Takami should have paid close attention to him.

Because they met twice, Gao Jian can accurately say what glorious deeds Zhou Can has done recently.

In the past, Zhou Can also regarded Gao Jian as a strong competitor.

Now as his strength is getting stronger and stronger, the shortcomings in basic medical knowledge are also being quickly filled, and he no longer takes Gao Jiantai to heart.

Life is to surpass one opponent after another through continuous efforts and leave it far behind.

While filling out the form, Dr. Xia Ping came in after finishing his work.

"Doctor Chi, has Zhou Can's admission procedures been completed?"

Doctor Xia Ping was really still fighting Zhou Can's idea.

Otherwise, I wouldn't have been so enthusiastic about inquiring.

"Just wait for him to fill out the form. I heard that the 51st bed patient in your charge is in trouble, and now it's okay, right? "We are all doctors in the same department, and we know each other well.

"Don't mention it, thanks to this young man Zhou Can, I almost had a big incident today."

After Xia Ping sat down in his seat, he picked up the cup and took a sip of water to moisten his throat.

"Tell me about it! Look at your relaxed face, the matter must be settled. ”

Dr. Chi suddenly became interested.

He also knows a thing or two about the 51-bed patient. The patient had been tested several times but had not been able to find out exactly what was bleeding.

It is only known that the patient has blood in the stool, which must be gastrointestinal bleeding.

There is no way to lock down the specific part.

As soon as he arrived at the hospital this morning, he heard that the 51-bed patient was suddenly in shock and sent to the intervention room for emergency rescue. He was still worried about his patients.

He was particularly curious about where exactly the patient was bleeding. And how to solve it?

"You can't imagine that the patient is bleeding from a stromal tumor in the wall of the small intestine. No wonder we checked the colonoscopy, and even the capsule gastroscope was used, but we still couldn't find the bleeding point. How can you find it? ”

Xia Ping was still a little emotional when he talked about it.

"So how did you find out later? I heard that the patient was already in a state of shock at that time, so I guess I must have beaten you up, right? ”

When Dr. Chi heard about this disease, he had a look of sudden realization on his face.

Small intestinal stromal tumors are known as the ghost killers of digestive tract diseases, and they are very difficult to detect.

"Thanks to Dr. Zhou, I was reminded to do a digestive angiography of the patient. Hey, that's really a check. When Xia Ping talked about this, he glanced at Zhou Can gratefully. By the way, Dr. Zhou has been helping to rescue the patient, and the department didn't record him as late, right? ”

"No, no, Dr. Luo has already told me about this."

Dr. Chi hurriedly clarified that he would not be this villain.

"That...... Who will Dr. Zhou give to him? Xia Ping smiled and inquired about it.

"Haha, it turns out that I'm not the only one who hit Dr. Zhou's idea! It's a pity that it has been booked by Director Shang a long time ago, you and I don't have to think about it! Dr. Chi smiled happily.

I have somewhat regained a bit of mental balance.

He is not the only one who failed to snatch Zhou Can into his hands.

"Director Shang is well-informed, and I am afraid that he already knew that Dr. Zhou was extremely good, so he started in advance. I really envy him for finding a good helper! Originally, I still had one vacancy left, and I still wanted to say hello and ask Zhou Can to come over, just that! ”

Xia Ping sighed and shook his head.

After being promoted to attending doctor, you will be qualified to teach.

Interns, that's free help.

The attending doctor has several interns to help with the work.

If the trainee is slightly more advanced, the work he can do will be more advanced.

Therefore, don't look at the attending and chief physicians who have a tense face all day long, scolding and teaching all kinds of lessons to the interns and trainees under them. But these free labor, very important to them.

When the hospital evaluates the instructor, if it finds that there is a violation, it will transfer one of the interns under the doctor.

For those who have violated the rules for many times or failed the assessment, until all the adjustments are completed.

Those who excel in the assessment will usually increase the number of students to teach.

From this point, it can also be seen that the number of interns and trainees under the doctor's command is equivalent to a part of the work ability.

"Lao Xia, shouldn't you be talking bad about me again?"

A hearty middle-aged man's voice sounded, and then a middle-aged male doctor of medium height and slightly chubby body walked into the office. With a round face, with a light smile of three points, but at the same time it does not lose its majesty.

This must be the director of the Department of Gastroenterology.

There are multiple chief physicians in a department, but there is only one department director.

The Head of Department is an administrative position and does not represent the level of medical skills.

In some departments, there will even be an attending physician as the head of the department.

Management level and coordination ability are the key factors for serving as a section head. Of course, under normal circumstances, if you can serve as the head of the department, the level of medical skills will not be bad.

"How dare I speak ill of you! I mean, you are wise and far-sighted, and you booked Zhou Can in advance. You don't know how good he was today......"

Doctor Xia Ping looked very arrogant in front of the junior doctors, but he didn't expect that he was completely different in front of Director Shang.

There's no flattery, but there's no lot of flattery.

That's how it works to survive.

No matter how unruly the character is, he will slowly learn how to survive.

"Oh, it seems that the rumors are true! I heard that Dr. Zhou has a habit of entering a new department, and he will always find a way to make a great contribution as an introductory ceremony. It seems that the turn of our gastroenterology department is no exception! ”

Director Shang obviously knew something about Zhou Can's deeds.

No wonder Zhou Can was booked in advance.

"Hehe, the rumors are not credible! I also happened to meet it, so I took a hand, and I can't talk about making great contributions or anything like that. Today's rescue of the patient with gastrointestinal bleeding was also completed under the guidance of Dr. Xia, Director Puwaijia and others. ”

Zhou Can didn't dare to take the credit alone.

Low-key and humble is his usual style of acting.

False fame and utilitarianism, he really doesn't care.

Rescuing patients and earning medical experience points is what he values most.

"The young man is not arrogant or impatient, and he is really good." Director Shang praised him and turned his head to look at Xia Ping. "Lao Xia, it's a blessing that the patient was rescued back today, you have to take this matter as a warning, learn a lesson, and don't have similar safety accidents again."

Director Shang struck two sentences solemnly.

The faint coercion directly frightened Xia Ping from even raising his head.

"I will deeply reflect on the review and draw inferences from the past to prevent such incidents from happening again. After the operation just now, I have already checked the patients in my group as soon as I came back. ”

If you do something wrong, you must have a correct attitude of admitting your mistake.

Xia Ping accepted the criticism very sincerely, and after returning from the operation, he corrected himself as soon as possible.

This attitude of admitting mistakes is still very commendable.

Director Shang's face softened a lot.

"This incident is also a profound lesson for our department, and we will notify all the doctors in the department to have a morning meeting tomorrow morning. Vice President Ye has been emphasizing medical safety recently, and we can't do anything against the wind. ”

It's not easy to be a good department head.

It is necessary to properly implement the policies explained above, and at the same time, it is also necessary to seize some opportunities to carry out warning education work in the department. It is more important to take into account the performance of the department.

There's so much to worry about.

Therefore, many chief physicians are reluctant to serve as department heads because it will take up a lot of their time and energy.

Director Shang dealt with the safety accident and looked at Zhou Can again.

"Doctor Zhou, this is the first time that I have been transferred to the internal medicine department, right?"

"Yes!"

Zhou Can stood up and replied.

"Sit, sit, enter our department, that's a family, don't be too restrained. We don't have that much red tape here. Director Shang hurriedly raised his hand and pressed down, signaling Zhou Can not to stand and speak.

Most of the doctors in internal medicine are mild-mannered.

This may have something to do with the work they do.

"Do you know what internal medicine is important?"

Director Shang stared at him and asked lightly.

"Heavy Pharmacology and Pathology." Zhou Can replied.

"To be precise, internal medicine attaches great importance to the stable functioning of the body's systems. The respiratory and digestive systems are the primary support of human life. Many people compare blood to the gasoline of a car, which is actually inappropriate. Because what really provides the human body with survival energy is oxygen and food. They are the real 'gasoline'. ”

Every doctor has a different understanding of the human body and life.

The Department of Gastroenterology focuses on its own research in this field.

I also prefer to emphasize the importance of the digestive system.

Director Shang's theory is quite unique.

At least Zhou Can had never heard of it before.

"To be more precise, when a car's engine burns, oxygen is present in the air alone, not in the gasoline part. Therefore, food is the real 'gasoline' for the human body. ”

After hearing this, Zhou Can thought for a moment, and then nodded in agreement.

What is medical science?

What makes sense, and has a factual basis, is medical science.

Director Shang told Zhou Can that food is the 'gasoline' of the human body, and there is really no way to refute it.

Because they have a point.

"What internal medicine really needs to learn is not pharmacology and pathology, but the mechanism of human operation. When we find that there is a problem with the operating mechanism, we use drugs or interventional surgery to help one of the systems that the body has stopped to function, and at the same time ensure that the operation of other systems is not affected, which is the highest level of medication. ”

As soon as the connoisseur makes a move, he will know if there is one.

Zhou Can listened to Director Shang's remarks and thought so.

It seems that the decision to give up the solicitation of multiple departments of surgery and insist on coming to the Department of Internal Medicine to complete the training and study seems to be very wise.

Fortunately, as soon as I entered the Department of Gastroenterology, I met a teacher with a very high level.

Director Shang's theories gave him a new understanding of the life mechanism of the human body and the role of drugs.

In the past, he thought that medicine was not just for curing diseases.

I really haven't thought deeply about the positioning and real role of drugs in treatment.

"How do you understand the four words "symptomatic treatment?"

Director Shang's first lesson to him is estimated to leave a deep impression on him.

"It's just treating the patient according to their symptoms!"

Zhou Can thought to himself, is there a deeper explanation?

It is said that internal medicine is the origin of medicine, and all internists are masters of medical science and medicine. Through a brief conversation with Director Shang, he can be regarded as a preliminary approval of this statement.

The most learned thing in surgery is how to operate and how to locate the lesion based on the examination results.

Internal medicine, it seems to be very different from what he thought.

"It's a stomach ache, and it's pain with painkillers. In respiratory failure, a ventilator helps the person breathe. Constipation, dry stools, use Kessel to help the patient pass the stool? ”

Director Shang asked for a long time.

"Yes, exactly. Treatment is based on the patient's symptoms. ”

Zhou Can nodded.

"Then let me tell you, symptomatic treatment in internal medicine is wrong, can you accept it?" Director Shang is preparing to completely subvert Zhou Can's perception of medicine.

In other words, it is necessary to smash the medical definition that Zhou Can knew before and let him know it again.

The medicine he used to know only was on the outside, but now he knows the inside of medicine.

"Hehe, this is a bit hard to accept. I was at school and the teachers often taught us symptomatic treatment. In the clinical department, internship, training, teaching teachers, senior doctors, and have always taught us to treat the symptoms. You're telling me right now that it's wrong, and I do have a bit of a hard time accepting it. ”

Zhou Can smiled and shook his head.

He also wanted to see how Director Shang was going to subvert his medical cognition today.

Instead, there was a hint of excitement in my heart.

There is more than one temple of medicine.

In addition to the outer nactum, there is also the inner nactum.

"Symptomatic treatment is actually to treat the symptoms but not the root cause, which is the kind of treatment recommended by Western medicine. Our Chinese internal medicine benefits from traditional Chinese medicine, especially the Yellow Emperor's Neijing, which makes our country's internal medicine a little different from foreign internal medicine. What I'm going to teach you today is that symptomatic treatment is both right and incorrect. ”

Director Shang didn't care about Zhou Can's shocked expression and continued.

"Internal medicine advocates symptomatic treatment, first to distinguish the pathological mechanism, find out the real cause, and then correct a body system that has gone wrong to help it return to normal functioning. Symptomatic treatment is to treat headache and foot pain. Treatment according to the symptoms, but it is possible to treat headaches, pointing directly to the source of pathology. Internal medicine focuses on curing the root cause. Or treat both the symptoms and the root cause. ”

This new treatment theory makes Zhou Can feel as if he has opened a new door to medicine.

The world of medicine has become different.

More precisely, he used to look like he was standing on a low vantage point, and what he saw was only part of the landscape. Now that I have come into contact with internal medicine, I have climbed to the top of the mountain, and I can see the whole scenery.

Ability to see farther and more comprehensively.

"What you said obviously subverted my perception of medicine, but it made me feel very reasonable. Oh my God, internal medicine is amazing. ”

Zhou Can said this, which is somewhat exaggerated.

He also has the intention of enlivening the atmosphere in it.

"Haha, there are still many magical places in internal medicine! Gastroenterology is only one of the many departments of internal medicine, and the really powerful ones are still the departments of neurology, cardiovascular medicine, etc., and you can learn more when you go. ”

Director Shang laughed happily.

The other doctors in the office laughed too.

(End of chapter)