Chapter 41: On Paper
"The diagnosis is based on a very simple CT of the head and some subtle changes in the data in the blood test results. When I was studying abroad, my Ph.D. supervisor once taught us to diagnose whether there is a hemangioma by combining blood test data and examination images. Where exactly does it occur? Just like an elevated troponin, we immediately think of myocardial infarction. This involves very complex work-style operations, so I won't explain the specifics. ”
Du Leng talked eloquently, and the diagnosis method is also different from ordinary people.
"If you want to quickly locate the location of the hemangioma, as well as judge its size and degree of lesions, I think it is necessary to do another head color ultrasound examination."
Color ultrasound has the ability to observe changes in blood flow, and can diagnose arteriosclerosis, cerebral vasospasm, cerebral vascular stenosis, blood flow velocity, etc.
This proposal was immediately approved by the directors.
Unconsciously, everyone discovered that in the case of joint consultation by so many directors and attending physicians, Du Leng, a regular trainee, was in a dominant position.
The two directors of the Department of Surgery were happy from the bottom of their hearts.
On the other hand, the directors of other departments, in addition to envy, have mixed feelings in their hearts. There is a kind of danger of being eliminated by the times.
Zhou Can has been standing in front of the emergency bed and carefully observing the pregnant woman.
Visiting is different from pulse diagnosis, which is a diagnostic method recognized by both Western medicine and Chinese medicine.
No matter what doctor you see, the first thing you have to do is to see you.
Now that the patient is going to be sent for head color ultrasound, Zhou Can is especially willing to let it aside.
The cause is basically clear, and the tense heartstrings of the directors are much lighter.
Director Xie's gaze looked at Zhou Can again.
There was a slight smug smile on his face.
"Director Lou, I heard that Dr. Zhou Can, whom you selected, made a great contribution just yesterday when he was brought back to the emergency department, is it true?"
"There's such a thing."
Director Lou nodded in acknowledgement, with a hint of nervousness in his expression, and subconsciously blocked Zhou Can behind him. This is because I am afraid that Director Xie will snatch away a good seedling from the emergency department.
This Director Xie's ears and eyes are really well-informed.
shows that he is also paying attention to Zhou Can.
After all, people have a comparison mentality.
He chose Du Leng with the highest education, and gave up Zhou Can, who had the first overall score, and he was afraid of losing his eyes.
However, Du Leng's performance just now was extremely bright, so Director Xie was very happy.
It means that the wrong person was chosen.
"Haha, rest assured, we have Du Leng, a returnee doctor, in the Department of Surgery, it is impossible to dig up an undergraduate talent drop! You don't need to be nervous. ”
Director Xie's words somewhat hurt Zhou Can's self-esteem.
Maybe he was too proud and straightforward, and didn't think about Zhou Can's feelings.
found that Zhou Can looked gloomy and was wronged.
Doctor Xu looked at Director Xie and said.
"Academic qualifications don't mean everything, and I don't agree with Director Xie's view that undergraduates are far inferior to doctoral students."
Dr. Xu is really hard-headed, even in the face of the director of surgery, he dares to refute.
Zhou Can is actually just a small-gauge pearson, and it is normal to be wronged. He can also protect himself wisely, regardless of this. But he still stood up to speak for Zhou Can, this is a person's heart.
If he doesn't help Zhou Can speak, there will never be a second person who will offend a director of a large department for Zhou Can.
Many people don't know how good the director of the department is.
Their administrative titles are basically the same as those of the leaders of the hospital office.
Because he holds the power of the department, he also has high achievements in academic and medical skills. Therefore, they are completely the existence of 'feudal officials'.
Director Xie glanced at Dr. Xu, slightly surprised.
It seems that he didn't expect Dr. Xu to protect Zhou Can like this.
He sighed, and said with a complicated expression, "Old Xu, the era of relying on medical skills to crush everything has long passed. Your end of the year was both accidental and inevitable. Nowadays, medical technology is changing with each passing day, and the importance of academia has been higher than medical technology. ”
seems to be a serious persuasion, but it makes people very uncomfortable to listen to.
Zhou Can found that Dr. Xu's expression was lonely, and even revealed a trace of distressing desolation.
The end of the hero is a heavy proposition.
Those who have experienced it firsthand need to endure the double trauma of declining status, the huge psychological gap between fame and glory, and the ridicule of others.
Dr. Xu was attacked to protect Zhou Can from humiliation.
At this moment, Zhou Can is grateful and wants to repay the most respectable person in his heart with his meager strength.
He was no longer silent.
What about the Chief of Surgery?
In less than ten years, Zhou Can was absolutely sure that Director Xie would look up to him. Of course, it is difficult to say whether Director Xie can still sit in the position of director of major surgery at that time.
"Director Xie, I quite agree with what you said about keeping pace with the times. It's just that there's no need to worship foreigners! China's medical civilization has a long history, with at least more than 5,000 years of historical precipitation and accumulation. Medical technology and medicine have always been recognized by the medical community as the two magic weapons to defeat diseases. Why did Director Xie look down on medical technology so much? Don't forget, surgery relies on medical skills to eat, and without the scalpel, it is nothing. ”
Zhou Can's words were wonderful.
If it weren't for the wrong occasion, the crowd would have applauded him.
Director Xie is obviously a doctor who eats with a scalpel, but now that he has recruited a doctor from Liuyang, he doesn't even know who his ancestors are.
"You, you ......"
Director Xie's temper was already a little irritable, and he was speechless when he was refuted by Zhou Can, a junior, and couldn't help blushing, his neck was thick, and his face was full of anger.
"Okay, okay, Xiao Zhou is also straightforward and fast-talking, not right about things. Director Xie doesn't need to care too much. Director Lou was a peacemaker, but he had a smile on his face.
Seeing Director Xie, who had always been strong, deflated, he felt extremely happy.
Of course, everyone is a person with status and status, and we must be affectionate.
So he hurriedly stood up and found a step down for Director Xie.
So as not to really stiffen the relationship.
Originally, this matter ended here, Du Leng may have seen that Director Xie had not argued with Zhou Can, and felt that the surgery was weak.
He stood up again.
"If you want to say that the status of academic qualifications, academics and medical technology is equal, I don't recognize it. Taking the diagnosis of this pregnant woman just now, hasn't the emergency department been helpless? ”
Du Leng is a guy with a high IQ and high education, and his words are really harsh.
hit the nail on the head and directly exposed the shortcomings of the emergency department.
And it's in the middle of the seven inches.
The doctors in the emergency department were all gloomy and ashamed.
"Dr. Du's words are a bit too much! Our emergency department is not helpless, but human lives are at stake, and in line with the principle of prudence, we dare not jump to conclusions. ”
Deputy Director Han was annoyed when he heard this, and hurriedly explained it for the emergency department.
Although his defense is a bit far-fetched, it is a matter of the face of the emergency department, and you can't let a junior slap your face, right?
It's also good to pull a fig leaf to block it.
At least the face is not fully grounded.
"Heh, Director Han is afraid that there is some misunderstanding of the word prudence. To treat diseases and save people, it is necessary to be rigorous in diagnosis, but it cannot be delayed, otherwise the patients will all die, and they will still be arguing there, wouldn't it become a typical quack! ”
Du Leng completely ripped off Deputy Director Han's fig leaf this time.
However, everyone is a civilized person, and you must not say anything that scolds people openly.
Mocking two sentences and ridiculing the object of contempt is a common phenomenon in hospitals.
The doctors in the emergency department were all scolded and angry.
was scolded as a quack, but he can't refute it yet.
The mood of several people can be imagined.
Both aggrieved and helpless.
Zhou Can didn't know why, it was particularly unpleasant to look at this Du Leng.
I'm really not jealous of people's high education.
I can't get used to this guy's God-like appearance.
As soon as Dr. Du heard this, he knew that he was a newcomer who had never experienced the danger of saving people in the emergency department. It's easy to make mistakes in an emergency, and a few of our doctors in the emergency department are cautious about making conclusions, which is not necessarily a bad thing. These are all valuable lessons that emergency doctors have learned from the lessons of blood, and novices like you should especially learn from them. ”
Zhou Can never swears when scolding.
directly took Du Leng's work experience to talk about things, and smashed Du Leng to death with a stick.
Can't even climb up.
"What does Dr. Zhou mean by that?" Du Leng's face turned blue.
However, his cultivation was still at home, and he was stunned to restrain the anger in his heart.
"It's nothing, I just want to tell Dr. Du that the difference between talking on paper and actual combat is actually quite big. After all, one is to use his mouth, but the other has to work hard. ”
Zhou Can replied without being salty or light.
Ha ha!
Many doctors and nurses couldn't help but laugh.
In particular, the doctors and nurses in the emergency department only felt refreshed from head to toe.
Zhou Can said all the words they wanted to say, but they were poor in words.
This Du Leng thinks that after reading for a few years and staying in the ocean for a few years, how great it is.
Even dare to teach all the doctors in the emergency department.
Zhou Can scolded him back and forth with four words on paper, which was really incisive!