【My medical skills can add experience points】【】
Zhou Can and Director Zhang were also very happy to hear that the family member had finally figured it out and let his wife receive radiotherapy.
Many people are terrified of the word radiotherapy, and hearing it is like hearing a reminder.
As everyone knows, radiotherapy is still one of the most effective means to deal with cancer so far.
Chemotherapy has the strongest side effects. While using chemical drugs to kill cancer cells, it will also damage normal cells. A typical kill is 800 enemies and 1,000 self-defeating.
"After this patient received radiotherapy, he urinated from hundreds of times a day to more than 30 times. The amount of water he drank also decreased from ml to about 7000ml."
The doctor in charge of the bed reported the patient's condition to Director Zhang.
It seems that Zhou Can's diagnosis is correct. The real cause of this female patient is the thalamus-pituitary disease.
It is very good to have a very significant effect of just one radiation therapy.
I believe that if you persist in radiotherapy several times, after a full course of treatment, you should be able to achieve satisfactory curative effect.
Director Zhang nodded in satisfaction after listening to the bed doctor's report.
She personally checked the patient's recent nursing records, including signs, frequency and interval of urination, and so on. Zhou Can stood by and secretly studied her seriousness and meticulousness.
Wards rounds are by no means a process, but should be implemented like Director Zhang.
"I see that her condition has improved significantly in all aspects, and she will continue to insist on two aspects of treatment, one is blood sugar control, and the other is radiotherapy." Director Zhang gave guidance.
They continued to search for other beds.
Zhou Can was full of expectations when he found the little boy who ate live fish.
The boy has been given fasting water, rehydration, gastrointestinal decompression and other treatments.
"Doctor Zhou, Director Zhang!"
When the family members saw Zhou Can and Director Zhang, they immediately greeted them warmly.
At this moment, only the boy's father is accompanying him in front of the hospital bed.
Yesterday, I saw them dragging their families to the hospital for medical treatment. It is likely that they bought real estate in the provincial capital. Or there are relatives in the provincial capital who can borrow them.
"How is the child doing today?"
"It has improved. The symptoms of vomiting and diarrhea have been significantly reduced."
The child's father was very satisfied when he saw that the treatment had achieved certain results.
Ordinary people do not understand medical expertise. For them, as long as their symptoms are relieved, they think there is hope for a cure. As everyone knows, this is just some experimental methods adopted by doctors, and it cannot be implemented for a long time.
Just like a car running out of fuel, it can still drive with the fuel in the auxiliary fuel tank turned on, but the problem of running out of fuel in the main fuel tank is not solved, this problem always exists.
If the disease is to be cured, the real cause must be found.
In fact, the treatment plans of many hospitals are now beginning to be modeled. Sometimes it is impossible to find out the cause of the disease, so we simply do not compare the truth. Instead, symptomatic treatment is used to control the development of the patient's condition and improve the patient's symptoms. Allow patients to live with the disease for a long time.
This kind of lazy diagnosis and treatment thinking has almost become the mainstream in clinical practice in the medical field.
As the saying goes, it is better to live than to die.
It is also a compromise strategy to try to alleviate the suffering of patients and prolong the life of patients through drugs or other treatment methods.
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【My medical skills can add experience points】【】
Doctors at least agree with this model from top to bottom.
Preserving life first and then treating illnesses is the first principle Zhou Can learned after engaging in clinical studies.
"The body temperature has also dropped a little, the highest level is 7.1 degrees."
Zhou Can looked through the hospital records, and compared with the patient's temperature of 38 degrees yesterday, it has dropped significantly.
At this moment, the sound of tearing a plastic bag came from the next bed.
The child looked at the bed next to him.
The family members are feeding the patient biscuits.
The little boy had been fasting for more than twelve hours and must be starving. Seeing people eating, children, it is inevitable to show a greedy expression.
He swallowed quietly.
"Ahem..."
He seemed to be choking on saliva, and suddenly coughed violently. The boy's father hurriedly patted his son's back lightly.
Under normal circumstances, choking is only possible when drinking water.
Choking on swallowing saliva rarely occurs.
Incidental accidents are also not ruled out.
After the child stopped coughing, his face turned red from the severe coughing.
Originally, this matter did not attract Zhou Can's attention.
Unexpectedly, after a while, the little boy coughed violently again.
This time, Zhou Can paid more attention to it.
After the boy stopped coughing, Zhou Can asked the family members, "Has your son always been choked so easily?"
"No! Even from this morning, I told him to be careful when swallowing his saliva." The boy's father was very helpless about this, but also puzzled.
Okay, why is it so easy to choke on saliva all of a sudden?
Director Zhang obviously noticed this problem and was also thinking about it.
"Will his choking cough be related to gastrointestinal decompression?" Yang Chan asked bluntly.
"It's possible."
Zhang Bihua nodded slightly.
"The patient's gastrointestinal tract, urinary system, heart, lungs, etc. are involved in many places, and there are not many diseases that can cause so many systems to be involved at the same time. After the malignant tumor is excluded, it seems that there are only a few known diseases left. ana The test is negative, and lupus can basically be ruled out.”
Director Zhang's diagnosis was the same as Zhou Can's, and he was also in a predicament.
Zhou Can, however, stared at the sick child for a while before boldly inferring, "Do you think his systemic lupus erythematosus is recessive? If the negative ana is not regarded as the gold standard for veto, his disease progresses, And all the symptoms are highly consistent with systemic lupus erythematosus."
How bold people are, how productive the land is.
A novice doctor like Zhou Can is not as cautious as an old doctor like Director Zhang.
In the diagnosis, he dared to overthrow some iron laws.
"Teacher, I also think this child's symptoms are too similar to systemic lupus erythematosus. When I was practicing in pediatrics, I once met a six-year-old patient. She was a very cute and sensible girl. She At the beginning, it was similar to cold symptoms, but the treatment in many hospitals did not work, but the treatment got worse. Various symptoms sprung up like mushrooms after rain.”
"After a diagnosis, it was diagnosed as systemic lupus erythematosus. However, the ana of this patient was found to be positive."
Yang Chan also supported Zhou Can's diagnosis speculation.
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【My medical skills can add experience points】【】
She thought she could at least give it a try.
"You young people, all of you are newborn calves who are not afraid of tigers! How can the diagnosis of a disease be so hasty? But you are not limited to some so-called gold standards, bold doubts and assumptions, which are very worthy of recognition. In this way Alright, let’s check his ana again, in the laboratory of Xinxiang Women’s and Children’s Hospital and in the laboratory of Tuya General Hospital.”
Director Zhang made this decision with deep meaning.
In terms of laboratory construction, Tuya Hospital is already recognized as the first in the province. For various biochemical tests and specimen inspections, Tuya's technical strength is obviously higher than that of other hospitals.
Ana, also known as the antinuclear antibody profile, examines a series of autoantibodies in serum components. These antibodies usually, antinuclear antibody if high titer positive, often suggest the presence of connective tissue disease.
It's not a particularly sophisticated laboratory test, but the patient's ana has been checked several times, and all of them are negative.
It is a very wise choice to send another blood sample to Tuya Hospital for another check.
The possibility of missed detection due to insufficient equipment and technology can be largely ruled out.
The family members now trust Zhou Can and Director Zhang, and readily accept all the inspection plans proposed by them.
In the first three days, a total of eleven patients were admitted, including two surgery patients, which made Zhou Can's eyes thirsty for a while. Since he entered the internal medicine training, he has rarely had the opportunity to practice surgery.
One is the removal of uterine fibroids, and the other is the removal of chest granulomas, both of which are quite challenging operations.
If Zhou Can can be allowed to perform the operation, it will be very beneficial to his increase in surgical experience.
The most important thing is that his surgical skills need to be practiced frequently, otherwise he will regress after a long time of neglect.
According to Director Zhang, the operations of these two patients may need to be scheduled until evening. Director Zhang performed the operation himself, and worked overtime at night to perform operations on patients. This will not delay the consultation during the day.
After the ward inspection, Zhou Can and Director Zhang went back to the outpatient hall for consultation without mentioning it.
Although Zhou Can had already shown his skills in his first consultation yesterday, showing his face twice, and the patients who came to see him also achieved satisfactory treatment results. But the accumulation and improvement of fame is far more difficult than he imagined.
I went to the clinic again today, almost starting from scratch again.
At his consultation desk, it was deserted, and no patients came to consult him.
Compared with yesterday, the number of patients seeking treatment today has increased significantly.
There are more people seeing a doctor, but there is no increase in the number of people signing up for him. This is an embarrassing period that every novice doctor needs to go through.
Some young doctors rely on the big hospitals behind them, which is equivalent to having a traffic platform and reputation endorsement guarantee, so they can get some patients for treatment.
After all, many patients and their families don't see doctors, but come to famous hospitals.
When the expert number is emptied, they can accept a general clinic number.
The situation of Zhou Can's consultation at the moment is different.
Xinxiang Maternity and Children's Hospital itself has encountered a serious reputation crisis, and there is no way to endorse him.
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【My medical skills can add experience points】【】
Although he was able to rely on the golden signboard of Tuya Hospital to a certain extent, he also had the blessing of an expert group. But after all, they are too young, and patients have a lot of options.
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It is human nature that they would not want to entrust their lives to a young doctor who seemed inexperienced.
Du Leng's situation is much better than his.
The status of a doctor of medicine graduated from a famous overseas school is the best sign. The patients and family members who sought medical treatment did not know the details, and seeing that he was a medical doctor of returnees, their trust gradually increased.
There are quite a few people looking for Du Leng to see a doctor.
Who says education is not important?
In addition to being a stepping stone to job hunting, academic qualifications are also a golden signboard in your resume. It can make your starting point much higher than others.
In this way, Zhou Can sat in the clinic for a day in a deserted manner.
A total of seven patients were caught yesterday, but today only two patients came to see him.
And with a look of disgust and distrust.
There was a patient who saw that Zhou Can had prescribed a CT scan for him, and left cursing. The other patient just had a common cold, but his parents felt extremely distressed. The words "baby" on the left and "baby" on the right made Zhou Can's goosebumps pop up.
Suppressing the discomfort, he saw the doctor and prescribed medicine for their child.
As a result, people didn't believe it, so they ran to Director Dai at the next table to read it again.
Today is Zhou Can's most injured day ever.
He obviously has a whole body of skills, but because of lack of popularity, high education and outstanding achievements, he is unknown and not trusted by patients and their families. not recognized.
When it was time for dinner, Ji You diligently ordered food for him.
"Doctor Zhou, I don't know if it suits your taste?"
"With the meals you made for me, even plain rice is delicious. These dishes are very suitable for my taste! Thank you!" The kindness is hard to come by, Zhou Can is really not used to being served like an emperor.
"Hehe, as long as you like it. I didn't expect Dr. Zhou to be so serious at work, and he is very good at saying things that please girls!" She glanced at Zhou Can with a little shyness, quickly lowered her head, and ate from the plate. meals.
Zhou Can didn't react at first.
But he, who has been in love, has already been there.
The way Ji You looked at him just now clearly felt that her heart was being pried.
Thinking carefully about what he just said, he pinched himself.
It seems that she didn't pay attention when speaking, which caused her misunderstanding.
"Haha, I must have been forced to talk to girls. When I was pursuing my current girlfriend, I didn't practice less." Zhou Can didn't want this misunderstanding to ferment.
The best way is to speak clearly and solve this misunderstanding.
It's the best way to let Ji You know that he has a girlfriend.
When Qiao Yu first found out that he had a girlfriend, her sad expression and lonely eyes left a deep impression on him.
So, now that he's learned to be smart, he finds a hint of it, and quickly declares that he has a master, and cuts off the girl's thoughts.
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【My medical skills can add experience points】【】
"Cackling ~!"
She smiled exaggeratedly, covered her mouth, and shook her body.
After learning that Zhou Can had a girlfriend, she could clearly see a trace of loss in the depths of her eyes.
However, she is still in the stage of liking Zhou Can, far from entering the stage of love~www.mtlnovel.com~ so there is no injury. At most it's just a little lost.
"For a man as good as you, I knew that he must have had a girlfriend long ago! It is said that falling in love can make people mature. Dr. Zhou's skill in dating is to make girls happy!"
She made fun of Zhou Can.
"It's impossible not to exercise this ability, otherwise I'm afraid that my girlfriend will be snatched away by other men." Zhou Can touched his nose and replied.
"You are so good, other men are no match for you! But if you practice your words better, you will be more competitive. All creatures on the earth are trying to evolve, and we humans are the fastest evolving species. Our Evolution is not the body, but the brain, thinking, and consciousness."
She spoke highly of Zhou Can.
"I didn't expect Meimei Ji to speak so philosophically. You are really outstanding if you have good looks, talent, and inner quality."
After Zhou Can chatted with her for a few words, his mood, which had deteriorated due to the cold during the daytime consultation, gradually improved.
The two chatted while eating.
"I saw that you were depressed when you got off work just now, are you feeling better now?" Ji You asked him in a low voice when he was almost finished eating.
"With you, a beautiful woman, making me happy, I'm not depressed anymore. Your observations are quite careful." Zhou Can was a little moved. It is a blessing to be cared for.
"I've been with you in the clinic, so naturally I feel the same way! In fact, I think it's gold, and it will shine sooner or later. Your strength is so strong, what you lack is only opportunities and fame. As long as you accumulate slowly, the number of people who see you will definitely increase. Come more and more. Your reputation will gradually rise."
She enlightened Zhou Can gently.
Give him encouragement.