Sometimes you can't be too deified by a famous doctor or an expert.

They do know more than ordinary people, and they are more prominent in the field they are good at. For some diseases, they can diagnose them just by listening to the symptoms.

Some people feel the lump to know if it is malignant.

But when it comes to complex conditions, it's easy for specialists to become 'brick homes'.

They are also human beings, and they also need to be based on the patient's symptoms, physical examination, various examination reports, medical history, age, physical condition and other information like ordinary doctors.

Wu Baihe's level is definitely no problem, and it is second to none in the realm of gods and outside the province.

It's just that the cause of this patient is extremely complicated at the moment, and after ruling out pulmonary embolism, Wu Baihe didn't dare to draw any conclusions when he was not at the scene.

Although Zhou Can is only a regular trainee, he can conclude that the patient is not a pulmonary embolism before he does an angiogram, indicating that he has made a major discovery.

The idea of diagnosis is clearer than others.

At this time, it should be a very wise choice to let Guo Shenfeng listen to Zhou Can's diagnosis.

"Shenfeng, did I hear you talking to you?" Wu Baihe didn't hear Guo Shenfeng speak for a long time, and couldn't help but ask again.

"I can hear you, I can hear you! Do you really think it's safe to leave this to a Gui Pei in command? ”

Guo Shenfeng didn't understand why Wu Baihe would make such a decision.

The patient's life was dying, and there were so many attending doctors, deputy directors, and chief physicians at the scene, as well as Du Leng, a returnee doctor, but he just let him listen to Zhou Can's opinion.

He was particularly puzzled.

"Don't look down on anyone. Eight months ago, a pregnant woman in the emergency department was in shock, and Tuya dispatched almost all the top doctors in internal medicine, surgery, and obstetrics and gynecology to consult him. Director Xie and I both went, and Director Tan, Director Yin and others from the Department of Internal Medicine also went. Director Zhang of the Department of Obstetrics and Gynecology also personally led people there. ”

So many heavyweight chief physicians were helpless, and finally Zhou Can successfully diagnosed the cause. It was that time that I remembered that kid deeply. Eight months later, I still feel shocked when I think back to the scene. If you believe me, do not hesitate any longer, but ask him humbly at once. ”

Wu Baihe would not talk about this matter to others at all.

Because so many chief physicians are not as good as a regular trainee, it is not disgraceful.

He ...... Is it really that powerful? ”

Guo Shenfeng secretly glanced at Zhou Can.

"Didn't you already learn about it just now?"

After Wu Baihe asked rhetorically, he hung up the phone directly.

Shenfeng's face changed for a while, and he took the initiative to ask a regular trainee for advice, but he really couldn't pull this face!

However, when he had not done CT angiography before, Zhou Can directly asserted that the patient did not have pulmonary embolism, and he was really said by Zhou Can. This incident made Guo Shenfeng can't help but think a little higher about him.

also put away the contempt.

On one side is a patient who may have braids at any time, and on the other hand, an old face that can't be pulled off.

He gritted his teeth and gritted them.

In the end, he turned his heart sideways, stood up and walked in front of Zhou Can.

"Doctor Zhou, I was too rigid and didn't listen to your diagnosis, I apologize to you." He knew very well that only by apologizing to Zhou Can first and obtaining forgiveness could Zhou Can do his best to help him save this patient.

"The director is serious. I'm just a minor pearson, and it's normal that the diagnosis I give is not taken seriously. I didn't go into the psychology of this little thing at all. ”

Zhou Canzhen didn't mean to deliberately embarrass Guo Shenfeng.

The diagnosis was not accepted, and he really didn't care.

If something happened to the patient, it was also at the top of the peak, and it didn't matter to Zhou Can.

"Ahem...... That one...... The patient was now found to be not a pulmonary embolism, and sure enough, Dr. Zhou said that he was right. Can you tell us about your diagnosis? If the cause cannot be found, there is no way to rescue it, and the patient's life is hanging by a thread, which is actually quite urgent. ”

When Guo Shenfeng said these words, he couldn't wait to bury his head in the sand like a camel.

Because it's so humiliating.

His identity is almost equivalent to the chief disciple of Director Wu's group.

Now he has to bow his arrogant head and ask a trainee from an external group, where is his face as the deputy chief physician?

In hospitals, who has the highest status?

Not the dean, not the patient, not the family or the doctor.

It's about putting life first.

Whoever can save the patient's life and who can restore the patient's health is the boss.

Zhou Can looked at the incoherent and anxious situation, and his heart was very refreshing.

Let this guy be arrogant and make him look down on people.

Don't you still obediently ask for the door?

"I'll start with my diagnostic thinking. The patient has been in a coma for a long time, has been bedridden for a long time, and has undergone a tracheotomy, which is indeed very prone to lung infection, atelectasis and other problems. Wheezing, shortness of breath, any experienced doctor will suspect that there is something wrong with the lungs. However, I ruled out the possibility of pulmonary embolism from some subtle symptoms of the patient and the patient's family situation in the first place. ”

"Because long-term bedridden patients with pulmonary embolism will have symptoms of venous thrombosis in the legs. But the patient's legs looked normal. ”

As soon as Zhou Can said this, the other doctors couldn't help but prescribe it.

"Oh, I'll just say, the patient's legs look fine in both blood and veins. How did you get pulmonary vein thrombosis? I was skeptical at the time. ”

"Doctor Zhou Can really has two hits!"

"Don't even speak, listen to Dr. Zhou continue to share diagnostic ideas."

Guo Shenfeng turned his head and glared at the fellow doctors of these hindsights.

Usually, the most people are this kind of hindsight, pig-like people beforehand.

Playing tricks, all of them are good hands.

If something really happens, there is no one who is reliable.

"I mentioned earlier that when a terminally ill patient who has been bedridden for a long time goes to the hospital for treatment, he may not be hoping for a medical miracle, but may be a medical accident. It may be a bit murky, but it's possible for this to happen. For example, this patient who is dying, I think, may have been looking forward to this medical accident for a long time. Therefore, it is better not to be too optimistic. ”

Zhou Can repeated this sentence again, and the feeling it brought to everyone was completely different.

Before the test results came out, everyone really thought he was farting.

Listening to it now, I feel that Zhou Can's words are true, and if he dares to say so, there must be a basis.

Between the director's eyebrows, he couldn't help but feel a little sad.

It's not that he is timid and unafraid, but Zhou Can broke the luck in his heart with facts.

"Judging from the treatment options of patients in the ICU, it can be called a shrinking diet."

Zhou Can pointed to one of the list of charges, and could not see a particularly expensive treatment option. Basically, if you can save it, you can save it.

Only the most basic life-saving measures are used.

This means that the patient's family is likely to be in debt and very short of money. In addition, even though the patient is in a coma, there is still a subtle smile on his face. Being able to smile from the bottom of his heart when he was in great physical pain shows that the medical accident he was looking forward to has finally arrived, so he is happy. That's why he smiled with relief. ”

Zhou Can's analysis made Guo Shenfeng feel creepy.

I really didn't expect a dying patient to calculate so deeply.

I am afraid that all the doctors present will remember this lesson for a lifetime and be vigilant for a lifetime.

Overall, it's a good thing.

They will definitely be more cautious in their work in the future.

It is tantamount to urging them to correct their work attitude in disguise.

"I help you rescue the patient from the ghost gate, which will undoubtedly frustrate the patient's wishes. In fact, even if he didn't die this time, he wouldn't be alive for long. In exchange for a sum of compensation, the few lives that remain will allow the family to live a little better. It's a good deal. ”

Zhou Can didn't say the diagnosis conclusion for a long time, is he really thinking about rescuing the patient, is it right or not?

This patient is likely to be left with a family in high debt.

Zhou Can was almost certain that the patient just wanted to exchange the few lives he had left for a compensation.

Cutting off people's wealth is like killing one's parents.

"Doctor Zhou, you must not only think about the patient! I'm also very pitiful, such a medical accident, my future is basically ruined. The compensation will be borne by the hospital, and I will definitely bear it personally. I try to treat the sick and serve them, but I have to be calculated by them, and I am more pitiful than the sick. ”

Shenfeng is in a hurry.

If Zhou Can doesn't help him, who can help him on the spot?

Du Leng who can only talk on paper? Or Director Wen, who has an average level of diagnosis?

None of them can help.

Only Zhou Can could change the ending.

"Dr. Zhou, I don't think I can stand on the patient's side in this matter. It's not that whoever is weak is justified. Helping to rescue the patient first, and then finding a way to help the patient raise donations afterwards can also alleviate the heavy financial burden of the patient's family. ”

The method proposed by Director Wen can be regarded as the best of both worlds.

I have to say that Director Wen's ideological realm is really high.

"Okay, I'll listen to you."

Zhou Can had great respect for Director Wen, and after listening to it, he gladly accepted Director Wen's suggestion.

"I said in advance that the donation after the patient came back from the rescue, and I would like to ask the doctor to bother to help."

Zhou Can looked at the Condition God Peak.

Human nature is inherently good.

When we see vulnerable groups, we can't help but feel sorry for them from the bottom of our hearts and want to help them as much as we can.

"No problem. This is easy to do, one of my high school classmates is a media reporter, and I asked him to help write an advertorial to promote it, which should be able to attract a lot of money for this patient. ”

Guo Shenfeng didn't think much about it, and directly agreed.

He didn't dare to think about it for too long, the patient was still waiting to be rescued.

The longer it drags on, the more disadvantageous it becomes.

"Wheezing, shortness of breath, and lung infections led to a diagnosis that focused only on the lungs and neglected the heart. This patient, I seriously suspect heart failure. And most likely right-sided heart failure. ”

Zhou Can revealed the real cause.

As for the diagnosis idea, in fact, as long as the thinking vision is not obscured by the lungs, it is easy to think about heart failure.

"yes, why do we all neglect the heart? Heart failure can indeed cause symptoms such as wheezing and shortness of breath. After listening to Zhou Can's diagnosis, Director Wen high-fived and praised.

Diagnosing the cause is sometimes like guessing a riddle.

When the mystery was revealed, everyone thought it was simple.

When I guessed, I scratched my ears and scratched my cheeks, and I couldn't figure it out.

"If you want to diagnose whether it is right heart failure, it is actually very simple, do an echocardiogram, test the pulmonary artery pressure, and you can draw conclusions. However, it is better for the doctor to be mentally accurate, and the patient is likely to have cor pulmonale. As far as I know, the prognosis for this disease is often very poor. ”

Zhou Can said to Guo Shenfeng.

Heart failure is a very difficult syndrome to correct.

In ancient times, Lang Zhong said that medicine and stone are difficult to treat, and its central failure is one of the diseases that cannot be cured.

"Don't worry about it for now, send it for an echocardiogram immediately. Cor pulmonale is not easy to treat, but it should not be difficult to find a way to save the patient's life. After Guo Shenfeng learned the real cause, the sadness between his eyebrows faded a lot.

Now just wait for the results of the test to come out.

He had a feeling that what Zhou Can said was probably right again.

Sure enough, the results of the examination came out quickly. The patient has pulmonary hypertension of more than 50 mm.

Fortunately, the diagnosis was timely and did not break 70 mm.

As long as the symptomatic treatment is administered in time, the patient should be able to pull back from the ghost gate.

"Dr. Zhou gave me a testimony of what strength is, and it also taught me a good lesson. In the future, I will guard against arrogance and rashness, always maintain an open heart, and listen carefully to the diagnosis opinions of every doctor. ”

What Shen Feng meant when he said this was almost to bow his head to Zhou Can in public and admit his mistakes.

And said that it will be corrected.

"I promised to raise money for patients, and I will keep my promise. Thank you, Dr. Chow. Director Wen, Dr. Zou and Dr. Tang, thank you for your help. ”

Besides, Shenfeng was really scared today.

But now, the crisis has been successfully resolved.

He was also much more relaxed.

"It's the same department, don't be polite. Hurry up and prescribe medication to the patient! The next time you're in the ICU, don't be careless. ”

Director Wen waved his hand and urged Guo Shenfeng to hurry up and treat the patient.

Otherwise, when the patient's pulmonary artery pressure rises further and reaches more than 70 mm, it is extremely dangerous.

Before Du Leng followed Guo Shenfeng and left, he took a deep look at Zhou Can.

The two looked at each other, and Zhou Can's gaze was very indifferent. Du Cooling is sharp.

In today's rescue, Du Leng lost very badly.

Zhou Can made him understand what it means to be 'inflated'.

What's the use of not being able to cure diseases just because you have a high degree of education? Writing essays all day?

But even if you write a thesis, you have to build it on the basis of practice!

A dissertation without practical support is a castle in the air.

"Our competition has just begun, don't be complacent."

Du Leng said coldly to Zhou Can.

"Am I proud? Dr. Du should change his point of view, it's not good to always live the belly of a gentleman with the heart of a villain! ”

Zhou Can shrugged, the smile on his face was clearly three points of pride and seven points of mockery.

"You...... Hum! I will make you understand that the gap in academic qualifications is irreplaceable, and knowledge can determine everything. ”

Du Leng usually speaks in public with a hypocrite's face.

At this moment, he was annoyed and angry, and he could be regarded as revealing his true face.

has been surpassed by Zhou Can many times, which really makes him very uncomfortable.

(End of chapter)