Chapter 172: Writing a Thesis Together, a Grand Farewell
Zhou Can goes all out every time, coupled with his solid foundation and experience in major surgery, his performance is quite good.
In rescue and diagnosis, emergency medical skills also play a very large role.
In the event of an emergency, this special medical skill will automatically bring him wisdom, and the diagnosis will be 50% clearer than usual. And it comes with a calm-heading effect.
When other doctors encounter a patient in danger, it is inevitable that they will panic and be nervous.
Even the experienced Director Liu has shown a high degree of nervousness and anxiety when he encounters a patient in great danger. Sweat is constantly oozing from his forehead, and his expression will become extraordinarily solemn, and his tone will be urgent.
It can be seen how valuable the cool-headedness that comes with the wisdom of first aid is to be treated.
The more anxious a person is, the more chaotic his brain is, the worse his analytical skills are, and the higher the probability of making mistakes.
Zhou Can has been able to make meritorious contributions to the rescue many times, and his performance is extremely good, which is by no means just an advantage.
Rather, it has a multifaceted combination of advantages.
The 32 regular trainees who entered the intensive care department at the same time are far from him.
Many of them still stay at the simple level of learning the operation of various instruments, how to pump medicines, how to get on the blood filtration machine, ventilator and other basic operations and the lower level of rescue.
They don't have the ability to use drugs flexibly and deal with all kinds of emergencies.
Zhou Can is unbeatable, and after only one month of training, he can already be on duty independently like a senior resident doctor.
He is often asked for help by senior residents.
Of course, this does not mean that he is necessarily better than the senior resident doctor. The learning of various basic knowledge has not yet been learned, let alone advanced knowledge.
So, he has always been very humble and very diligent.
When encountering something that I don't understand, I often ask the senior doctors for advice in time.
The detached position he gradually gained in the Department of Intensive Care Medicine provided him with great convenience in consulting services.
Other trainees seek advice from their resident doctors.
Zhou Can can directly consult the attending physician and chief physician.
Don't underestimate this advantage.
The understanding of many issues by resident doctors is far from reaching the level of attending and director. Ask the chief physician for advice, and the answers you get will be more thorough and in-depth.
In many cases, it is even possible to derive from a simple small problem to multiple related or similar questions.
Once or twice for advice, perhaps the gap is not obvious.
Zhou Can has consulted more times, and the accumulation has become thicker and thicker.
This is also one of the reasons why he was able to really chase the pressure of senior hospitalization in just one month.
There is one more thing worth mentioning.
Based on the 7-bed gastrointestinal bleeding patient, Dr. Shi invited Zhou Can to conduct in-depth research and write a thesis.
So far, a lot of progress has been made, and the content of the paper is constantly expanding.
Unfortunately, this is the only example, which also leads to a lot of information to be checked.
Sometimes, it seems that there are only a few sentences, or a few sets of data to compare, but it takes a lot of time and energy for two people.
In addition, the parasites infected in the patient's body have not been found in any medical papers, magazines, or books.
This also makes the study much more difficult.
Although the process of writing a thesis is extremely difficult, the benefits to Zhou Can are also very great.
You know, Dr. Shi regarded this paper as one of the papers of the deputy chief physician. Quite high at the level.
Zhou Can will be promoted to attending physician in the future, and this paper is a good basis.
It's much, much more advanced than those pseudo-papers that spend money to buy papers, or copy a paragraph in the east and a paragraph in the west.
At the end of the one-month training period, the other trainees left one after another.
Jin Mingxi went to the digestive tract surgery training.
Zhou Can still stayed in the intensive care medicine department to continue his studies.
……
Time flies, the sun and the moon fly by.
The three-month training life in the intensive care department was full and intense, and I would bid farewell to my lost life almost every day.
Zhou Can has been working here for a long time, and his biggest feeling is powerlessness and helplessness.
There are too many problems that doctors can't solve.
Sometimes it makes him feel very uncomfortable watching some young lives pass away.
However, in the past three months, he has also changed from a rookie in the intensive care ward to a clean shot, decisive in medicine, and ruthless in rescuing.
He has rescued countless patients.
Many of them were pulled back from the ghost gate again and again by Zhou Can, and then carefully cared for them, and finally sent them out of the ICU ward safely.
Every time a patient with this improvement is sent out of the intensive care unit, the doctors and nurses are especially happy.
I often joke that I finally sent out another live one.
The day when Zhou Can left the intensive care medicine department finally came.
After staying here for a long time, he also has a deep relationship with the doctors and nurses. Every time we were rescuing patients, everyone rushed up like comrades-in-arms. This kind of unity between departments cannot be compared with any department.
Including the emergency department.
In the Department of Critical Care Medicine, there are also various competitions and occasional intrigues, but everyone is always as harmonious and united as a big family.
There is no barrier between groups.
Doctors and nurses are sometimes like a 'husband and wife' working together. The heart thinks in one place, and the strength is in one place.
Zhou Can is full of reluctance to this department.
There is a banquet in the world, and it is time for him to transfer to a new department.
In the doctor's office of the intensive care medicine department, Director Liu personally bid him farewell.
"Xiao Zhou, although I have been your mentor for these three months, I feel very lucky. In the process of taking you, I also learned a lot. In particular, I have benefited greatly from your experience in surgery, your selfless and fearless spirit of exploration, and your ability to diagnose brain circuits. In the past three months, the transfer rate of critically ill patients in the intensive care department has been increasing, and the length of hospitalization has been greatly reduced. I know that you have the most credit. ”
Director Liu looked at Zhou Can, and in his heart he was reluctant to let him go.
This cadre has not only brought great vitality to the intensive care medicine department, but also has achieved remarkable results.
Zhou Chan likes to repeatedly study cases that he thinks are likely to get better with treatment.
When the cause is clear, or there are some surgical plans and treatment plans that can be implemented, he will propose them to Director Liu in time.
At least 70 patients were successfully released from the ICU in three months, and all of them were transferred out of the intensive care unit safely.
"Influenced and inspired by you, I am aware of the serious shortcomings of the intensive care medicine department. We were really too conservative before. I have applied to the hospital to add a rotation mechanism. Neurological, cardiothoracic medicine, gastrointestinal medicine, gynecology, obstetrics, neurosurgery, cardiothoracic surgery, digestive tract surgery and other heavyweight departments, every month send a doctor at or above the attending level to the intensive care medicine department to participate in the duty. ”
"With the addition of specialists in the surgical industry, the diagnosis and treatment of severe patients will be actively promoted. It can reduce mortality and greatly improve the improvement rate of severe patients. ”
Director Liu also realized that it would not work to be a monk and hit the bell like this again.
It's like a small tree that was blown down by the wind on a stormy night, and even the roots were pulled out.
The next day, Zhang San, a ranger in this area, saw it and hurriedly ran over to help it up.
I wanted to make a stake for it, but I was worried about hurting its trunk, so I held on to it. I've been waiting for it, trying to make it grow again.
Zhang San held it like this every day, and even had to call his wife to come over to help when he was eating, drinking, and Lazar.
I have to ask my wife to water it every day.
I hope that the root system of this tree can be re-rooted in the soil as soon as possible and become stable.
In order to help the sapling get back on its feet, Zhang San worked day and night to take care of it with his wife. Very hard.
A month passed, and the tree was very competitive. The roots of the tree were re-rooted in the soil, and there was no need for Zhang San to hold on to them.
It's back to life.
Then, not long after, another tree was blown down by the wind. Zhang San and his wife are the old way, 'foolish' support, day and night. At this time, the farmer Li Si walked by, and when he saw it, he made a suggestion.
You can make a tripod to support the trunk of the tree, then re-strengthen the soil at the roots, and water it to help the tree tide over the difficulties.
Zhang San was reluctant at first, afraid of hurting the tree.
Under Li Si's persuasion, he finally agreed to give it a try.
As a result, it was found that after using Li Si's method, the sapling not only did not die, but only took half a month to regain its vitality.
Since then, Zhang San has never been stupid anymore.
From this little story, it is not difficult to see that the current intensive care medicine department of Tuya Hospital treats patients in a foolish mode of forest ranger Zhang San. It's very hard and tiring to watch.
But inefficient.
The treatment is too conservative, which is actually not good for the patient.
Zhou Can's arrival was like the passing farmer Li Si, boldly proposing various surgical suggestions, or diagnosing the real cause and actively treating the patient.
It may seem risky, but it works better.
Director Liu realized that there was a problem with the treatment model of the intensive care department, and that was it.
As for how to solve it, Zhou Can will not care.
Applying for major departments to send doctors above the attending level to take turns may not be able to implement it in Zhou Can's opinion.
There are complex interests involved.
The real solution is to train doctors in the department. You can let them go to the weight department for further study.
"Xiao Zhou, what do you think after the training?"
"I'll go back to the emergency department."
"If only you could come and work in the intensive care unit. You're leaving, I'm really reluctant. ”
Director Liu looked at him with a deep reluctance in his eyes.
"Actually, I am quite reluctant to you and other colleagues, but the search for the path of medicine is to move forward non-stop. I might become a surgeon in the future, but I haven't decided on a field of specialization yet. ”
Zhou Can had no idea of entering the intensive care department.
If you need it in the future, you can go back here to further your studies.
"I know I can't keep you. What is the next training department? ”
Director Liu showed a wry smile.
In the eyes of many doctors, the Department of Critical Care Medicine is a popular department. But in the eyes of a super medical genius like Zhou Can, he may really look down on it.
"The next department is cardiothoracic surgery, then urology, hepatobiliary, gastrointestinal surgery, and finally general surgery. After completing the training in these departments, I will transfer to several departments of internal medicine. ”
Three years seems like a long time.
For Zhou Can, it is very compact.
In terms of laying the foundation, the hospital is obviously cultivating him as an elite doctor in general practice.
In the entire Tuya Hospital, there are not many doctors who can enjoy his treatment.
"Okay! Anyway, in the past three months, you have formed a deep relationship with the intensive care medicine department. If you need anything in the future, you can always come to me. After you finish your studies, you can also come to the intensive care department from time to time to help those patients who are dying. ”
Director Liu can only settle for the next best.
"Thank you for taking care of me and nurturing me for these three months. Dr. Hu, Dr. Shi, Deputy Director Yu and others also gave me a lot of help, which I will remember one by one. I'm sure I'll come back more often in the future. ”
Zhou Can is really grateful to them.
During these three months, he learned a lot of invaluable first aid knowledge.
This will be of great benefit to him in the future when he returns to work in the emergency department and even for the rest of his life.
"Haha, Dr. Zhou mentioned my name just now!"
Deputy Director Yu walked in from outside.
Dr. Hu, Dr. Shi and others also entered the office one after another.
"Some of you are on duty, and some of you are at home after work, why are you all here?" Deputy Director Liu looked at these people in surprise.
"Didn't I hear that Dr. Zhou was leaving, and I was a little reluctant! As soon as we discussed, we rushed over to say goodbye to him. ”
Dr. Hu explained with a smile.
"Thank you! Thank you for thinking so highly of me. It is my luck and fate to meet you. Even if I leave, I will miss you all in the future. ”
Zhou Can clasped his hands together and thanked them again and again.
It is really grand for so many people to see off a regular trainee. It also shows that they take Zhou Can very seriously.
Only if you care, you will rush to say goodbye.
(End of chapter)