"I'm waiting for you here!"

Zhou Can has a different purpose than many people studying medicine.

Many doctors study medicine in order to have a good income and a high social status. He studied medicine purely for his interest and to save people.

Every time he successfully heals a patient, relieves them from their pain, or saves a life, he feels a special sense of accomplishment.

This time, in order to save the patients in 7 beds, he has done a lot of things beyond his own work.

He sat in the duty room and waited quietly for Dr. Shi to come out.

During this period, he repeatedly debated the patient's etiology, pathology, examination methods, and medications in his mind, so that Dr. Shi and others could have a greater confidence in convincing the other party when talking to him.

During this period, doctors and nurses came and went in and out of the duty room from time to time.

Many people are curious about why Zhou Can is sitting here?

Later, after talking with each other, they learned that Zhou Can was working hard to treat patients in 7 beds. Although some people think that his behavior is a little naïve, many doctors and nurses feel that his courage and spirit of saving people are worthy of admiration.

Everyone's quality is quite high, try not to disturb Zhou Can.

A young nurse girl even looked at him secretly, with curiosity and friendliness in her eyes.

……

It took more than an hour for Dr. Shi to come out of the ward.

It looked like his face was full of exhaustion.

The care and rescue of some critically ill patients is particularly torturous.

Exhausted, the heartstrings are tight, and the spirit is always in a high-pressure state.

"I'll prescribe a doctor's order first, and I'll talk to you when I'm done. The condition of the patient in the 6th bed was very bad. ”

Dr. Shi explained, and then sat down in front of the computer to give medical orders.

The last patient in bed 6 has just passed away, and the situation of the new patient is extremely unoptimistic, who said that the number 6 must be auspicious? In the intensive care unit, the sixth bed is about to become a death bed.

Car accidents, intracranial hemorrhage, deep coma, many patients do not survive this hurdle.

Even if you survive, you can easily become a vegetative person.

When Dr. Shi finished prescribing the medical order, Zhou Can hurriedly said the dialectical train of thought he had come up with.

As soon as he said a few words, Dr. Shi interrupted.

"My time is very tight, so I can't listen to every detail of your diagnosis in detail, just talk about your main ideas and results."

So, Zhou Can prepared a speech for more than an hour, and finally condensed it into a simplified version.

After he finished quickly, Dr. Shi pondered for a few minutes, and his eyes gradually brightened and determined.

This is a good thing, saying that he has accepted Zhou Can's diagnostic ideas and results.

"I have already told Xiao Zhang and the nurse to take a sample of the patient in bed 7 and then send it for testing. As long as there are parasites in the patient's body, I believe that the clues will be detected. This time, I will ask the lab to focus on screening for eggs and possible parasitic larvae. At the same time, the composition of the stool is analyzed in more detail. It is important to test whether the stool contains hormones and drugs that can dilate capillaries. ”

"Whichever one is true, it can be the basis for administering medication to patients. As for now, patience must be waiting. I have to come to work tomorrow, and the work is very intense, sometimes even a few hours longer. You can go back to sleep first. I believe that when you come to work tomorrow, there will be a result for you. ”

Dr. Shi is a very honest man.

It's grounding to listen to.

And before he came out of the ward, he had already explained to his subordinates and the assistant nurse that they were taking stool samples.

It shows that the first time Zhou Can talked to him about this, he had already attached importance to it and thought about it deeply.

Compared with Dr. Hu's 'politeness', his reluctance to take risks, and his reluctance to take more responsibility, Dr. Shi is more respected by Zhou Can.

It must be mentioned here that Dr. Shi's trainee Xiao Zhang is not from Zhou Can's current term. Instead, he has already obtained a medical practitioner's certificate and is about to complete his training for three years.

He is also a specialist in the Department of Critical Care Medicine.

Many trainees choose to return to their chosen department to complete the final training in the last three or four months of regular training.

For example, if you choose the direction of training outside the gods, you will usually return to work outside the gods in the last three months of training.

It can be regarded as an early adaptation to the work of the department.

As long as the training certificate is in hand, you can immediately become a qualified resident doctor.

"Okay, I'll leave this matter to you!"

Zhou Can got up and said goodbye.

Speaking of which, Zhou Can waited for more than an hour, and it was not in vain.

"Oh, by the way, what type of parasite do you suspect? It is best to give medication advice. ”

Dr. Shi stopped him.

"Personally, I think it's more likely to be a worm-like parasite. If it is really a worm, mebendazole is recommended. Considering the patient's tolerance and intestinal condition, it would be better if the patient could not take a small amount of raw tea oil at the same time. ”

Zhou Can judged that it was a worm parasite, not a protozoa, and there were several bases.

The most important thing is that he thinks this parasite is very cunning and has a strong sense of territory. It is only entrenched in the patient's small intestine.

Then its excretion, or secretion, can cause telangiectasia, which is not known to be a protozoan parasite.

As for his medication recommendations.

In fact, his pharmacological foundation is not bad, just because he has not obtained a medical practitioner's certificate and does not have the right to prescribe.

Medication cannot be prescribed.

Doctor's orders are also very few.

Basically, I have been in a probationary state.

"The use of raw tea oil to protect the intestines, plus it also has a certain killing effect on parasites, weakening their vitality...... This medication recommendation is as clear as your diagnostic thinking. ”

Dr. Shi easily understood Zhou Can's intention to take medication.

is worthy of being promoted to deputy chief physician soon, and I feel that his strength is much stronger than Dr. Hu.

……

The next day, Zhou Can rushed to work in the hospital, thinking about the 7-bed patient.

I don't know what happened to me?

"Doctor Hu is early!"

Zhou Can saw Dr. Hu hurriedly walking into the office and hurriedly greeted him with a smile.

"Morning! Come with me to the intensive care unit, I'm ready to work. ”

Dr. Hu didn't mention last night's incident at all.

The polite words of adults are basically to be comforted in person and turn around and forget.

Fortunately, Zhou Can had already found a breakthrough from Dr. Shi.

Following Dr. Hu, he entered the ICU ward to take over the shift.

Yesterday afternoon, they were replaced by Dr. Shi and Xiao Zhang, who had been trained for almost three years. This morning, it was replaced by a strange doctor.

Because of the intensity of work in ICU wards, doctors often work in three shifts.

Nurses are rotated in two shifts.

It can be seen from the time of duty that nurses are more relaxed than doctors.

There is no discrimination against nurses, in fact, when facing all kinds of dangers of patients, the person who is most stressed is always the doctor. Nurses, whether assisting nurses or other nurses, are far less stressful than doctors.

The work I do is basically nursing and medication.

Even many ICU patients change dressings by doctors themselves.

"Dr. Hu is here!"

The young doctor in charge of these beds smiled and took the initiative to greet Dr. Hu.

In fact, from the greetings and greetings between doctors, you can also roughly judge who has a higher title or status.

This young doctor is about thirty-one or twelve years old, which is quite young.

It's hard to say whether he was promoted to the chief or not.

There are still many doctors who have risen quickly, and there are still many who have been promoted at the age of 31. For example, a single doctor in orthopedic surgery.

"How are these patients doing?"

Dr. Hu's eyes have begun to check the condition of the patients in each bed, the data from the vital monitoring instruments.

"The 6-bed car accident patient has been in danger several times, and I asked Director Liu to come over and help several times. Then the 7-bed gastrointestinal bleeding patient has been given the drug, and so far, it seems that there is some effect. The patient in bed 8 had a little fever and was generally stable. ”

A young doctor presents a patient with three beds.

It's also a normal handover.

When Dr. Hu heard that the 7-bed patient had taken medicine, his face changed slightly, and he did not look at the patient first, but took a deep look at Zhou Can.

There was a hint of dissatisfaction in his eyes.

Zhou Can pretended not to see it.

Damn, I reported to him yesterday as soon as possible. It was he who was unwilling to take responsibility, and hung up the phone after saying a bunch of clichés.

The patient's condition is so serious, and if it is delayed overnight, the physical condition will definitely be much worse.

Now it's still strange that Zhou Can secretly communicates with other doctors, and it's strange that Zhou Can doesn't pretend to be paralyzed.

"Dr. Zhou is very anxious! I found another doctor yesterday evening, right? ”

No matter how Dr. Hu listens to this, there is a bit of yin and yang.

"I was worried that it would not be good for the patient if it dragged on for a long time, so I came to Dr. Shi again." Zhou Can couldn't pretend to be stupid, so he had to accompany him to explain carefully.

"Having used the medicine so quickly, Dr. Shi is really bold enough. The patient's condition is already bad, and the medication is not careful, what should I do if something happens? ”

Dr. Hu counted down the recklessness of Zhou Can and Dr. Shi as he walked to the bedside to check on the patient.

I saw that the patient's face was even paler, and when he touched the patient's limbs, it was a little cold.

Breathing was steady.

Other signs of improvement are not visible for the time being.

At this time, a middle-aged doctor came from a distance, looking forty-seven or eighteen years old.

"Hello Director Liu!"

Dr. Hu squeezed out a smile and greeted the other party.

The young doctor was also respectful.

Director Liu nodded, looking at Zhou Can with a kind look in his eyes.

"You're Zhou Can, right?"

"I am!"

Zhou Can faced a chief physician and would never dare to be disrespectful.

Regardless of whether the other party is the director of the department, or the director or deputy chief physician, they are all worthy of respect.

People also kill them with their strength.

"When Dr. Shi took over the shift yesterday, he praised you a lot. The 7-bed patient was re-examined and the parasite carcass and eggs were indeed found in the stool. This is a worm-like parasite that we have never seen before, and combined with the patient's experience of living in the rainforest before the onset of the disease, it is likely that the patient was unfortunately infected with this parasite abroad. ”

Director Liu's words made Zhou Can's heart, which had been hanging, fall to the ground.

It's good that the cause is clear.

In fact, when the experience system gave the experience reward yesterday, he already knew that the diagnosis was correct.

However, that is only his dialectic and diagnosis, and cannot be used as a basis for medication.

Now that the parasites have been detected after a special test of feces, the follow-up will be easier.

"It turned out to be a foreign parasite, no wonder it was so peculiar."

The various parasites of the rainforest are very scary.

Some fighters have reacted that they are on a mission in the jungle, and every time they go in, it is like experiencing a battle between humans and insects.

In addition to the dense mosquitoes that are pervasive, sucking people's blood and biting people's naked bodies into dense pimples. There are also countless locusts, adsorbed on the human body, their heads digging deep into the flesh of the human body, frantically sucking blood.

In short, all kinds of parasites are creepy and numb to the scalp just by listening to them.

Dr. Hu next to him heard Director Liu's praise for Zhou Can, and his heart was mixed.

He didn't expect the parasite to actually be detected in the patient's body.

"This parasite is very peculiar indeed. For example, they remain entrenched in the small intestine. Entering the gastric pylorus through the small intestine, they do not dare. It can be understood that stomach acid has an extremely lethal effect on them and will kill them. But why they die when they enter the large intestine is still a mystery. In addition, almost no larval carcasses were found in the feces, only adult carcasses and a few eggs were found. ”

Director Liu continued to introduce the characteristics of parasites to Zhou Can.

"I suspect that there is something in the large intestine that prevents parasites from entering, so I have to shrink into the small intestine and survive until I die of old age. This is excreted with the stool. This is also because the patient's large intestine has been in a sick state for a long time and its absorption capacity is weakened, which makes it possible to find part of the body of the parasite, which would otherwise be difficult to find. ”

"Also, the eggs laid by this parasite should have a strong adsorption capacity. It can be firmly attached to the wall of the small intestine. Because eggs found in feces are extremely rare. If too few stool samples are taken, they may not be detected at all. ”

The ability that this parasite has evolved is terrifying.

It's almost completely tailor-made for humans, and it can easily escape the routine testing of stool.

Because the laboratory takes a stool sample, it is often only a small amount, and the amount is very small.

The daily volume of tests in the laboratory is very large.

If you don't find it out once, it's basically impossible to check it a second time.

This increases the chance that parasite carcasses and eggs will escape detection.

"If the above characteristics are merely not enough, it is not enough to be called peculiar. Because there are also many parasites that are extremely adaptable and can evolve some similar abilities. Crucially, we detected trace amounts of telangiectasia hormone in the stool that can stimulate the body. Whether this hormone is secreted by the patient itself or the excrement of parasites remains to be further studied and tested. ”

Director Liu has been practicing medicine for many years, and it is estimated that it is the first time he has encountered such a peculiar parasite.

"After the patient took the drug, his vital signs were generally stable. Judging from his bowel movements in the morning, the gastrointestinal bleeding has improved significantly. For this patient's treatment, Dr. Shi and I are now full of confidence. Of course, the biggest contributor is you. ”

When Director Liu looked at Zhou Can, his eyes were full of appreciation.

"It takes a lot of enthusiasm and courage to be able to put yourself in the patient's shoes, to be anxious about what the patient is anxious about, and to be able to find out the cause of the patient's illness. Dr. Chow, you are doing well. ”

Director Liu gave him a thumbs up and did not hesitate to praise Zhou Can.

"You've won a prize! I just did what a doctor does. ”

Zhou Can was a little embarrassed by his praise.

"Those who know me know that I usually scold people and rarely praise people. Dr. Kwan and even Dr. Hu have been criticized by me. ”

When Director Liu said this, the young doctor and Dr. Hu all smiled embarrassedly.

"You have a solid medical foundation, a clear diagnostic mind, and a benevolent heart for the sake of patients, and to be honest, I especially want to keep you working in the intensive care department. Our department is in great need of a young and promising doctor like you. ”

Sweat!

After praising Zhou Can, he actually began to poach people.

"Thank you for your kindness, I will definitely redouble my efforts during the three months of intensive care medicine training and continue to maintain a serious and responsible work attitude."

There are too many department directors who want to dig Zhou Can.

Zhou Can refused.

"I know that I can't keep you, I really envy Director Lou of the emergency department! From tomorrow onwards, you don't have to follow Dr. Hu, I will take you directly. ”

Director Liu's words deprived Dr. Hu of his right to teach.

It was only at this moment that Dr. Hu understood how sought-after Zhou Can was.

He couldn't help but have a trace of remorse, when he assigned Zhou Can to him yesterday, he didn't pay much attention to it.

It's just a decent job on the surface.

If Zhou Can could pay attention to Zhou Can's diagnosis when he called to report to him yesterday evening, how good it would be!

Treating 7 patients is definitely a big achievement.

Even be able to write a good paper.

Now, this great opportunity has been handed over to Dr. Shi.

If you want to say that you don't regret it in your heart, who believes it?

It feels like buying a lottery ticket, and you have already chosen the numbers, but you didn't buy it. On the contrary, a person next to him saw that he didn't buy it, and bet to buy the number.

The next day, the lottery was drawn, and I won.

That's pretty much the way Dr. Hu is feeling right now.

"Thank you, Director Liu, for cultivating! When do I look for you tomorrow? ”

Zhou Can couldn't help but be overjoyed, being able to learn from a director is more than ten times better than following Dr. Hu.

Thank you for your support!

(End of chapter)