Chapter 153: Hidden Shock, Everything is a Floating Cloud in the Face of Strength

"Doctor Ou, you came just in time, this patient has a high fever of 39.2 degrees, after reading his examination report and other information, I feel that it cannot be treated simply!"

Zhou Can said things directly.

His approach was very clever, and he did not catch Dai Wei and Chen Hao because of his gain.

I believe that Dr. Ou's attitude just now has made the two of them have a bit of B in their hearts.

It's just that he is a little puzzled, many people in the department know that they are appreciated by Director Wen, but these two people don't know? Or do you only know a little bit and don't take yourself seriously?

Zhou Can has no high status in the Shen Surgery Department, at least ordinary residents have little confidence in front of him.

Even Cheng Gang, who was extremely unfriendly to him before, is now low-browed.

That is, he can't wipe off his face, so he didn't take the initiative to curry favor.

Why is Dai Wei so eyeless?

"Was Dr. Dai angry about this just now?" After listening to Zhou Can's explanation, Dr. Ou looked at Dai Wei.

"Uh...... I was a little anxious just now. The main concern is that Dr. Zhou's words will cause unnecessary doctor-patient disputes. "Dai Wei also sees the wind and steers.

After discovering that Dr. Ou's attitude towards Zhou Can was very friendly, he immediately took the initiative to turn off the fire and cool down.

"Because he's just a regular doctor, I think his advice is a big deal? Let me tell you, Dr. Zhou Can has made great contributions in many director-level consultations. And just today, he followed Director Wen to do a fourth-level operation, and made great achievements. Don't take the advice of a junior doctor lightly in the future. ”

Dr. Ou's relationship with Dai Wei does not seem to be bad.

Otherwise, it would not have been said.

exposed many details of Zhou Can in public, indicating that Dr. Ou had inquired about Zhou Can's deeds in the emergency department.

Tuya Hospital says that it is not big or small, and the personnel relations inside are complicated.

Maybe a doctor or nurse in the emergency department happens to have some personal relationship with Dr. Ou. Or even classmates.

Dr. Ou witnessed the whole process of Zhou Can being appreciated by Director Wen yesterday, and out of curiosity or other interests, he asked an acquaintance to inquire.

It's good, it's terrible.

It turned out that this standard trainee actually blew up the sky.

"I have made great contributions many times in the director-level consultation and the fourth-level neurosurgery...... Oh my God! This is really a big flood that washed the Dragon King Temple, and I actually regarded Dr. Zhou as the kind of person who has a low eye, a high hand, and loves to be in the limelight. This is my fault, and I will correct it in the future. ”

After Dai Wei heard about Zhou Can's brilliant achievements, his neck shrank in fright and he hurriedly took remedial measures.

It is very sensible to take the initiative to apologize as soon as possible.

"I'm not as good as Dr. Ou said, at best I'm just lucky. For this patient, I strongly recommend taking your blood pressure. If he has symptoms of low blood pressure, he must be highly vigilant. ”

Zhou Can's purpose has been achieved, and he said it lightly.

Then move on to business.

It can resolve Dai Wei's embarrassment to the greatest extent.

As for the sycophant doctor Chen Hao, he was never treated as a person by Zhou Can from the beginning.

It's almost like air.

"Xiao Chen, measure the patient's blood pressure immediately, don't be stunned." Dai Wei's workplace survival ability is quite strong.

Knowing that Zhou Can was very powerful, he could only look up, but not only did his attitude towards Zhou Can change one hundred and eighty degrees.

And for Zhou Can's good friend Jin Mingxi, there has also been a change.

The treatment of the sycophant Chen Hao is a cliff-like decline.

"Isn't this patient being handled by Dr. Kim?"

Chen Hao muttered quietly.

Apparently there was something uncomfortable with this sudden change of treatment.

"Sharp!"

Dai Wei's gaze and tone were already quite cold.

Only then did Chen Hao realize that the sky had changed. Immediately, he honestly took a sphygmomanometer and measured the patient's blood pressure.

Dr. Ou and the others were waiting for the blood pressure results.

"Is this blood pressure monitor broken? How is systolic blood pressure only 100mmHg? After Chen Hao took his blood pressure preliminarily, he muttered softly.

"Xiao Chen, don't be sluggish, is the result out? Dr. Ou and Dr. Zhou are waiting! ”

Dai Wei directly ranked Dr. Zhou to the same level as Dr. Ou, which is full of desire to survive!

Zhou Can didn't think there was anything.

Jin Mingxi next to him was envious.

Jin Mingxi used to be about to be evaluated as a deputy senior professional title in the county people's hospital, and now he is admitted to Tuya as a regular trainee. Is it considered that the more mixed the position, the lower the position?

Look at Zhou Can again, he is also a standard trainee, and his hidden status has caught up with the main rule.

In addition to envy, Jin Mingxi was also secretly happy.

After making such a fuss just now, Dr. Dai already knew Zhou Can's strength, and his attitude towards Zhou Can became very respectful.

With Zhou Can's support, Jin Mingxi believes that life will be better in the future.

When Dai Wei pressed him, he would definitely not dare to be as unscrupulous as before.

Chen Hao sweated profusely and ran to the nurse's station to borrow a new blood pressure monitor.

Again.

"What's the matter, the systolic blood pressure is only 98mmHg."

Chen Hao couldn't believe this result.

"Stupid, it's not good to measure your blood pressure. How can a patient's blood pressure be so low? Let me measure it. ”

Dai Wei personally went into battle.

The result was the same, with a systolic blood pressure of only 98mmHg.

At this moment, both Dr. Ou and Dai Wei realized the seriousness of the problem.

Experienced clinicians usually consider systolic blood pressure below 90 mmHg as a threshold for blood pressure in shock.

The patient's low blood pressure was close to shock blood pressure, which immediately frightened them.

"Fortunately, Dr. Zhou gave advice on measuring blood pressure, which almost caused a catastrophe."

Dai Wei wiped the cold sweat that broke out from his head, and he was afraid for a while.

He also had his first personal experience of Zhou Can's strength.

It's no wonder that people can directly get Director Wen's appreciation by virtue of their identity as a trainee, and their skills are really powerful.

At this time, the patient has begun to babble incessantly.

Apparent confusion.

His family calls didn't do much either.

The disease progresses very quickly.

Or rather, they hadn't paid any attention to the patient's abnormality.

After all, it is normal to say a few words of nonsense under a high fever.

"Doctor Zhou, the patients are already like this, you can tell the rest of the diagnosis opinions! Although I am an attending physician, pathological diagnosis has always been a weakness. You can diagnose that the patient has low blood pressure and is dangerous just by looking at the patient's information and the patient's high fever symptoms, which means that you must have a diagnosis in mind. ”

Dr. Ou couldn't help but feel very nervous when he saw that the patient he was in charge of was in danger.

If he is asked to diagnose slowly, he may be able to find out the cause.

Now that there is someone more powerful than him, he doesn't need to bother with that god.

And the patient's condition deteriorates dramatically, and the longer it drags on, the more dangerous it becomes.

The family now understands that this young doctor, who had a very interesting chat, turned out to be extremely skillful.

Their eyes were also looking at Zhou Can, full of pleading.

"First of all, I only made a preliminary diagnosis based on some clues, and the results may not be accurate. I recommend that blood be taken immediately for a lab test, as the patient may be in septic shock. ”

Zhou Can said modestly, not sure of the result.

In fact, the diagnostic experience points have already been earned.

He was very sure of the diagnosis.

"The patient is obviously not in shock! And isn't blood pressure below 90 mmHg to be defined as shock? ”

Dr. Dai Wei was puzzled.

"Petropolitan! Who says you have to have a systolic blood pressure of less than 90mmHg for shock? You can't be dogmatic. Toxic shock cannot be treated as the only criterion for blood pressure. ”

Dr. Ou should have taught Dai Wei as a student.

Otherwise, I would not have scolded Dr. Dai for being pedantic and dogmatic.

"Doctor Zhou, please tell him about the reference for the infection of toxic shock." Dr. Ou left this opportunity to be in the limelight to Zhou Can.

Of course, you may also want to create more opportunities for the two to repair the relationship.

"Low blood pressure, high fever, confusion, and then you look at the patient's neck, and it behaves very unnaturally. Indicates the presence of neck rigidity. Taken together, these four bases can basically be determined to be infected with toxic shock. However, for the sake of insurance, waiting for the blood test results to come out, it is basically foolproof. ”

As soon as Zhou Can entered the ward, he found that the patient's face and lips were extremely pale.

Fingertips are slightly cyanotic.

Later, it was found that the patient's neck had neck stiffness, rotation, and contraction, all of which were extremely unnatural.

Based on a combination of symptoms, he boldly concluded that the patient was in fact in a state of shock.

Indomethacin is used to suppositorize the anus, which is a typical headache treatment for the head and foot pain.

Blind, superficial, treating the symptoms but not the root cause.

It can even be said that it is the opposite of each other.

When we humans have a fever, as long as the fever does not reach more than 39 degrees, there is basically no need to rush to cool down and reduce the fever.

Because this is the body that activates the immune mechanism to destroy the invading viruses, bacteria, etc.

The most common fever is inflammation and cold.

Some people, as soon as their child has a fever from a cold, they immediately take a large amount of fever-reducing medicine. The fever is gone, but it also misses an opportunity to rely on the body's own immune mechanism to destroy the virus.

To put it figuratively, when our body starts to have a fever, it is the body preparing to fight the virus that invades the body.

It constantly burns the energy stored by the body, raises the body temperature, and begins to destroy the virus.

At this time, people who don't understand medical knowledge directly take a large amount of antipyretics, which is basically equivalent to a mediocre emperor. The generals in front are leading the charge to kill the enemy, and it is possible to win.

As a result, the emperor directly ordered Mingjin to withdraw his troops and retreat.

In the end, he ordered the general who led the army to be killed.

Then the viruses were happy, when they met such a stupid emperor, who would kill him if they didn't kill him?

Viruses are starting to attack more organs and tissues in the body.

A small cold can eventually turn into a severe cold or even kill you.

Many people think that drinking a lot of warm water after a cold is.

Can water heal?

The answer is to be able to heal.

Drinking plenty of water can keep your body's metabolism running efficiently. A large amount of viruses and harmful substances are excreted from the body through urine and other means.

This is actually very beneficial for the recovery of the body.

When it comes to body temperature, there is one thing that all of humanity should be aware of.

Human body temperature has been decreasing.

Thousands of years ago, or even tens of thousands of years ago, what was the temperature of our ancestors, because the technology was very backward at that time, and it was impossible to know.

In just 200 years, the average human body temperature has dropped from 37 degrees Celsius to 36.6 degrees Celsius. 37 degrees has become the history of human room temperature.

Some people may think that the body temperature has dropped by 0.4 degrees, which is nothing at all.

In fact, for every 1 degree drop in body temperature, immunity drops by more than 30%.

Conversely, if the body temperature rises by 1 degree, the immunity is increased by 5-6 times.

Therefore, when our body has a fever in the future, don't rush to reduce the fever! As long as it is below 39 degrees, you can observe, pay attention to replenish moisture, and keep warm.

Help our bodies defeat the disease and destroy the virus together.

……

After Zhou Can diagnosed the cause of this patient, there was no need for him to stay here anymore.

"Doctor Ou, Doctor Dai, I'll go first! If the patient is diagnosed with toxic shock, it must not be delayed. In particular, it is very dangerous to have this symptom after surgery. ”

Zhou Can told the two before leaving.

"Understood! I'll report this to Director Wu now. Dr. Ou's face was serious. Thank you very much today for helping us clear out a hidden accident. In the future, Dr. Zhou will have time, and I really want you to go around the ward every day and help check it together. ”

Dr. Au is full of gratitude to him.

However, he also knew that it was unrealistic to want Zhou Can to help with ward rounds every day.

Once in a while, I can come over and help check once, even if it's a special care.

"Well said, well said! Dr. Kim is a good brother of mine, and after work, I will definitely come to visit him often whenever I have time. ”

Before leaving, Zhou Can once again emphasized the relationship between Jin Mingxi and him, and the intention could not be more obvious.

It's almost like telling Dr. Ou and Dai Wei that you can take care of my good brother.

"Now that I know that Dr. Jin is a friend of Dr. Zhou, I will definitely focus on cultivating him." Intercept Wei made a statement in person.

"Walking with tigers and wolves are all beasts. Dr. Zhou is so powerful, presumably Dr. Jin must not be far behind. If you don't say it, it's really possible to bury a talent. If Dr. Kim's surgical ability is okay, I will take you to surgery in the future. ”

In order to tie up with Zhou Can, Dr. Ou directly sold a big favor.

A big pie fell from the sky and smashed it on his head, which made Jin Mingxi very happy.

"Thank you, Dr. Dai! Thank you Dr. Ou! I have had a lot of surgeries in the emergency department, and I will ask Dr. Ou to help me in the future. ”

Jin Mingxi, this guy is also powerful.

Beat the snake with the stick.

directly hugged Dr. Ou's thigh.

"Okay, I'll have two surgeries tomorrow, and then you can just follow me into the operating room." Dr. Ou did not shirk either.

After speaking, he looked at Dai Wei.

"Doctor Dai, arrange less work for Dr. Jin tomorrow, and let him come with me into the operating room to try."

Dr. Ou's personality is quite straightforward.

Say hello to Dr. Dai in person.

"No problem. Anyway, Xiao Chen doesn't have much work, so I'll just arrange for Xiao Chen to do more. ”

Dai Wei's words almost made Chen Hao cry and faint in the toilet.

Who would have thought that disaster would fall from the sky, and the sycophants who were supposed to be patted together were so good, but suddenly a very hard gauge trainee appeared. Just one sentence made Jin Mingxi, a 'serf', turn over and sing.

He, a person who relied on sycophancy, was directly regarded as an outcast.

Sure enough, strength is the real king.

The rest of the twists and turns, in the face of absolute strength, are all floating clouds.

"Goodbye!"

Zhou Can waved his hand and left satisfied.

……

Less than seven o'clock, Kim Mingxi returned.

As soon as I entered the dormitory, my face was full of joy.

Directly put two hot big chicken thighs in front of Zhou Can.

"Zhou Can, enough buddy. If you hadn't helped me speak today, I was afraid that I would have been bullied to death by Dr. Dai and Chen Hao. Let's not fix those empty ones, just come to two big chicken legs to express our gratitude. ”

Kim Mingxi's face was full of smiles.

Doing him such a big favor, two chicken legs are not worth mentioning at all. But the two are good friends, so it's different.

Just make sense.

In the future, if Zhou Can needs help, Jin Mingxi will spare no effort to help for free.

"Haha, I'm not welcome to two big chicken legs!" Zhou Can went to wash his hands, picked up the chicken leg while it was hot, and enjoyed it beautifully.

"Originally, I should have treated you to a big dinner. It's just that you also know that the salary of the trainees is so much every month, I save money every day, cut off the expenses, and at the end of the month, if I don't owe money to the credit card, I will burn high incense. Let me find my daughter-in-law to reach out and take it, I really don't have the face to open that mouth. ”

Jin Mingxi has been to the provincial capital to participate in the training for more than half a year.

When I first arrived, I was quite generous.

Now life is tight.

This is also the reason why most medical students complain about the training system.

It's like being exploited by the hospital for one to three years.

If a family wants to train a medical student, the amount of money and energy spent is extremely huge.

After graduating from school, one to three years of regular training, basically you have to subsidize part of it from your family.

If you are a finance major, you will basically get a high annual salary after working for three years.

So, when a doctor is to make money, this idea should not be there.

"No wonder, my lord said that I have rarely seen you go to a tryst with that classmate named Ye Zi lately. It turns out that the pocket is empty. I think that's good, I was really worried about your wife a while ago! ”

Zhou Can and Jin Mingxi are very familiar with each other, so they dare to say this.

"Don't talk nonsense! Am I that kind of person? Besides, Ye Zi invited me to hang out, not for my money at all. She has long since achieved financial freedom. ”

Jin Mingxi's old face turned red for a while, but he still didn't forget to defend his female classmate.

Zhou Can just smiled and didn't say anything more.

We are all adults and have the right to choose our own way of life.

Zhou Can finished nibbling on the chicken leg and continued to practice the quick knife technique.

Today, after experiencing the power of the fast knife technique in the operating room, he was like a demon, frantically pursuing a higher realm.

(End of chapter)