Zhou Can, Yu Xin, and Duan Zifu are actually in competition.

Logically speaking, there is no obligation to help her solve the problem.

If people do not do it for themselves, the heavens and the earth will be destroyed.

Helping a competitor is doing yourself a disservice.

"If Dr. Zhou can't help, it's okay. The patient suddenly has abdominal pain, and the condition itself is very complicated, and we can't analyze the cause, which is a normal thing. ”

Although she is a little colder, her quality is not bad.

Maybe in her opinion, Zhou Can just didn't want to help, but she didn't debunk it.

Instead, he spoke to Zhou Can under the stairs.

"After the morning meeting, I'll go to the ward to help you see how the patient is doing. Now I just listen to you say a few simple symptoms, and I really can't make an analysis and judgment. A hasty diagnosis is also irresponsible to the patient. ”

Zhou Can said with a straight face.

"Well, thank you!"

She didn't say anything more, and the three of them entered the conference room together.

Participating in the morning meeting of the department, the chief physician basically sits at the front, the attending and resident doctors in the middle, and the trainees, advanced students and interns sit at the end.

In terms of status, it must be the highest status of the regular trainees of this hospital. Fellows are the second, and interns are the worst.

Many people think that advanced students are very good.

Because most of the trainees are excellent doctors at the county and city levels, they carry the high hopes of their hometown parents and the original hospital, and come to the big hospital to increase their knowledge, learn more intelligent medical skills and go back to improve the diagnosis and treatment level of their hometown hospital.

In fact, the status of advanced students in a large hospital like Tuya is very low.

You can learn some knowledge and skills, but it is difficult to learn the core medical skills.

Soon, the room was full.

There are doctors, and there are nurses.

Everyone consciously sat apart. The nurse sits on the right and the doctor sits on the left.

I don't know if it is according to the tradition of men on the left and women on the right, or if since ancient times, the left has been honored.

The doctor's status is higher than that of the nurse, which is why he sits on the left.

Director Shang made a speech with a serious face: "I convened this morning meeting today because there was almost a major medical accident in the department yesterday. A patient with gastrointestinal bleeding started abdominal pain and blood in his stool from around 4 a.m. The doctor in charge of the bed was careless and only measured and monitored the most basic signs of the patient, but did not take effective measures in time......"

The audience was quiet, and no one dared to touch the mold at this time.

Because some of Director Shang's words are very harsh.

It can be seen that this incident made him very angry.

"In this safety incident, we must seriously criticize Dr. Zhang Hou, who is in charge of the bed."

Dr. Zhang sat among the many residents, his head bowed, not even daring to lift his head.

This is already a criticism by name in the department.

The severity is second only to the criticism of the whole hospital circular.

Speaking of which, he really wasn't wronged at all. Zhou Candu had already suggested that he should hurry up and give the patient a digestive tract angiography examination, but he didn't listen.

Maybe it's also a fluke, thinking about waiting until the senior doctor comes before making a decision.

Who knew that this delay would directly drag out the big thing.

Dr. Zhang Hou found that the patient had abdominal pain and blood in the stool, but did not report it to the senior doctor in time. Dr. Zhou Can happened to be passing by, and after seeing the situation, he suggested that the patient should be immediately examined for gastrointestinal angiography, but instead of listening, he criticized Zhou Can. This kind of bureaucratic style that is not big and powerful and powerful, as well as the work attitude of being lucky and careless about the patient's condition, must be taken as a warning. I personally hate this. ”

Dr. Zhang's face turned pale and gray.

If there was a crack in the ground, he wanted to get in.

It's a shame to make serious criticism in front of all the doctors and nurses in the department.

"For this safety incident, we must praise the new doctor Zhou Can. It was his conscientiousness and responsibility, who was anxious about the patient's urgency, and made suggestions to Dr. Zhang who was in charge of the bed under pressure before the accident. After the accident, he actively participated in the rescue, gave full play to the spirit of great love of the doctor, and finally helped the patient out of danger. It not only saves the patient's life, but also preserves the reputation that the department has accumulated so hard. These behaviors of his are worth learning from every medical staff. ”

After Director Shang finished speaking, he looked at Zhou Can who was sitting in the back row.

"Please Dr. Zhou stand up and let everyone get to know you, by the way."

Zhou Can wanted to keep a low profile, but Director Shang didn't let him keep a low profile.

This is to make him famous.

There was no way, Zhou Can could only stand up and bow to the surroundings.

"Little brother Zhou Can, I am a newcomer, please take care of my seniors. I'm done, thank you. ”

The short speech in the style of gold oil provoked everyone to hide their mouths and snicker.

Their impression of Zhou Can is also quite good.

Next, Director Shang put forward requirements for the medical safety and nursing safety of the department.

Let each group in the department screen the patients under their own management to ensure that no one is missed.

Dr. Zhang, who is in charge of the bed, is definitely not as simple as deducting the bonus of the month.

If this happens, it will have a big impact on the future.

It takes more than twice as much effort to remedy.

After the meeting ended, the melancholy between Yu Xin's eyebrows deepened.

"Dr. Zhou, could you please go to the ward and help me see the patient? If I really can't find out the reason, I will report it to Director Shang immediately. She was obviously frightened by Dr. Zhang's story.

The lessons of the past are in front of her, and she can't help but be afraid.

"Let's go! Check it out! It is said that three stinkers can top one Zhuge Liang, and the three of us will consult the patient together, and there is no reason why we can't find out the cause. Zhou Can's words made Yu Xin, who had always been cold, rarely show a smile.

The stooge's metaphor is really vivid.

When the three of them came to the ward, the 73-bed patient was lying on the bed with a weak face.

The whole person is in a very bad state.

"Did you have diarrhea just now?"

Zhou Can's ability to see and treat is not comparable to Yu Xin and Duan Zifu at all.

The practical experience he has accumulated through a lot of practice in the field far exceeds that of ordinary trainees.

The patient's face, state, expression, gaze, etc., can become the basis for his diagnosis.

"How do you know? Do you smell a foul smell? The family member next to him asked a little embarrassed.

"We didn't smell the stench, but we could see it by looking at his face and mental state." Zhou Can explained to the family.

Some patients and their families are very sensitive.

I am especially afraid of affecting other patients.

In particular, some patients who are unable to take care of themselves can only pull up the curtains of the hospital bed and solve the problem in the ward.

"You can see this by looking at your face! You Tuya's doctor is amazing! ”

After hearing this, the family members were no longer so embarrassed.

Zhou Can saw that the patient's body shook twice from time to time, and his body was covered with a quilt and covered tightly.

"Do you have to be cold?"

Zhou Can probed the patient's forehead with the back of his hand.

The temperature is a bit high, but it's not a high fever.

On the contrary, it was the patient's shivering behavior that alerted him.

Fever with chills, nausea, abdominal pain, diarrhea – all these symptoms combined to be a disaster for a patient who had just undergone surgery.

"Me, I feel cold and my stomach is very upset. I can't say it, it's like having a bad cold, but there is a little difference. Doctor...... Am I going to die? ”

The patient's mental state appears to be very nervous.

He didn't shy away from asking the doctor, would he die?

It shows that the patient is very uncomfortable at the moment.

"Don't worry, it's just a few small symptoms. Pancreatic duct stone removal surgery has been done countless times in our hospital, and the technology is very mature. Normally, you can be discharged from the hospital in a few days. ”

Zhou Can didn't dare to say too much about time.

The length of a patient's hospital stay varies from person to person.

Even if it is the same disease, with the same treatment, some people will be discharged from the hospital in two or three, and some people will need more than a week.

It is closely related to the patient's constitution, whether there is postoperative infection, and whether there are postoperative complications.

Zhou Can saw the patient's hand pressed on the left upper abdomen.

This location is slightly lower than the pericardium and should be the area where the stomach is located.

Thinking of the patient's symptoms such as nausea and diarrhea, Zhou Can secretly speculated that the patient looked like there was something wrong with the digestive system.

"Do you have stomach pain?"

He asked the patient.

"It's just a little swollen, and it's very uncomfortable when you feel nauseous and want to vomit."

As he spoke, the patient suddenly became distressed.

"Pot, get the pot."

Zhou Can hurriedly said to the family.

The family did not know why, but was worried about the patient's suffering.

Zhou Can's eyes caught a glimpse of the red basin under the bed, and he directly bent down to take it out, and then held it.

The patient struggles to get up on his side and stick his head out of the bed.

"Vomit...... Crash! ”

Some liquid filth is spit out of the patient's mouth.

Almost ejective.

The family reacted at this time and hurriedly took the basin from Zhou Can's hand.

At the same time, he also secretly admired Zhou Can's medical skills.

Whether it was by observing the patient's face and mental state, it was accurately inferred that the patient had diarrhea not long ago. At this moment, he was the first to see that the patient wanted to vomit.

The time in between is so short that the patient vomits before he even has time to speak.

Not to mention the family members of the 73 beds, even the family members of the other three beds were equally impressed when they looked at Zhou Can.

Of the same three trainees, Zhou Can performed exceptionally well.

The level of medical skills is high and low, and it is the only thing that cannot be faked.

Whether there is real ability or not, you can see the truth and falsehood when facing the patient's condition.

Zhou Can patted the patient's back to help the patient breathe.

After the patient has finished spitting, take the water and rinse the patient's mouth.

These are just small things, but these details deeply warm the hearts of patients. His family members are even more grateful to him.

Most doctors are cold and condescending to patients and their families.

There are not many doctors who can truly treat patients as family.

Doctors who say the most beautiful things on their lips.

"When did the patient have surgery yesterday?"

Zhou Can turned his head and asked Dr. Yu Xin.

"It was about half past ten yesterday morning." She can immediately answer the time when the patient leaves the operating room, which shows that she is working hard.

Zhou Can thought for a moment, and his eyes became brighter.

After the patient vomited at the moment, the whole person's condition became a little better. After spitting up, it will make the patient feel much more comfortable.

"When does the patient eat when he returns to the ward after the surgery?"

In general, you will be required to fast for more than 12 hours before surgery.

The patient vomited quite a lot of content and had diarrhea, indicating that he must have eaten after surgery.

"It's probably about four o'clock in the afternoon! I saw that my husband's surgery went very well. After the operation, he was also in good condition, so he hurried to a restaurant outside and asked the chef to make chicken soup for him to drink. In this way, the body can be nourished, and the disease will get better quickly. ”

The family reminisced and recounted the situation.

When she expressed what she thought was the right nourishing opinion, there was a little pride that I was very smart.

Zhou Can nodded, the time coincided very well with the disease he suspected.

From 4 p.m. to 7 a.m. this morning, it's about 15 hours. At about seven o'clock in the morning, he came to the ward to check on the condition of the 71-bed patient, and found the 73-bed patient humming there.

It means that the more severe symptoms have appeared at that time.

"The restaurant where you bought the chicken soup is a small restaurant, right?" Zhou Can asked the family again.

"Yes, it's a small restaurant that specializes in fast food."

"He had a pancreatic duct stone removal operation, which was already a major operation. According to the doctor's instructions, you can't eat for three to five days, and the nurse didn't tell you? ”

Zhou Can was really speechless for such a family member.

I don't take the doctor's advice seriously at all.

Many family members believe that the patient has just undergone surgery, is weak, and needs a lot of nutrition to recover quickly.

As everyone knows, there is a saying in Chinese medicine that is called "deficiency is not replenished".

It is very wrong to take a large amount of tonic immediately after recovering from a serious illness.

Immediately after the surgery, the patient is required to eat a mild, easily digestible diet. Avoid spicy, smoky, alcoholic and other irritating foods.

The patient had just undergone pancreatic stone removal surgery and was able to drink water for five or six hours after the operation, but was not allowed to eat.

Doctors will also give you some necessary nutritional support.

In fact, the family does not need to worry at all.

"Didn't you say you could drink water? I thought, there's no difference between drinking chicken soup and drinking water...... Is my husband having these serious adverse reactions because he drank chicken soup? ”

When the family heard Zhou Can's slightly reproachful words, they were immediately full of self-blame and regret.

It was a good intention, but I didn't expect to hurt my husband instead.

"Drinking chicken soup itself doesn't cause so many problems, but the chicken soup you give him might be problematic." Zhou Can had a serious face.

Yu Xin next to her only watched and listened to the whole process.

During the entire diagnosis process, she was not able to lead the interrogation like Zhou Can, and according to the clues, she asked all the things that the patients did behind the doctors and nurses' backs.

Seriously, even she, the doctor in charge of the bed, didn't know that the patient secretly drank chicken soup yesterday.

She has been emphasizing to her family that they should not eat for a week after the operation.

Deliberately prolonging the fasting for two or three days is just in case.

Who knew that the family members were smart and secretly customized chicken soup for the patients to drink.

Some young women watched the video clips on the Internet and asked their boyfriends or husbands for this and that. I can't wait for my husband to be as good as the male god in the video clip. Then the family could not be at peace.

Netizens called this phenomenon the 'poisonous chicken soup' on the Internet.

Now, the chicken soup that the family members give to the patients is a real poisonous chicken soup.

"Something wrong with the chicken soup? It shouldn't be possible! I hand-picked live chickens and let them kill them and make them! ”

The family retorted.

"Judging from the patient's symptoms, it should not be a complication after surgery, but food poisoning. Be sure to strictly follow the doctor's instructions in the future. If you have any ideas, you can ask your doctor or nurse in time. You have to believe that doctors and nurses are not the enemies of patients. We work hard to get the same goal as the families, to hope for a speedy recovery. The patient is not allowed to eat because the patient's physical condition does not allow him to eat, not because the doctor abuses the patient. ”

Zhou Can is doing the ideological work of his family members with great care.

Hopefully, she will learn her lesson in the future.

"To give an inappropriate example, it's like when your child eats junk food, you don't let him eat it. In your opinion, this is for the sake of his health, a lot of leukemia, tumors are eaten on junk food. But your child won't think so, he will only think that his mother won't let him eat delicious spicy noodles, which will make him unable to get over the addiction to his tongue again. ”

Zhou Can even gave an example to educate the family.

As soon as the words fell, the patients in the other beds spontaneously applauded Zhou Can.

"Dr. Chow said it so well! In the future, we will definitely try to understand the good intentions of doctors as much as possible. "The daughter of the 71-bed patient remained in the ward to take care of the patient.

She has always had a good impression of Zhou Can and has a high degree of trust.

At this moment, he was the first to help Zhou Can speak.

"Thank you all for your recognition. We doctors are by no means enemies of patients and their families, we are comrades-in-arms, fighting together to eradicate the diseases of patients. The family members have given us the greatest trust and understanding to the doctors, and we are most pleased to see the patients recover and be discharged from the hospital. ”

Zhou Can said to the family members and patients in the ward.

Through this incident, family members and patients can understand the doctor more, which is a good thing.

"Dr. Zhou, what type of food poisoning is this patient in?"

When Yu Xin looked at Zhou Can at this moment, her eyes revealed sincere admiration.

Whether it is medical skills or medical ethics, she has been deeply infected.

All her previous pride, compared to Zhou Can, is like the light of fireflies competing with the bright moon. The two are too far apart.

"If I'm not mistaken, it's probably Salmonella. Salmonella is most likely to lurk in chickens, and if the salmonella inside the chicken is not killed by high temperatures during cooking, infection can occur after eating. ”

Zhou Can said his diagnosis.

Whether this is the result or not needs to be checked to be sure.

(End of chapter)