First of all, find out all the conditions such as the patient's condition, medical history, and symptoms. Then find a way to formulate the surgery, which will be more targeted.

This is also Zhou Can's first battle after entering the Department of Gastroenterology.

In the morning, the patient with gastrointestinal bleeding was rescued, and he just voted for it.

Now is the time to really fight for fame and establish your status.

However, the difficulty of treating this patient is simply hellish.

Not to mention Zhou Can, even Director Shang may not be sure.

Zhou Can took advantage of the time when the woman went to get other information, measured the basic signs of the patient and recorded them.

Leaving the patient to him alone means that he has to do everything himself.

The patient's condition looks pretty bad.

Unable to eat for several months, they can only rely on intravenous drip to get nutritional injections, which is not only costly, but also a huge torture for patients. The whole person has been thinned into skin and bones, and the joints of the ribs, hands and feet are especially obvious.

Hanging only nutrient solution for a long time to maintain life, and not being able to eat through the mouth, will also cause the mucosa of the gastrointestinal tract to atrophy. Intestinal villi will become shorter.

Even if the surgery opens the passage between the esophagus and jejunum, it will take a long time for the patient to adjust to the way the mouth eats.

"Let go, please let go!"

At this time, another patient walked into the ward led by nurses and doctors.

Zhou Can glanced at the empty bed No. 72 next to him.

It seems that the patient of bed number 71 came to the neighbor.

"Hey, this doctor is very faceless! New to Dr. Zhou Can? ”

The young doctor instructed the family to settle the patient in bed No. 72, and then raised his eyes to greet Zhou Can.

"I'm Zhou Can, may I ask your surname?"

Zhou Can responded with a smile.

"Duanzi is rich! Also a trainee from Dr. Shang's group, it's a pleasure to meet you! ”

The other party's personality should be very cheerful, and he took the initiative to smile and step forward to shake hands with Zhou Can.

There should be quite a few doctors under Director Shang.

The stronger medical team, including interns, regular training, and advanced students, often has more than ten or twenty people.

Zhou Can has ever seen the most powerful chief physician, with eleven interns at the most. In addition to the trainees, resident doctors, and attending physicians, the total number of people is nearly 20 people.

Such a medical team has a very strong executive power.

Normally, a small medical team has only three or four doctors.

There is even the possibility of a fault.

For example, the chief physician has only one or two resident physicians to work, and there is no attending physician.

A strong medical team is not so easy to build.

Needless to say, private hospitals are all about profit. In fact, public hospitals also attach great importance to performance, and it is impossible for hospitals to support idlers.

Therefore, there is often a key element to be able to bring out a strong medical team, and it requires a particularly good 'leader'.

Director Shang belongs to the famous doctors of Tuya Hospital, and he has his own flow, and the number of patients is basically enough.

This is the key to keeping a large team alive.

Zhou Can shook hands with Duan Zifu, this guy was very enthusiastic.

"Fortunately, I will be lucky!"

He felt that the other party's hand was soft, and he shook it vigorously, but the force was on the small side. Generally speaking, people who are too soft when shaking hands have a more indecisive personality.

Of course, this is just Zhou Can's personal experience.

The age of the other party should be close to thirty years old.

At this age, he was mixed with regular training, either a graduate student, or a social doctor, like Jin Mingxi, who was admitted by taking the regular training recruitment examination.

Either way, it's pretty remarkable.

"What is this patient in Dr. Duan's care?"

"Gallstones. Today, he will be admitted to the hospital and ready to arrange interventional surgery. ”

Dr. Duan directly showed the patient's examination data and medical records to Zhou Can.

"There are only three trainees in our group, and one surnamed Yu is a beautiful doctor. Please take care of Dr. Zhou in the future! Of course, there is a competitive mechanism within the group, and normal competition must be there. ”

This guy's words amused Zhou Can.

Competition does not mean that you have to be enemies, but that you can help each other.

Duan Zifu's ideological realm is quite high.

"Hehe, you're right."

Zhou Can quickly read the patient information of the 72 beds. It's just an ordinary gallstone, which can be completely solved by interventional surgery.

After all, it's not the patient you are responsible for, just get to know it roughly.

This patient doesn't have much learning value.

It's a very ordinary case.

"The patient in bed 74 is also under my control, and he has achalasia, difficulty swallowing, and often regurgitates and vomits after eating. I have seen it in two tertiary hospitals, but I don't dare to operate on her. Director Shang also heard that the patients came from far away, which was not easy, and after careful examination, he decided to be hospitalized. ”

Dr. Duan introduced Zhou Can to another patient.

There are a total of four beds in this ward, and the patient in bed 73 does not know who is in charge?

Dr. Duan skipped this bed to make an introduction, and it was definitely not his responsibility.

Achalasia is a relatively difficult disease to treat, and the causes of its formation are varied.

Zhou Can had such an operation.

I have a deep understanding of this disease.

There is no complete cure for the disease. In general, surgical treatment can achieve satisfactory results.

This is the Department of Gastroenterology, Director Shang has admitted the patient, and this is going to invite a doctor from the general surgery department to come over for surgery? Or are you going to be treated with medication?

The exact circumstances are unknown.

However, for patients with this disease, gastroenterology is generally the first choice.

"If I am not there, if there is any condition of the patients in these two beds, I will ask Dr. Zhou to take care of them on my behalf."

"It's easy to say, it's easy to say!"

Zhou Can readily agreed.

Everyone is a group of doctors, and they really have this obligation.

While chatting, a young female doctor about 1.6 meters tall walked into the ward with a stethoscope. With shawl hair, delicate eyebrows, and quite handsome.

is frowning slightly, her face is a little cold, and she lacks temperature, very much like the legendary cold female doctor.

"She is Dr. Yu Xin, in the same group, 73 beds are in her charge."

Duan Zifu quietly introduced to Zhou Can.

When the female doctor passed by, Duan Zifu squeezed out a bright smile and took the initiative to greet him: "Doctor Yu, is this a measure for the patient?" If you're busy, you can leave it to me. Ensure that the patient's basic signs are recorded clearly and clearly on time. ”

Internal medicine is mainly based on drug treatment.

The management of inpatients is more stringent.

In particular, the changes in physical signs after medication and whether there are uncomfortable symptoms need to be recorded in time.

Some dangerous prescription drugs are used, and it is necessary for the doctor in charge of the bed to frequently go to the ward to do a good job of monitoring.

"No, thank you!"

Her tone was cold.

Zhou Can originally thought that everyone was a doctor in the same group, and there were only three trainees in total, so he would say hello to her and get to know her.

Seeing her so cold, think about it or forget it.

Take a hot face to stick to someone's cold ass, you can't scratch it.

"Doctor Yu, there is a new trainee in our group, do you know?" No matter how cold her attitude is, it doesn't affect Duan Zifu's enthusiasm at all.

Zhou Can is a person who has come over, and at a glance, he understands that Duan Zifu has thoughts about this Dr. Yu.

Thirty years old, he is already an older youth.

If you don't marry a wife, you're a little anxious.

"Hmm!"

She just snorted coldly.

"Oh, that's him. His name is Zhou Can, I heard that it is very powerful, and he just came to report this morning and successfully rescued a patient with gastrointestinal bleeding. "Duan Zifu exerts a cheeky spirit.

I have nothing to say.

Anyway, I want to talk to her more.

"Oh!"

She still answered in a cold tone, and then lowered her head to concentrate on taking the patient's temperature, pulse and other basic signs. Look at the speed of the infusion, and the amount remaining.

"I told Dr. Zhou that the three of us will take care of each other in the future, and at the same time, we will have to keep competing. Dr. Chow agreed. ”

Duan Zifu continued to stick it cheekily.

"Hmm!"

Her attitude is that even fools can see it, and she doesn't want to talk to Duan Zifu.

It's just that the joke is as rich as a piece of kraft candy, sticking to her.

Zhou Can couldn't stand it anymore.

At this time, the daughter of the 71-bed patient came back with the information, and after Zhou Can took it, he walked out of the ward directly.

My Fair Lady, Gentleman.

Let Duan Zifu, a single dog, beg slowly. Anyway, Zhou Can already has a top girlfriend, so he doesn't have to worry about finding a wife.

Back in the office, he began to carefully review the patient's examination report and treatment records at the hospital.

For patients like this who have undergone multiple failed surgeries, we can look back at their pre-surgical examinations and learn more about what surgeries were performed and what changes occurred after the surgery. This will be of great help to the patient in subsequent treatment.

At least let Zhou Can know in his heart and avoid stepping on the pit.

……

Until the end of work, he was not assigned a new patient.

Director Shang's arrangements for his subordinate doctors are very measured.

The intention is also extremely obvious.

is to deliberately arrange a difficult patient to be in charge of Zhou Can, wanting to take this opportunity to touch Zhou Can's bottom.

If he can make achievements in this difficult case, it means that Zhou Can's strength is even stronger than rumored. In the next two months of regular training, you can directly use Zhou Can as an attending physician.

Even if Zhou Can has been performing well, it is possible that he will be directly used by Director Shang as the deputy chief physician.

When he was training in general surgery, Zhou Can was used by Liu Lao as the chief physician.

Various tertiary surgeries are directly decentralized.

The management of beds and the diagnosis of difficult cases also attach great importance to Zhou Can's opinions.

After getting off work, Zhou Can also went to the ward on purpose, and saw that the patient's signs were stable, so he was relieved to complete the handover. Patients will be managed by the doctor on call in the evenings.

Interns are generally not assigned to work night shifts individually.

To be honest, when things really happen, interns can't handle it alone.

In such a large department as the Department of Gastroenterology, at least one attending officer will be on duty at night.

Because of their age and high status, the chief physician and deputy chief physician usually rarely participate in the evening duty.

This is also an unspoken rule of the hospital.

However, when the doctor on duty encounters an unexpected situation that cannot be handled, or the patient's condition deteriorates rapidly, he will basically immediately call the chief physician and deputy chief physician for help.

At this time, the chief physicians, with an average age of 50 years and above, could only crawl out of the warm bed and rush to the hospital as quickly as possible to participate in the rescue.

As soon as I walked downstairs to the apartment, I saw a familiar BMW parked there.

His girlfriend came to see him again.

Quickly stepped forward, and in the car, the female bodyguard Wei Fang sat in the driver's seat. Su Qianqian sat in the back row.

"Honey, it's time to get off work!"

Su Qianqian doesn't call him Chan now, but calls him dear more often.

"Didn't you say that there was a concert tomorrow? There's still time to come and see me today! Zhou Can naturally held her hand. Wei Fang, do you want to go up and sit down? ”

In fact, this is a polite question.

Wei Fang is very knowledgeable and has never been a light bulb for the two.

Sometimes, Su Qianqian is in a hurry, but he wants to meet Zhou Can to relieve the pain of lovesickness. He would park his car in the parking lot of the hospital or downstairs in the apartment and wait for Zhou Can to come over.

She won't go upstairs, and will stay in the car with Zhou Can for a while.

Wei Fang will also consciously stay outside the car.

In general, Wei Fang, the female bodyguard, still satisfied Zhou Can. A long time ago, after Li Xuan knew that Wei Fang was the female bodyguard that Zhou Can invited to Su Qianqian, he said that the company would pay Wei Fang's salary.

However, he was rejected by Zhou Can.

Because only if he pays to hire Wei Fang, can he guarantee her loyalty.

This trick was taught to him by his parents since he was a child.

They told Zhou Can that whoever paid the wages to the workers was the workers' food and clothing. Workers will only listen to the one who pays the wages.

If Jinyu Interactive pays Wei Fang's salary, and the company arranges Wei Fang to do other things, Wei Fang can't refuse.

This makes it difficult to protect Su Qianqian's safety at all times.

In many cases, accidents occur in a split second, and because of a small loophole, it may be caught by those lawbreakers.

Especially Su Qianqian's fame is very big now, and there are too many people who beat her idea.

"I'm not going, I'll wait for Miss Su in the car!"

Wei Fang smiled and refused.

Since the last time she received professional security training and self-combat learning, her whole person has become more ruthless.

Only when she is with Zhou Can, Su Qianqian, and her grandmother will she show this kind of smile.

Usually he is basically expressionless, and he looks extremely cold.

Zhou Can led Su Qianqian upstairs, and Jin Mingxi hadn't come back yet.

Recently, Jin Mingxi has either been on duty at night or has come back late. Sometimes, while lying in bed, I will keep texting others.

And seeing that he was full of red light and proud of the spring breeze, Zhou Can secretly guessed that Jin Mingxi was likely to cross the thunder pool with the female classmate named Ye Zi, and something that shouldn't have happened.

However, this is just Zhou Can's speculation, and there is no real evidence.

Besides, he will not interfere in other people's private lives.

Even if Jin Mingxi wants to divorce his wife, Zhou Can won't care too much.

Jin Mingxi has been in the provincial capital for almost two years, but he has never seen his wife and children coming.

He only went home for the Chinese New Year last year.

I can only say that my sister-in-law's heart is really big.

Men are fishy cats, and if you stay alone for a long time, your resistance to temptation will plummet.

After entering the apartment, Su Qianqian took the initiative to close the door.

Zhou Can thought that she wanted something to happen, and her heart was excited.

Who knew that after Su Qianqian sat in his arms, his tone was full of worry, "Can, there is something I don't know if I should tell you or not!" ”

"Do you need to talk about that? Tell me, of course! As you said, we have to be honest with each other, so that we can trust each other. Zhou Can put his arms around her and turned her around, and the two looked at each other.

In fact, this posture is quite ambiguous.

It's a lover who has entered the marriage talk, but it's nothing.

She looks even more beautiful now than before.

In particular, the strong self-confidence that exudes from the inside out makes her temperament even more outstanding.

Compared with Yu Xin, the cold female doctor in the department, the gap is really not half a star.

The big star itself has also done more various maintenance.

Coupled with a professional makeup and image design team, Su Qianqian was originally a big beauty, so she naturally became more stunning and charming.

A smile and a smile are very charming.

"This matter is related to the friendship between you and Mr. Li, and I just heard some rumors, which may not be true. It is also unclear what Mr. Li will do. ”

Her tone was particularly serious, and her pretty face was full of worry.

(End of chapter)