this kind of disease that cannot be cured by large hospitals outside. If he can crack it and cure the patient, it will be of great benefit to him.
"Apocalypse"
The authority and popularity of experts are built and consolidated little by little by diagnosing and treating difficult cases in related fields, as well as publishing high-level papers with high influence.
The nine-story platform rises from the pile of soil, and the tree that embraces it grows from the end of the millet.
Famous doctors never grow up overnight.
Those who became popular with one or two cases and were called "miracle doctors" were mostly "miracle doctors of the rivers and lakes". Most of them are scammers, but none of them are true genius doctors.
Patients travel thousands of miles to seek medical treatment, and what they pay is nothing more than an IQ tax.
Of course, there is a kind of genius doctor who may have real skills. That is some Chinese medicine practitioners who are hidden from the world. They may not have a medical license, they may be cynical, and they may look more like charlatans.
However, they have mastered some lost traditional Chinese medical skills, and they can actually relieve the suffering of patients.
Moreover, there is an essential difference between this type of genius doctor and charlatans.
They don't aim to make money by treating diseases and saving lives, and charge low fees. They may even be like ancient Chinese medicine practitioners, who would not take any money from poor patients. Losing money to treat patients is just to help patients relieve their pain.
Charlatans are all kinds of routines and deceptions, such as "making power to cure diseases", or a certain earthen prescription that can cure all diseases and so on.
But all of these, without exception, are deceiving people to pay IQ taxes in the past.
Even after their treatment, the patient really feels that his body seems to have improved a lot, but it is actually just a psychological effect.
From a medical point of view, those medicines that cure all diseases, without exception, are all counterfeit medicines, health products, and medicines designed to deceive people into paying IQ taxes.
From Zhou Can's professional perspective, medicines that can really cure diseases have strong toxic side effects.
They can only treat a small type of disease, not a cure-all.
Most of these drugs are prescription drugs, and it is difficult for patients to buy them themselves.
When a doctor prescribes medicine, he also needs to think carefully and carefully, and dare to prescribe a prescription after thorough consideration.
After Zhou Can came back from the outpatient room, he continued to go back to the office to write medical records, medical history, and check doctor's orders.
As he became more and more proficient at independently prescribing medical orders, he obviously felt that his experience and knowledge reserves were not enough. In addition to increasing the frequency of consulting higher-level physicians, he has thought of many other ways to quickly improve the level of prescribing doctors.
It is certain to read books hard every day and greedily supplement basic medical knowledge.
There is also the use of authority to look through the past treatment cases in the department. Look at the doctor's orders issued by Director Shang, Director Zheng, Deputy Director Shi and others, and learn from their experience in handling them.
This method is very good.
After reading a case, you can get 1 point of experience in pharmacological syndrome differentiation and 1 point of experience in pathological diagnosis.
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【My medical skills can add experience points】【】
It can be said to serve multiple purposes.
Around 6:00 p.m., the patient with diarrhea and diabetes insipidus finished the small intestine perfusion test, and the family members took the results to Director Zheng Hongtao. Then Director Zheng took the results directly to the office to find Zhou Can.
After all, he is a chief physician, and in front of his family members, he asked Zhou Can for help again and again, somewhat embarrassing.
So he sent his family members back and came to Zhou Can alone with the test results.
The analysis and diagnosis of such difficult cases are inherently extremely difficult.
He asked Zhou Can to discuss it, and the doctors didn't laugh at him.
Besides, there are too many doctors who ask Zhou Can for help all day long.
Now even the little nurses in the department are asking Zhou Can for help one by one.
For example, intubating patients, or encountering some obese patients with difficult to find blood vessels when doing intravenous indwelling, etc.
They all came to ask Zhou Can for help.
A pretty little nurse in her twenties was yelling at Brother Can one after another, Zhou Can couldn't help but refuse to agree.
Unless they are very busy, they will go to help them.
If you can earn experience points and gain their gratitude, why not do it!
Especially for operations such as urinary catheter insertion and endotracheal intubation, you can earn 1 insertion experience point for each operation completed. If you are lucky, you may even get an extra reward of 10 points of experience value.
"Doctor Zhou, according to the small intestine perfusion test, it has been proved that there is a large amount of water and electrolytes secreted in the patient's intestines, which can be preliminarily diagnosed as secretory diarrhea."
Zheng Hongtao showed him the test results.
The patient also had stool examination and bacterial culture, and the results were negative.
This ruled out the possibility of chronic intestinal bacterial inflammation.
There are four common types of diarrhea: secretory diarrhea, osmotic diarrhea, exudative diarrhea, and abnormal diarrhea caused by gastrointestinal dysfunction.
Among them, exudative diarrhea is actually what is often called inflammatory diarrhea.
Such as enteritis.
Therefore, doing stool routine and bacterial culture are of great diagnostic significance. Bacterial cultures were negative, and exudative diarrhea can now be ruled out directly.
Intestinal perfusion helps them directly target patients with secretory diarrhea.
"The patient's stool routine showed that the excretion of potassium, sodium, chlorine, and bicarbonate was seriously above the normal value. The highest was even 20 times higher than the standard. No wonder the patient's body couldn't resist it."
Zhou Can really sympathized with this patient. After so many days, **** prolapse would have occurred for most people.
"If it wasn't for the fact that the young man is in his twenties, at the age when he is at his strongest, he might already be in the intensive care unit. Now that the type of diarrhea has been basically determined, the next step is to investigate the cause of the diarrhea. Does Dr. Zhou have any insight? "
When Director Zheng and Zhou Canji discussed their illness, they were completely equal.
This patient's disease is difficult to treat because every diagnostic line of thought has an invisible high wall.
For example, hypokalemia is detected and is known to be caused by alkalosis. But after finding this step, it will be difficult to make a deeper breakthrough.
Now I have changed the direction of diagnosis, directly checked the diarrhea, did the small intestine perfusion test and stool routine, and it has been confirmed that it is secretory diarrhea. But the cause of the diarrhea is still unclear.
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【My medical skills can add experience points】【】
There are many causes of secretory diarrhea.
This again requires Zhou Can to clear away the layers of fog and keep the truth from the false.
The reason why pathological diagnosis is difficult is that when encountering some complex diseases, the real cause of disease is as hidden as the answer to a problem. Only by answering it step by step will it be possible to find the correct answer in the end.
The causes of secretory diarrhea flashed quickly in Zhou Can's mind.
Cholera, this is a class A infectious disease that claimed countless lives in ancient times and was notorious.
Even today with highly developed medical technology, cholera is still a dangerous disease.
The patient's diarrhea continued for several days, and the symptoms were comparable to those of cholera.
The second disease that comes to mind is pancreatic endocrine tumors. Pancreatic cancer is not called the king of cancer for nothing. The unexplained diarrhea it causes can drag a patient to the point where the **** prolapses so badly that the plug can't fit in.
During the regular training in the intensive care medicine department, Zhou Can had personally seen a patient whose intestines were pulled out.
The third thing that comes to mind is carcinoid syndrome. The diarrhea caused by this disease is also related to cancer.
It can be seen from this that if someone has diarrhea for a long time, he must go to the hospital for an examination. Because this kind of long-term diarrhea is very associated with cancer.
All cancers are diagnosed and treated early.
But they pay great attention to physical examination, and their consumption concept is completely different from the simple and thrifty Chinese people. When they have money, they think about where to travel and buy something they are interested in.
Consumption in advance and overdraft consumption are nothing more than a normal little thing in their eyes.
Even if the common people in Huaxia have some pains and itches in their bodies, as long as they are not particularly serious, they usually rarely take the initiative to go to the hospital for examination.
Because they are afraid of spending money and delaying work.
The fourth disease Zhou Can thought of was medullary thyroid cancer. Because the patient has hypokalemia and diarrhea symptoms at the same time, these two points can be highly similar to the symptoms of medullary thyroid cancer.
In addition to the above four diseases that can cause hypokalemia and severe diarrhea in patients, villous adenoma of the colon can also cause severe diarrhea.
In just a moment, Zhou Can had already listed six or seven diseases that were highly similar to the patient's symptoms, or could match them.
What kind of disease, need further examination.
Just doing blood routine, urine, stool routine, small intestinal perfusion test and other examinations, the diagnostic basis that can be provided is still too little.
"Director Zheng, do you think it is possible to apply for an abdominal B-ultrasound examination for the patient?"
Zhou Can's diagnosis has reached this point, and he has already stopped making a diagnosis.
"It's no problem to apply for an abdominal ultrasound examination. What is your current diagnosis thinking?"
Zheng Hongtao understood that every time Zhou Can put forward a new inspection application, he had intentions.
But this time, he couldn't understand it. He didn't know which item Zhou Can wanted to check on the patient?
"I want to check whether there is a tumor in the patient's abdominal cavity. Just now I analyzed the diseases that may cause the patient's secretory diarrhea, and several of them are related to malignant tumors. The current inspection data is still too little to further Diagnosis. Doing abdominal B-ultrasound may not necessarily make new progress.”
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【My medical skills can add experience points】【】
Zhou Can said truthfully.
"It's really possible that this evil persistent diarrhea is related to cancer. It would be good to check the abdominal cavity. I hope it's not cancer. The young man is still so young, and he seems to be in a single-parent family. His mother raised him and raised him to be a college student. It was hard work. Entering the society and working formally, and suffering from such a disease, it really is that the hemp rope is broken at the fine point, and bad luck is only for the poor!"
Director Zheng Hongtao sighed deeply.
He has practiced medicine for so many years, and he has seen too many human tragedies and tragedies.
Seeing a lot, not only did I not feel numb, but I became a bit more open-minded like a bodhisattva in a temple.
No matter who goes to the temple to burn incense and pray for the Buddha, the Bodhisattva never speaks.
Maybe there are no gods and Buddhas in the world, but the world still believes in them happily.
Not for anything else, just because you are born as a human being, you will always face different sufferings and troubles in your life, and you need a belief to strengthen your belief.
After a doctor has experienced too many occasions where he can do nothing, his mentality will change unconsciously. Full of compassion for the world, silently trying his best to help patients.
When you really can't help, you can only choose to look down.
"It's time to get off work today, and the medical technology department must be off work. We can only arrange for the patient to have an abdominal B-ultrasound examination tomorrow morning."
Director Zheng took the results of the patient's small intestine perfusion test and arranged for the next inspection.
Zhou Can went to the ward and inspected the twelve patients he was in charge of. Generally speaking, they were all good. There are three patients who can go through the discharge procedures tomorrow, and another two are scheduled for interventional treatment tomorrow. Four of them are undergoing endoscopic surgery. The remaining three are in the conservation phase.
Through these twelve patients, it is not difficult to find that even in gastroenterology, most patients are not treated with pure drugs.
But need to do interventional, endoscopic surgery, minimally invasive surgery for treatment.
The reason why there are relatively few patients treated with pure medication in the inpatient department is that many of these patients took the medicine and went home to take it.
Try not to be hospitalized if you can.
After taking the medicine for a period of time, you can come to the hospital for a review.
After inspecting the ward and handing over, Zhou Can hurried back to the apartment where he lived without thinking about dinner.
From a long distance, I saw Su Qianqian's BMW parked in the parking space on the side of the road.
"Doctor Zhou!"
After Wei Fang has received professional security training, her observation ability is far stronger than that of ordinary people. After a long distance, she spotted Zhou Can, and quickly stepped forward to meet him.
"Come on, follow me upstairs!"
There was no expression on Zhou Can's face.
"Didn't I tell you not to call me Dr. Zhou anymore? From now on, you can call me Brother Zhou, Brother Can, or Big Brother."
Zhou Can is quite satisfied with Wei Fang's work.
She was just a bit too aggressive, allowing her to choose some more intimate names when addressing Zhou Can, but she always insisted on calling him Doctor Zhou. And with Zhou Can, they are always so respectful and reserved.
Went upstairs and entered Zhou Can's apartment, but Jin Mingxi hadn't come back yet.
Compared with Zhou Can's relatively fixed commuting time, Jin Mingxi enjoys the treatment of ordinary Pearson, and all kinds of overtime work make him more and more busy.
Today I want to talk about some confidential things with Wei Fang, it's good that Jin Mingxi is not here.
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【My medical skills can add experience points】【】
Otherwise, we can only go to the car to talk about things.
After Wei Fang entered the room, Zhou Can closed the door.
She was alone in a room with Zhou Can, but she didn't feel any nervousness. It seems that he is not worried about Zhou Can doing excessive things to her.
In fact, Zhou Can's character is indeed guaranteed.
"sit!"
He motioned to Wei Fang.
"Please drink water!"
He poured Wei Fang another glass of boiled water, which made Wei Fang very flattered, and hurriedly got up to take it.
"I came to you today because I have a very important matter for you to do. This packet of medicinal powder is colorless and tasteless. When you meet Hu Wei tomorrow, you should find a way to put it in Hu Wei's drink. How dare this person You must be cunning to betray Jinyu Interactive, and make so many incidents, and you must be careful when you prescribe drugs. Try not to leave any clues."
Zhou Can cleaned up his enemies and gave full play to his advantages in studying medicine.
"Don't worry, this is not some kind of poison. As long as you don't leave any clues and act carefully, there will be no legal risks. The boxes they talk to will deliberately choose unmonitored ones, but you still have to be careful. If things can't be done, Then give up."
Let Wei Fang do this matter~www.mtlnovel.com~Zhou Can also made the decision after careful consideration.
She is currently the only person around Qianqian who can use her and trust her.
"My life was almost saved by you. In the past two years, you have given me a superior life that I can't even imagine. I can do anything for you. If you or Miss Su are in danger, I can use the Your body will block bullets for you. I don’t ask for anything else, if something happens to me, I just ask you to be filial for me and give my grandma a pension.”
Wei Fang said something she had never said in an extremely sincere tone.
She didn't say anything, but Zhou Can also believed that she would really use her body to block bullets for Su Qianqian in a dangerous moment.
She just has that loyalty.
"You don't have to worry about your grandma's old age. If an accident happens to you one day, I will treat her like my own grandma. But as an employer, I must tell you seriously, not only to let you protect Qianqian, but also You should protect yourself. Your life is as important and precious as Qianqian's, you know?"
Zhou Can said to her very seriously.
"Um!"
Although there was no expression on her face, the fluctuation in her eyes showed that she was deeply moved by Zhou Can's words.
"There are two copies of the medicine powder, so that you can remedy it in time in case of special circumstances. After Hu Wei drinks the drink, you don't have to be nervous. He won't have any symptoms in a short time..."
Zhou Can has always been young and mature in his work, steady and mature.
Some possible accidents are taken into account.
As long as Hu Wei takes this medicine, he will have the opportunity to control this 'rook' in turn.
At that time, Hu Haikun will definitely be played to the point of doubting his life.
(/novel/)