Chapter 37: Fainting Pregnant Women
"I don't know much about Dr. Xu's past. Because I've only been in Tuya for five years. I only know that Dr. Xu seems to be very influential in surgery, and many attending surgeons in surgery have special respect for him. Some of the deputy directors and chief physicians of the Department of Surgery spoke to him politely. Even Director Lou and Deputy Director Han of our emergency department don't have that much face. ”
In this way, Dr. Xu may have been a surgeon in the past.
may have offended a powerful person, or made a mistake, and was sent to the 'cold palace' of the emergency department.
Zhou Can secretly guessed.
"There's one more thing that's particularly interesting. On one occasion, a seriously injured patient was admitted to the emergency department and needed emergency surgery. Several doctors at the level of specialist director came, and finally it seemed that Dr. Xu was asked to do the most critical part of the operation. ”
This is another shocking revelation.
Physicians at the level of specialist director, any one of them, can become the trump card of prefecture-level city hospitals.
This kind of existence can't do the part of the operation, but it was actually handled by Dr. Xu.
What kind of skills does Xu Yidao, who has created a legend, have?
Zhou Can is becoming more and more curious about him now.
"Although Dr. Xu is a bit stricter, he is actually very good to people, and his level in many fields of surgery is also very high. I wanted to learn from him two years ago, and he said that I was less talented and that it wasn't a bad thing to stay in the emergency department. Occasionally, they will also guide me on some surgical tips. Unfortunately, my comprehension is limited, and my surgical thinking is not flexible enough, so my level of improvement is slow. However, I can still feel that after two years in the emergency department, my surgical ability and diagnostic ability have improved a lot under the guidance of Dr. Xu. ”
Dr. Lim smiled with satisfaction as he said this.
For him who is less talented, he is very satisfied with being able to make such a big progress.
"Doctor Zhou, don't mind if you say something simple. I think Dr. Xu is very serious about you, you should seize this good opportunity and learn from Dr. Xu. Your talent is far better than mine, and I believe that after studying with Dr. Xu for a few years, you will definitely achieve a lot of achievements. ”
Dr. Lin said to him sincerely.
"Thank you, Dr. Lin, for your kind words. Don't worry, I'm not the kind of person who wants to be ambitious, and from the moment I entered the emergency department, I was determined to do a good job in the emergency department. It is my greatest luck to have such a good teacher as Dr. Xu. I'll cherish it. ”
Zhou Can was blessed by misfortune and entered the emergency department known as the 'Leng Yamen', but he was able to be carefully cultivated by a senior doctor with the strength and the chief surgeon.
He was content.
Even if he enters the weight department, with his academic qualifications, it is impossible for him to be so valued by the chief physician.
……
Back in the emergency department, only Dr. Lu, Jin Mingxi, and Tang Ling operated on patients in the operating room.
The patient's palm was scratched by a sharp object, and they were doing debridement and suturing.
Without the attending physician present, Dr. Lu can only perform first-level surgery at most.
"Dr. Zhou is back! Your master told you to go to the emergency room first, as if there was a pregnant woman in a coma who needed to be rescued. Tang Ling said to him.
"Dr. Xu is just his senior doctor, and he didn't say that he would be accepted as an apprentice, don't wear a hat indiscriminately." Dr. Lu was obviously jealous of this, but he couldn't say it clearly, so he took the opportunity to criticize Tang Ling.
In the operating room, the surgeon has absolute authority.
The tiger is not there, the monkey is the overlord.
In Dr. Hui's absence, Dr. Luk has the highest status.
He is the main sword.
Although he can only preside over first-class operations, he is still majestic.
Zhou Can didn't bother to listen to this crooked thing, and turned around and walked out of the operating room directly.
All the way to the rescue room.
There was a very well-dressed and extravagant old lady standing outside the door, looking anxiously in.
After Zhou Can entered the emergency room, he found that Director Lou and Dr. Xu were there. There were also two senior doctors with slightly familiar faces.
I saw it a few times before during my internship in the emergency department.
The thin, tall, and hunched middle-aged male doctor was Han Changqing, the deputy director of the emergency department. Don't look at him, he is not good-looking, but he is the chief physician of the emergency internal medicine department.
Of course, it may be that this chief physician of internal medicine has water.
But to be able to evaluate the title of chief physician in Tuya, no matter how big the water is, it is not much worse.
Another middle-aged female doctor, with a medium build, slightly chubby and curly brown hair, is the attending physician in the emergency department.
What is general practice? It is the diseases of the four departments of internal and external gynecology and children, all of which can be seen and treated.
However, a person's energy and time are limited, and at the same time, there are almost no doctors who are proficient in general medicine.
There's a good chance she's not sophisticated.
It is rare for so many directors and attending doctors of the emergency department to gather in the emergency room. Indicates that the patient's condition is particularly critical.
"Hello Director Lou! Hello teachers! ”
Zhou Can took the initiative to say hello to several people.
Deputy Director Han Changqing glanced at him and frowned, "Why did even the Gui Peisheng come in?" There was a hint of displeasure in his tone.
The pregnant woman is in critical condition, but there is no real progress in diagnosis and treatment, and he is worried.
Come in and be a regular trainee, isn't that adding to the chaos?
"I called him." Dr. Xu opened his mouth lightly.
Even in the face of the deputy director of the department, Dr. Xu still stands like a mountain, standing still.
Zhou Can suddenly felt that as long as he had real skills, even if he was just an indicator, he could be very good.
Whether Dr. Xu directly called Deputy Director Liu in the tone of his peers, or the attending doctor of the Department of Orthopedic Surgery admired and respected him, or confronted the deputy director of the department in an extremely indifferent tone at the moment.
All of them are desirable.
"His name is Zhou Can, and I picked him back yesterday. The overall score of regular training is the first, and after arriving in the emergency department, the performance is also outstanding. Involving him in the diagnosis is also a kind of training for newcomers! ”
Director Lou also helped Zhou Can speak.
Han Changqing, who didn't even look at Zhou Can, turned his head and seriously looked at this Gui Peisheng who could win the appreciation of two important figures in the emergency department for the first time.
"You are Zhou Can?"
Han Changqing asked ...... Extremely mentally handicapped.
Director Lou has already introduced.
He asked.
It is nothing more than a manifestation of arrogance. He wanted to establish his status as the deputy director of the department and the chief doctor of the internal medicine department in front of Zhou Can in this way, which was close to half demonstration and half beating.
"It's okay if you call me Xiao Zhou."
Zhou Can has just entered the emergency department, and he is still in the learning stage, so naturally he will not offend the deputy director of the department for such a trivial matter.
Lowering your posture is definitely a sign of high emotional intelligence.
When Zhou Can grows up in the future, it will be Deputy Director Han's turn to look up to him as a junior.
"I heard yesterday that you performed well, and you really showed talent! Since Director Lou and Dr. Xu are optimistic about you, I will give you a chance to watch and learn from our diagnosis up close. Cherish it, ordinary resident doctors don't have this treatment! ”
Han Changqing's words were full of high-ranking seniors.
It gives people the impression that he is a particularly arrogant and arrogant person.
Zhou Can didn't want to talk to this kind of person, so he just nodded, and then stood behind Dr. Xu.
"You can take a look at the information first."
Dr. Xu unceremoniously took the information and stuffed it into Zhou Can's hand.
This move provoked Deputy Director Han and the attending physician of the general practice to look at Zhou Can again.
"Hehe, Dr. Xu seems to be quite interested in this new trainee!"
"The main thing is that this kid is cowardly, if he doesn't give it to him, he will definitely not dare to take the initiative to get the information in front of you." Dr. Xu's explanation is absolute.
Zhou Can began to quickly check the patient's information and films.
With so many senior doctors present, it was impossible for him to keep possessing the information.
There wasn't much time left for him.
"The patient, a 36-year-old female, 24 and a half weeks pregnant, had a history of hypertension, and on the way from her home to her parents' residence in a taxi, she suddenly cried out that she was uncomfortable, and her consciousness gradually became unconscious, and then she fainted. After being sent to the hospital, after examination, the patient's heart rate was as high as 180, her blood pressure was 192/120mmHg, and the fetal heart rate monitoring was weak......"
Patients with high blood pressure are already at high risk.
In hypertensive patients in pregnancy, it is even more terrifying.
In addition, the patient was over 35 years old and belonged to advanced maternal age.
All kinds of data are enough to make medical professionals feel terrified.
If the systolic blood pressure is higher than 180, it is already classified as grade 3 hypertension. It's also the most serious level.
The patient's systolic blood pressure was as high as 192.
I can't imagine that she will be able to enter the hospital alive.
Chest and abdomen ultrasound examination and head CT scan have been preliminarily performed. Blood tests are routinely checked, especially in critically ill patients. It's just that the test results are not yet available.
The urethral catheter has not been inserted, and a urine sample cannot be obtained, so the urine test should not be done yet.
After reading all the information, Zhou Can put it back on the table in the rescue room.
This kind of behavior of knowing the balance and understanding the current affairs has won a little favor from the senior doctors. If he had been studying with the data, there was a good chance that he would be disgusted by the senior doctors.
After all, Zhou Can participated in this diagnosis as a student.
To put it bluntly, he is a supporting character.
No one expected him to contribute to this diagnosis.
Deputy Director Han is the only chief physician of internal medicine in the emergency department, and he is the absolute main force in this diagnosis.
At this moment, he has already circled around the rescue bed three times, and it seems that he has not stopped his 'confused' behavior.
Director Lou couldn't hold back at first.
"Lao Han, you are the only one in our emergency department who has a deep knowledge in internal medicine, do you see something?"