Chapter 11: The aunt who can't be messed with
Why is the most backward hemostasis technique the latecomer taking over?
Because after the hemostatic technique was promoted to the third level, he did not stop practicing.
Numerous bleeding spots occur with each dissection. If the bleeding is not stopped in time, after five or six wounds are dissected, the rat will bleed to death.
In line with the principle of not wasting props, he can only dissect while stopping the bleeding.
After the hemostasis technique is upgraded to level 3, the accuracy rate of hemostasis is basically 100%, and a bleeding point can be stopped in one second.
More than 600 experience points, it looks very scary, in fact, it only takes more than 3,200 orders.
"The basic medical skills of the four surgical disciplines have all been upgraded to the third level as expected, and the competition for training qualifications must be stable. If the pathological diagnosis can be upgraded to level 3, it will be perfect. ”
Zhou Can didn't stay up late, but disposed of the garbage, took a bath and went to bed.
Staying up late before the exam is a big no-no.
……
Early the next morning, all the interns got up early to prepare for the regular training exam.
As early as two weeks ago, everyone had already signed up.
Zhou Can applied for general surgery.
However, according to Tuya's previous practice, the hospital has the final say on which department to be assigned to.
He got up relatively early today, washed up, went to the toilet, and was close to 7 o'clock after finishing it.
The recruitment of regular training starts at 8 o'clock, and there is still plenty of time.
He hurriedly took out 1,000 cases of surgical pathological diagnosis and began to read.
"The patient, Ms. Ma, 43 years old, noticed a broad bean-sized lump on her left breast when she was taking a shower in February this year, and she had no symptoms at that time, so she did not care. In July, she noticed that the lump continued to grow and was the size of a walnut. When the patient came to menstruation, he felt pain in his left breast and was worried about cancer, so he went to the local hospital for treatment. After examination, the patient had no symptoms such as high fever, low fever, chest pain, cough, nipple discharge and bloody discharge. No significant weight loss, appetite and sleep were basically normal......"
Judging by these symptoms, the patient should only be a benign tumor.
However, pathological diagnosis requires a combination of multiple information to make a judgment. The results of the examination are particularly important.
"On palpation, the lump is 5*5*4cm, hard, and the surface is not smooth."
Seeing this, Zhou Can chuckled in his heart.
There was a faint sense of foreboding.
"The blood routine was basically normal, and there was no abnormality in the urine routine and stool routine. X-ray, chest x-ray, and chest x-ray are abnormal. On mammography, the mass in the upper limit of the left breast is irregular, and the density of the central area is high. ”
It's over, and nine times out of ten, this female patient is a malignant tumor.
If you can see a doctor as soon as you notice a lump, the results may be much better.
The vast majority of serious illnesses are caused by the patient's life from a minor illness to a major illness.
"B-ultrasound, homogeneous mass in the outer upper quadrant of the left breast, with the possibility of malignant transformation."
All the test results are getting worse and worse.
"The patient has breast cancer, no doubt."
[Pathological diagnosis experience value +0.1.] 】
Zhou Can got 0.1 experience points, but he couldn't be happy.
It's a shame for this female patient.
It would have been nice to have treated it sooner.
After looking at the results of the treatment, the patient was diagnosed as cancerous after a needle biopsy. After further testing, the cancer cells have spread to the surrounding tissues and organs, and the opportunity for surgery has been lost.
After chemotherapy, the patient eventually passed away on October 17 of that year.
In the future, when you encounter similar patients in the clinic, you must let them receive treatment as soon as possible.
He glanced up at the time, 7:34.
I didn't have time to read, so I had to report to the hospital.
The 'uncles' and 'menopausal women' in the personnel department of the hospital are all masters who are not recognized by their six relatives. If he is late for recruitment, it is estimated that he will not even be allowed to enter the door.
Rush all the way to the hospital cafeteria for breakfast, and then go to the outpatient hall to take a stroll to see if you can take the last chance to diagnose another patient.
He is only 0.9 short of advancing to the next level.
It's a little unwilling!
There was already a long queue in front of the smart registration machine in the outpatient hall, and the hall was very noisy.
He didn't dare to catch a patient and ask about his illness and medical history.
Fear of being beaten by family members.
In these years, patients and their families hate medical trusts and scalpers the most.
When you meet someone with a bad temper, it will be an old punch, which is not worth it.
The real medical trusts have all practiced the ability to be sharp-eyed and able to speak. Knowing what kind of patients or family members to choose to start with, they are not easy to beat.
Zhou Can's eyes searched around, but he didn't find a suitable patient.
Look at the time, it's already 7:47.
From the outpatient hall to the teaching and research building, three minutes is enough.
There are still ten minutes to go, so hurry up.
Eventually, he locked on to an aunt at the back of the line.
Through observation, the aunt showed a painful expression from time to time, and frequently looked at the smart registration machine at the front of the line.
She should be very anxious.
There are no male family members to accompany the doctor, and the probability of being beaten is very small.
Zhou Can stepped forward and asked with a smile, "Auntie, do you have a stomachache?" ”
The aunt glared at him, her face full of unhappiness, "Whose aunt is it?" Am I that old? Go and go, go away, annoyed. ”
The powder on this aunt's face fell down. The wrinkles at the corners of the mouth and eyes are all visible.
It's fierce.
was so frightened that Zhou Can didn't dare to say anything more, and hurriedly walked elsewhere.
Soon, he found another target.
This is a young man in his twenties, white and clean, very weak. It should be a novice who has just come out of society.
"Brother, what about seeing a doctor?"
"Hmm."
The young man looked at him, timidly.
"What's wrong with it?"
Zhou Can was overjoyed, he finally met someone who could talk.
The last 0.9 XP has been settled.
"Uh...... I'm registering my mother. ”
Zhou Can was disappointed.
I finally met someone who was easy to talk to, but it turned out that it was not the patient himself.
"Security, security, that person is the doctor, that's him. He asked me about his condition just now, and now he asks that young man about his condition, and he must be a doctor......
The aunt shouted at the patrolling security guards.
Zhou Can's face is black, don't mess with anyone, don't mess with aunt.
Especially sick aunts.
The hospital also hated the medical trust. It will not only lead to the outflow of patients, but also harm patients, seriously damage the interests of patients, and ruin the reputation of Tuya Hospital.
The two security guards immediately took off their truncheons and rushed over.
"Which hospital's medical trust? Be honest! ”
"Come with us to the Security Division!"
Zhou Can is about to participate in the regular training recruitment, how can he have the time to go to the security department with them.
Hurry up and show your internship card.
"I'm an intern at our hospital, not a medical trustee."
After the two security guards looked at his documents, their expressions softened slightly.
"Okay, it turned out to be an intern doctor, no wonder I came here to ask patients questions. Fortunately, I was vigilant and did not fall for the scourge. Keep your eyes open, don't be tricked by the interns into letting them practice. ”
The aunt scolded at the top of her voice.
Many people stared at Zhou Can with extremely unfriendly eyes.
I don't know what kind of illness this aunt has, didn't she just call Auntie? Why is there such a heavy hatred?
Zhou Can didn't dare to have a bad impact on the hospital because of this.
Otherwise, someone from the medical department should come to the door.
Obviously very aggrieved, I had to explain to the patients queuing around me with a smiling face, "I'm just doing a subject investigation, don't get me wrong." ”
The eyes of the crowd were not so cold when they looked at him.
Zhou Can hurriedly slipped away.
Being so troubled by that vicious aunt, and then asking other patients, most of them will not have a good face.
Walking out of the outpatient hall, he took out his phone and glanced at the time.
Five minutes to go.
Look again.
A middle-aged man who had just stepped out of a taxi caught his eye.
The middle-aged man, who was about 50 years old, wore black trousers, a blue shirt and no tie. Carrying a black handbag.
Looking at this style, most of them are a boss or company executive.
At first glance, he noticed that the man's face was a little pale.
The same goes for the lips.
Walking is normal, and the mental state is okay. His brow furrowed slightly.
With the doctor's keen intuition, Zhou Can must have a disease.