【My medical skills can add experience points】【】
"thanks for your encouragement!"
Zhou Can smiled gratefully at her.
Today's consultation made him realize once again the importance of fame.
The smell of wine is also afraid of deep alleys.
He has no outstanding academic qualifications, low qualifications, too young, and low popularity. These are the obstacles he needs to overcome at present.
Du Leng today should be the happiest day in a few days.
He had long regarded Zhou Can as a competitor. Seeing that Zhou Can has repeatedly made great achievements in the diagnosis of difficult diseases, and he, a returnee doctor, has a lot of medical knowledge but has no achievements, he is very anxious.
I am very eager to change this situation of being beaten by a domestic undergraduate.
Fortunately, God is very fair.
Zhou Can was proud of himself for three consecutive days, but today Zhou Can suffered the worst Waterloo in history.
During the whole day's consultation, only two patients were seen in total.
One of them released Zhou Can as a pigeon, and ran away with the inspection application form that had been opened. This kind of thing is quite rare in the hospital.
If this wasn't too bad, another patient took the prescribed prescription and went directly to Director Dai to register for another number without paying the fee. Director Dai was asked to make a diagnosis and treatment again.
This clearly shows distrust of Zhou Can's medical skills.
Although Director Dai later prescribed the medicine and the diagnosis result was the same as that of Zhou Can. But who knows if Director Dai did this on purpose to protect Zhou Can's face?
Zhou Can was in misery, but Du Liangliang's bad luck was gone, and good luck came to him.
He received a total of fourteen patients today. Except for two difficult patients who could not be dealt with, they were kicked to other experts, and Du Leng took care of the rest.
Compared with Zhou Can, he has achieved a lot.
No wonder he was so happy.
Anyone would be happy to see their greatest competitor suffer.
Du Leng managed to elevate his eyebrows once, and just kept silent like this, that was definitely not his style.
When the poor get rich and get ten coins, they will vibrate their clothes.
For three days in a row, he was either criticized or made no achievements, and he was already aggrieved and panicked in his heart.
Today was a successful start with brilliant results, just as Zhou Can encountered an unprecedented 'cold winter', if he didn't run in front of Zhou Can to give him a fright, he would definitely not be able to sleep when he returned to the hotel at night.
I saw Du Leng walking over briskly with a plate of rice in his hand.
"Doctor Zhou is very popular with women! All the beauties, whether they are doctors or nurses, like to be close to you. It is really enviable."
Du Leng and Zhou Can are not at odds at ordinary times, and they seldom have any formal conversations.
At this moment, I have nothing to say.
In his opinion, Zhou Can's popularity with women is indeed enviable. The beauties who appeared next to Zhou Can were not only good-looking, but also upright and full of inner quality.
"Oh! In the eyes of different people, the result will be different. In the eyes of people who only think about work, see me communicating with female nurses and female doctors, staying together, they see What we see is that we are working hard and doing our best to save patients. But in the eyes of Dr. Du and other romantic talents, what they see is that they are very popular with women, and they envy me for having the opportunity to stay with so many beauties."
Zhou Can didn't answer him directly.
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【My medical skills can add experience points】【】
Instead, an example was used to fight back.
Thinking differently, seeing problems will be completely different.
Some people keep seeing ghosts because they have ghosts in their hearts. The ancients said that if you don't do anything wrong in your life, you won't be afraid of ghosts knocking on your door in the middle of the night.
The real interpretation of this sentence is that different people have completely different conclusions when looking at the same thing.
Blind men and elephants are different.
"Everyone is a mortal, and they are sexually inclined! Doctor Zhou actually doesn't need to pretend to be a gentleman. Young people fall in love and try to have a few different girlfriends. This is really a normal thing in foreign countries. No Talented people will only have one girlfriend in their life, or even not get a girlfriend!"
Du Leng's IQ is super high, and his bickering skills are no worse than Zhou Can's.
After replying, he changed his subject.
"During the consultation today, I saw Dr. Zhou sitting there bored. I felt very uncomfortable. Dr. Zhou's medical skills are so powerful, but few people care about them. It's really sympathetic."
Isn't it clear that the cat is crying and the mouse is pretending to be merciful?
Zhou Can rolled his eyelids, feeling sick for a while.
"If necessary, I can send a few patients to Dr. Zhou tomorrow. Sigh! You don't know, when they see that I am a doctor of medicine studying abroad, they rush to register my number, and even prefer to wait in line. I really don't know." I'm a little too busy!"
Du Leng's purpose was to run up to Zhou Can to get a little frightened.
If he really wanted to help and care about Zhou Can, he would be so kind.
When did Zhou Can fall to the point of needing charity from others? It's just a joke.
A silver-like wax gun head is also matched in front of him, barking?
"Thank you, Dr. Du, for your kindness. You have given quite a lot of patients to other experts. Didn't you just give me the little boy who swallowed live fish yesterday? When I went to the ward round today, the patient's family members still I'm talking about you, why can't a doctor of returnees diagnose his child's disease? I was quite angry when I heard that, this family member spoke too much. Doctors of returnees are also human, they just went abroad to study for two more years Why do you have to be able to diagnose all diseases?"
Zhou Can's greatest pleasure is to choke such a shameless person to death.
A piece of garbage, who actually has the nerve to show off to him. Don't you love to show off? Then just talk about how you keep kicking difficult patients to other doctors.
Hit a snake to hit seven inches, trample on people and trample on their faces.
If Du Leng doesn't come to provoke Zhou Can, it's nothing at all.
If it comes to your door, then you will not be happy.
After hearing these words, Du Leng's face turned blue a little bit, and his smile was completely rigid.
Look at this expression, it's worse than swallowing a dead fly.
"Xiao Zhou, come here! Let me tell you some good news. Just now the laboratory at Tuya Hospital called and told me good news. The boy's ana test was weakly positive. It was exactly as you boldly assumed, The patient most likely had systemic lupus erythematosus."
Director Zhang had just finished answering a phone call, and he told Zhou Can the good news across several tables with an excited face.
Because she was so excited.
The boy's aetiology was extremely complicated and obscure.
Now a successful diagnosis is enough to make her feel very excited. Immediately, I couldn't wait to tell Zhou Can the news.
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【My medical skills can add experience points】【】
Because Zhou Can was the first to put forward a bold hypothesis.
"Great, the cause of the disease has been found, and the child can be saved." Zhou Can's depressed mood during the daytime consultation was completely swept away after hearing this. "This disease is very scary. Although it cannot be cured, as long as it is discovered early and the disease is controlled in time, the child's life can be saved."
Tuya Hospital successfully found that the patient's ana was weakly positive, which shows that the testing capabilities of each hospital are different.
Xinxiang Women's and Children's Hospital, even the Provincial Children's Hospital and the county's Maternity and Children's Hospital, have all done this test, but the results have always been negative.
Undoubtedly, it seriously misled the doctors who were diagnosed and treated, and let everyone rule out the possibility of systemic lupus erythematosus in the first place.
In clinical practice, there are many such examples.
It is really Xiao He who succeeds, and Xiao He who loses.
Some gold standards for diagnosing a certain disease not only help doctors boldly diagnose the disease, but also allow doctors to instinctively rule out the disease under fixed thinking because the test results of this gold standard are normal.
Ultimately resulting in missed diagnosis, misdiagnosis, delaying the best time for treatment of patients.
Such cases are by no means one or two, but very many.
"Doctor Zhou, not bad!"
Yang Chan smiled and gave him a thumbs up.
Praising him in front of so many people probably saw that the villain Du Leng flinched in front of Zhou Can and humiliated Zhou Can, so he deliberately magnified Zhou Can's strengths and achievements.
Squad leader Yang dislikes the bullying of his classmates the most.
Even if Zhou Can was bullied by Vice President Bai or Director Xie of the Department of Surgery, she would never take it seriously. Ask Director Zhang directly for help to support Zhou Can.
"Hate!"
She glared at Zhou Can, no matter how she heard it, she sounded like she was being coquettish.
It is completely different from the attitude when dealing with other men.
Du Leng felt jealous for a while, he pursued Yang Chan many times but failed. Unexpectedly, Zhou Can didn't need to pursue at all, and Yang Chan directly maintained a very close relationship with Zhou Can.
Any fool can see that Yang Chan regards Zhou Can as a good friend and Du Leng as a 'guest'.
The so-called "guest" does not refer to the guest, but a polite stranger.
"Dr. Zhou's popularity with women is really good! Dr. Yang Chan is the most beautiful and coldest flower in our obstetrics and gynecology department. She never pretends to men, but she only takes special care of Dr. Zhou."
Ji You laughed and teased Zhou Can.
"She is my college classmate and my class monitor, how can she treat me the same!"
After Zhou Can finished answering, he ignored Du Leng, who was turning blue, and walked quickly to Zhang Bihua's table.
"Director Zhang, since the cause of the disease has been found out, should the child be given medicine overnight?"
He couldn't wait to see the child's condition improve significantly after treatment.
Because the ana test result is only weakly positive, whether it is systemic lupus erythematosus is still not very sure. Only after medical treatment is the only way to test the truth.
"Yang Chan, tell Xiao Zhou how to treat this disease?"
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【My medical skills can add experience points】【】
Director Zhang did not forget to cultivate his lover while taking Zhou Can's exam.
Her cultivation of Yang Chan is really teaching by precept and example.
"Hmm... Considering that he has always had 3+ proteinuria, restrict protein diet, give angiotensin 2 receptor antagonist drug treatment, and avoid ultraviolet radiation!"
Yang Chan answered first.
The treatment plan given is more appropriate to the actual situation of the boy.
"Xiao Zhou, what's your opinion on treatment?"
Although Director Zhang did not express his opinion, he was obviously not very satisfied with the treatment plan given by Yang Chan.
"I think the use of estrogen-containing drugs should be avoided. According to the patient's current symptoms, as well as the affected organs and tissue systems, anti-infection therapy should be difficult to be effective. If methylprednisolone pulse therapy can be used, intravenous immunoglobulin therapy , should be better."
Zhou Can's pharmacological syndrome differentiation is currently at an inferior level, and the treatment advice given may not be perfect.
But compared with Yang Chan, they are obviously not at the same level.
The treatment method given by Yang Chan is the textbook style, which is almost equivalent to following the scriptures. The treatment plan given by Zhou Can already has the valuable experience of clinical combat integrated into it.
The difference between the two is quite large.
"Well, the treatment plans for both of you are advisable. According to the actual situation, the shock treatment proposed by Xiao Zhou is the preferred treatment plan. For medication, it is no problem to use methylprednisolone and immunoglobulin first, but the treatment lasts for five to seven days. Finally, it is definitely necessary to change the medication according to the actual situation of the patient."
Director Zhang made a concluding speech.
Save some face for Yang Chan. The final treatment plan was basically the same as that given by Zhou Can.
Director Zhang Bihua was also a resolute person. He found out the cause of the disease, determined the treatment plan, rushed to the ward on the spot to check the condition of the sick child, and prescribed medication.
It is worth mentioning that she does not preempt Zhou Can's function.
The doctor's order was handed over to Zhou Can, and she was only guiding and checking in the back.
This is an opportunity to show young people as much as possible.
Many veteran comrades try their best to take the benefits and credit to themselves. Director Zhang's selfless performance of vigorously cultivating newcomers also made her image extraordinarily tall.
Zhou Can didn't say anything, but he was full of respect for her in his heart.
Especially after experiencing "the smell of wine is also afraid of deep alleys" during the day, Zhou Can has become much more active in accumulating fame than before.
He will not want glory that does not belong to him.
But this patient himself was treated by him, and in the diagnosis, his contribution was very large. Basically, he has always been the attending doctor, and Zhang Bihua is just tutoring from the sidelines.
It is reasonable to ask him to prescribe this treatment order.
After the doctor's order is issued, what is expected is the result after the medication. Need to wait until tomorrow to have the result feedback.
Any treatment takes time.
The treatment of systemic lupus erythematosus is a long cycle. Usually, it needs to take medicine for life like hypertension, diabetes, and chronic pulmonary obstruction, and it cannot be cured.
Coming out of the ward, Zhou Can knew that Zhang Bihua would work overtime to operate on two patients tonight.
He volunteered to participate and followed the operation.
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【My medical skills can add experience points】【】
It just so happened that the pregnant woman was successfully removed from the ventilator while eating at noon. After an afternoon of monitoring, her signs were all normal. Spontaneous breathing also recovered quite well.
Can be transferred to general ward care.
With Zhou Can free, he can devote his energy and time to other studies.
Surgery has always been his strong point, and it is also a path of medicine that he intends to stick to.
Even the current internal medicine training is only to lay the foundation for the future path of surgery.
Director Zhang liked him very much, so he readily agreed to such a small matter.
However, it is almost impossible for Zhou Can to get important surgical tasks as soon as he enters the operating room.
[To be honest, I have recently followed up, changed sources, and have many voices for reading aloud, .yeguoyuedu Android and Apple are both available. 】
Every chief physician has to prove himself little by little if he wants to gain their recognition and trust.
For all the treatments that need to be performed on the patient, the superior doctor will be very cautious when delegating power to the lower doctor. If you use a knife, it will be identified as a high-risk project in practice.
Not to mention Gui Peisheng, it is normal for many residents to work for two or three years without touching a knife in the operating room.
…
The next day, Zhou Can had breakfast at the hotel and rushed to Xinxiang Maternity and Children's Hospital with the experts.
Most of the seven-day expert outpatient clinic activities have passed, and today is the fifth day, which is coming to an end soon.
Zhou Can felt that the total harvest of the first four days was greater than his one-month training in Tuya Hospital. This time, Director Shang of the Department of Gastroenterology forcibly apportioned it, and it was the right time to let him attend the specialist clinic with him.
Life is like this, if you don't go out, you will never know how wonderful tomorrow will be.
If he didn't sit in the clinic alone, he would never realize how important fame is to a doctor. I sat in the clinic all day yesterday, watching other experts see many patients one by one, there was a long queue in front of Zhang Bihua's consultation table, but Zhou Can's side was empty~www.mtlnovel.com~ He was very special feel bad.
It was this experience that made him know what to strive for in the future.
Just like many rich second generations, when their parents are here, they spend their money anyway, so they don't feel bad at all. I never know the hard work of making money.
It wasn't until my family fell behind that I didn't understand the importance of money.
If you can understand this truth earlier, don't be so willful and prodigal when you have money, even if you keep a hundred and eighty thousand, you won't even have to eat.
The importance of cognition sometimes surpasses everything else.
The first thing Zhou Can did when he arrived at the hospital was to rush to the ward to check on the child's condition.
After taking the medicine, the patient's body temperature dropped further, and it has already returned to a normal level. Symptoms such as coughing, vomiting, and abdominal pain were greatly relieved, and the stool changed from watery to yellow-brown loose stool.
Diarrhea has been reduced from ten to twenty times a day to five times.
In addition, the child's father happily told Zhou Can that the child ate two steamed buns and drank a cup of porridge in the morning, indicating that the child's food intake had increased significantly.
All signs indicated that the boy had systemic lupus erythematosus, and everything was moving in a good direction.
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【My medical skills can add experience points】【】
The improvement of the condition this time is completely different from the improvement of the condition after the treatment of fasting water, gastrointestinal decompression, rehydration, and acid suppression the day before yesterday.
Now after finding the right cause, we can get real effective treatment.
The slight improvement in the condition the day before yesterday was just an illusion, temporary.