Status is earned little by little by strength.

In this group consultation, Zhou Can's pathological diagnosis ability was even stronger than that of Dr. Zou and Tang Li. As for those resident doctors and graduate students, they can't be compared with Zhou Can.

Don't look at what they say a lot, adding a piece can't compare to Zhou Can's words.

Doctors see and treat patients, that's really it.

Some doctors don't have any real skills, they only know how to read from the book, and crack in front of patients to popularize science. But none of them got to the point.

Talking too much is tantamount to farting.

Because what patients need is to identify the lesion and diagnose the cause, rather than going to the hospital to study.

If patients want to popularize medical knowledge, they can search for it on Zhihu, Baidu, and Lilac at home, while the medical knowledge provided by websites such as Zhixin and Mace is more professional.

It is more about medical papers, surgical practice and other professional content.

It's hard for the average person to understand.

Zhou Can was dug up by Director Wen in the operating room before, just thinking about using his implantation skills.

As for Director Wen's words about cultivating him well, just listen to it.

At this moment, Director Wen found that his diagnostic ability was so outstanding, and Zhou Can's fart just now was very well slapped.

Only then did he decide to increase his training of Zhou Can.

In fact, it is not a real cultivation, mainly the value utilization of Zhou Can.

Director Wen's group does not have any outstanding generals except Director Wen himself. Zhou Can's diagnostic ability is strong, and helping to check together can reduce the misdiagnosis rate and missed diagnosis rate of patients in the group.

On the contrary, before in the Department of Orthopedic Surgery, Dr. Shan helped him apply for a login account in the group, which really cultivated him as his own.

Director Wen is more like not seeing a rabbit or a hawk, and putting interests first.

For the 22-bed patient, the second lesion of epilepsy was detected, and the next step was to develop a treatment plan.

"Now that the cause of the exacerbation of epilepsy has been identified, the cavernous hemangioma in the patient's brain should be removed. However, considering that the patient's life is not currently endangered. In addition, it is only a occult vascular malformation, not a real tumor. In a short period of time, the risk of giving a second craniotomy to the patient is extremely high. ”

"So I think it's safer to have a second craniotomy for the patient in two or three months."

Director Wen is very cautious about the patient's second operation.

The chief physicians are basically cautious and cautious when formulating the surgical plan.

Nothing else, I was frightened many times, and eventually it became a disease.

In the profession of a doctor, we must be in awe of life, both bold and timid.

In this way, the trees can be evergreen and the accident rate can be reduced.

A cavernous hemangioma is simply a vascular malformation that lacks an arterial component.

It generally develops at a slower pace.

After two or three months of surgery, there is no big problem.

Performing a second craniotomy in a short period of time is mostly a desperate move.

Mostly due to the obvious intracranial secondary hemorrhage or cerebral edema after the first craniotomy, the mass effect is prominent, and if the surgical treatment is not carried out in time, it may be life-threatening.

Major surgery like this, whether a craniotomy or not, should not be performed frequently in a short period of time.

Unless surgery is not performed immediately, the patient's life will be in danger.

Because a second operation means that an endotracheal intubation is required for intravenous general anesthesia.

It has a great impact on the environment in the patient's body, and it is prone to cardiopulmonary complications.

In addition, due to the short interval between surgeries, patients may suffer from anemia, electrolyte imbalances, and hypoproteinemia.

The likelihood of developing lung infections and urinary tract infections is also greatly increased.

Imagine that after major surgery, the patient's vitality is already badly damaged and needs to be well recuperated and recovered. A series of serious complications can be tantamount to turning around for the patient.

So, to be on the safe side, doctors do their best to avoid frequent surgeries on patients.

Even for minor surgeries such as tooth extraction, if multiple teeth need to be removed at the same time, doctors will recommend that the patient do it in multiple batches.

"Tang Li, it's still up to you to communicate with the family, is it okay?"

Director Wen's gaze looked at her.

There is a female doctor in the group, which is actually quite good.

It can adjust the mood of the doctors, and they can also share many tasks when necessary.

"No problem, mission guaranteed!"

She smiled.

Looks very confident.

"Hehe, you're quite confident!"

Director Wen was in a good mood and laughed and teased her.

"Seriously, if the patient's lesion is not detected. I didn't dare to communicate with the family anymore. Fear of being beaten. Now that the lesion has been detected, and it is a hidden lesion itself, it is the medical skill of our hospital. When I talked to my family about this, I was completely justified. I believe that as long as the family members are not barbaric to the extreme, most of them will gladly accept the suggestion of elective surgery. ”

Her explanation caused everyone to laugh.

The happiness of the doctors is simple, and every time they successfully solve a patient, they will feel a sense of accomplishment and happiness from the bottom of their hearts.

……

After Zhou Can joined Director Wen's group, his treatment also underwent some significant changes.

During ward rounds and shift handovers, few doctors and nurses in the inpatient department dared to be cold in front of him.

And he found the doctors outside the gods to be particularly realistic.

The news that he was appreciated by Director Wen has not been publicized to the outside world at all.

It's like having wings, and all the doctors and nurses in the inpatient department know about it.

From this, it can also be seen that the doctors and nurses outside the gods have their own small circles and intricate relationships.

They share all sorts of important information in the department.

At present, only Dr. Zou in the group has a somewhat cold attitude towards Zhou Can.

Zhou Can also understands that Dr. Zou has lost face, which is why he is like this.

Zhou Can didn't care about this.

It is even more impossible to deliberately hide it in order to curry favor with Dr. Zou.

It is time to fight for the opportunity to operate, and to report the patient's condition.

All Dr. Zou has to do is adapt.

The first day of divine training was soon over.

Zhou Can's harvest is beyond imagination.

Directly selected from the 20 regular trainees and obtained the qualification to study with the chief physician.

It may be that considering that he went to work outside the gods on his first day, he was not assigned to be on duty at night.

You must know that interns, trainees, and graduate students are all key care objects on duty.

When he returned to the apartment after work, he continued to practice the fast knife technique and the advanced medical skills of insertion, grasping and transmission.

Kim Mingxi got off work much later than him.

It was almost eight o'clock in the evening before I left work.

As soon as he entered the apartment, he collapsed directly on the bed as if he had collapsed.

"Oops, I'm exhausted. The living environment outside the gods is really bad enough, and they don't even take the production rules as people. ”

Jin Mingxi trained two departments, and never shouted tired.

Today, on the first day of God's training, I complained here. It can be seen that the workload outside the gods is really huge.

Not to mention him, even Zhou Can is no better.

worked under Cheng Gang before, and was completely called as a slave.

Fortunately, he jumped to Director Wen's group with his ability, which made him feel much more comfortable.

"That's it if you want to learn technology! Eat hard, you are a master, haven't you heard of it? ”

Zhou Can turned around and said to him with a smile.

"You say that standing and talking doesn't hurt your back! Don't think I don't know, now that you have the appreciation of Director Wen, and a chief physician will take you personally, how can you know the suffering of our bottom salted fish! ”

Jin Mingxi rolled his eyes widely.

There was envy in his tone.

"Haha, you're weird about that."

Zhou Can was able to soar into the sky, better than other trainees, if you want to say that you are not happy at all, then I am sorry for his age.

From infancy to old age, every stage of life has its own characteristics.

He did such a good job, if you want to say that you don't feel at all in your heart, that's a saint.

"When your position is a little more consolidated, can you help me say a few words? The resident doctor above me is really too hateful, even more hateful than the ancient Zhou Papi and Huang Shiren. I stuffed all the dirty work into me, and when I was done, I had to be scolded by them. ”

Jin Mingxi is not a novice in the workplace.

knows Zhou Can's current weight.

There is a chief physician on the top, and his status in the department is much higher than that of ordinary residents.

As long as Zhou Can helped to say hello, the resident doctors above would not dare to squeeze him like this anymore.

"When the task was assigned, didn't you still have a trainee named Chen Hao in your second ward group? Doesn't he have to work? ”

Zhou Can asked.

"Don't mention that guy. That guy is very good at getting things done, and at every chance he slaps the resident doctor above, and in just one day's work, he has already had a hot fight with the resident doctor. I'm stupid, I can't wipe my face, and I can't let go of my dignity, so I'm a little at a loss. Tired, dirty work is all stuffed into one person. ”

When Jin Mingxi mentioned this, he was full of sadness and blood and tears.

After Zhou Can listened, he laughed.

Everyone's way of survival is different, and some people are good at patting on the back and meeting their bosses. Some people just work with their heads down.

Honest people are bullied everywhere.

It's actually quite difficult to meet a Bole like Dr. Hui.

"What's the name of that senior resident of yours?"

A good friend was bullied, and Zhou Can happened to have this ability, so he naturally had to help if he could.

"Dai Wei."

Zhou Can had never heard the name of this resident doctor.

However, he had just arrived outside the gods, and he was not familiar with the personnel.

"Do you know who is the attending physician above Dai Wei?"

Zhou Can felt that it would be better to directly say hello to Dai Wei's attending physician at the next level.

With Zhou Can's current identity, he really has this ability.

"It seems to be Dr. Ou Xinjin, I'm not sure. I just saw him reporting to Dr. Ou. ”

Jin Mingxi is also unfamiliar with the personnel in the department.

"Okay, I'll do my best."

"Hehe, it's better for you to treat me, brother. I knew you would say yes. Jin Mingxi smiled happily.

When the status is low, someone pulls a hand, which will indeed bring a great advantage.

The benefits will also be very numerous.

If no one greeted him, he would have been tired and tired outside the gods for two months, and he would not have learned much technology, and he would have endured a lot of scolding.

……

The next day, Zhou Can rushed to the hospital at only seven o'clock.

According to the regulations, they had to go to the department of the hospital before 7:40. Forty minutes in advance to allow enough time to view the cases in the group.

He took a look, and the group had three surgeries today.

Dr. Zou has one second-level surgery and Dr. Wen has two.

Let's start with Dr. Zou's secondary surgery. This is a patient with trauma who suffered a fractured skull that required surgical reduction.

After carefully examining the CT and X-rays taken by the patient, the fracture site is not large, but the condition is more serious.

A piece of the skull collapsed directly into it, more than 1 cm deep.

If it is other parts, such as the chest cavity and abdominal cavity, the depth of 1cm is nothing.

But after the skull of the head is fractured, it collapses by one centimeter, which is very scary.

It can directly cause symptoms such as hematoma, cerebral effusion, epilepsy, and coma.

Zhou Can repeatedly watched the patient's skull fracture if the operation could involve him. In orthopedic surgery, fracture joint techniques, manual reduction techniques can definitely come in handy.

However, when he thought that Dr. Zou's current relationship with him was relatively stiff, the idea of following Dr. Zou to undergo surgery was finally dispelled by him.

Let's look at Director Wen's two surgeries.

One is brain surgery for a comatose patient in a car accident, which is a fourth-degree major surgery. The injuries are serious and the condition is complex.

The department dared to hand over this operation to Director Wen to do it, indicating that Director Wen was likely to be as Zhou Can had guessed. The strength of traditional surgery is strong, and the strength of emerging interventional and endoscopic surgery is poor.

As for the reason, it is likely that Director Wen only has a talent for traditional surgery, but not a talent for advanced surgery.

In any case, the doctors who can be rated as deputy high and senior professional titles of Tuya Hospital are all strong people.

They may have their own flaws and weaknesses, and they are not general.

It took Zhou Can nearly half an hour to finally read all the three surgical cases in the group today. With about ten minutes left, he did not sit idle, but began to look at the cases that had not yet been operated on and those who had not been discharged from the hospital after surgery.

The doctors in the group have arrived one after another.

He is not the only one who is diligent.

There are two graduate students who are also very hardworking.

Instead, the three residents and another graduate student rushed to the department.

"Dr. Zhou came early!" Tang Li smiled and took the initiative to greet him.

"My level is already poor, there are too many things to learn, I'm afraid I'll be disgusted by you if I don't come early!"

Zhou Can responded with a smile and humility.

Cluck!

She chuckled.

"A man's mouth, a deceitful ghost, I don't believe you. Yesterday's performance was so good, do you dare to say that the level is poor? Her level is two levels higher than Zhou Can, and her words are somewhat ambiguous.

But it's also in line with her style.

Make full use of the advantages of women, and try to have a good relationship with the male doctors in the group who are strong.

Why?

Because Tang Li only talks to Director Wen, Dr. Zou, and Zhou Can, will she be so 'flirting', or coquettish and cute.

For those residents and graduate students, this is not the attitude.

When talking to these people, she seems rather cold.

The majesty of a senior doctor is fully displayed.

"The word excellent is only appropriate for you and Director Wen and others, I would never dare to take it."

Zhou Can's emotional intelligence is very high, and the word "you" will widen the distance between the two, and it will not disgust her.

He didn't dare to have any ambiguity with this Dr. Tang Li.

I can't say, Director Wen saw it and felt uncomfortable, so it was possible to give him a cold bench directly.

Besides, he has such a beautiful and excellent girlfriend as Su Qianqian, and he really doesn't feel anything when he looks at other women.

Tang Li's appearance can only be regarded as relatively beautiful, and she is not young, thirty-five or sixteen years old.

How could Zhou Can be stupidly fascinated by her few frivolous words?

"It's very lively! Did you two do your rounds today? ”

Director Wen hurriedly walked into the office.

(End of chapter)