In fact, the vast majority of people are very responsible, kind and simple in their hearts.

This female patient has a strong self-esteem and would rather go hungry than eat the food given by Zhou Can in vain.

How nice it would be if it weren't for the non-humans!

He was tortured and abused like this at a young age. If she had escaped from that devilish man in time, she might not have ended up like this.

In this era when there are more men and fewer women, with her conditions, she can find a reliable and good man and live a happy life.

Zhou Can comforted her and didn't say anything more.

After going to the cafeteria to eat, I brought her a packed meal.

"Chen Xiaohong, I don't know if these meals are to your taste. Before your mother comes, you can only be wronged. ”

Zhou Can put the meal on her bedside table.

Although her current state is very weak, she has no problem taking care of herself.

This is also the reason why the inpatient department will agree to admit her to the ward without her accompaniment.

"You...... Why did you really buy me food! Me, I don't have any money on me now, can I give it to you when the time comes? ”

The female patient was so moved that she was incoherent.

The doctor's duty is to see and treat the patient, and he has no obligation to take care of the patient at all.

"How much it hurts to raise money! When your illness is cured, there will be a chance in the future, I will go to your hometown, and you will treat me to a good meal, won't it be settled? Hurry up and eat it! You're hungry and know what happens to a tumor in your stomach? ”

Zhou Can asked her with a serious face.

"What will happen?"

She would get up, open the food box, and see the hot food, and suddenly her nose would be sour and her eyes would be filled with tears.

But I felt very warm in my heart.

It's been a long time since she's been cared for.

"Every time you get hungry, a stomach tumor grows by a tenth. You only need to be hungry for ten meals, and it can double in size. ”

Zhou Can made up a white lie in a serious way.

It is true that skipping meals will cause the body to become weaker, the immunity will also decrease, and the cancer cells will spread faster.

As for the ten meals of hunger, the tumor doubled, which was purely made up by Zhou Can.

"It turns out that skipping meals will have such serious consequences!" She apparently believed it.

"The actual consequences are more serious than this one could be. So, in the future, you must eat on time and mix nutrition reasonably. Let me tell you, people live in this world, except for life and death, everything else is trivial. Your stomach tumor is still only stage II, and with the right treatment in time, the results will definitely be very good. Come on! ”

Zhou Can cheered her up.

"Hmm!"

She bit her lip and tried not to cry herself.

Zhou Can walked to bed 79.

At this time, there was a middle-aged woman about the same age as the female lawyer in front of the bed. I don't know if it's an illusion, Zhou Can actually sensed the doctor's breath from this woman.

Could it be that she is also a medical worker?

"This is my good friend Cao Shan, who heard that I was hospitalized here, and she came to see me."

The female lawyer smiled and took the initiative to introduce the woman's identity to Zhou Can.

"Hello, Ms. Cao!"

Zhou Can politely greeted the middle-aged woman.

Cao Shan stood up and took the initiative to stretch out her hand, "Hello!" Nice to meet you, ambiguous young doctor! After the two shook hands politely, Zhou Can was about to ask the female lawyer if she had diarrhea.

Cao Shan lowered her voice and said, "I have never seen in medical journals and scriptures that starvation will double the size of tumors!" The doctor pays for the patient's own food, and uses white lies to trick her into eating, you are the warmest doctor I have ever met. ”

Sure enough, it's a colleague.

I just don't know which hospital she is a doctor in?

It shouldn't be a doctor from Tuya Hospital.

Otherwise, she should wear the hospital's overalls.

"You've won a prize!"

After Zhou Can responded lightly, his eyes looked at the female lawyer again.

"Ms. Gong, I would like to ask if you have had diarrhea recently?"

Now that she's finished eating, it shouldn't be wrong to ask about it.

"Occasionally, diarrhea occurs. Especially a while ago, I would have diarrhea almost every three or five months. Later, I bought antidiarrheal medicine and took it, and it was much better. ”

She didn't mention it in the medical history.

Many patients ignore such problems.

Only when you have diarrhea at the time of consultation will you take the initiative to report to the doctor.

And it must be persistent diarrhea to alert the patient. Occasionally pull the stomach once or twice, and the patient will not pay attention to it.

Zhou Can got the answer he wanted, and he didn't delay any longer, and hurried back to the ward to supplement the patient's information.

At one o'clock in the afternoon, I had to follow Director Shang to the outpatient clinic, and I had to hurry up.

"Another symptom of diarrhea, what is the real cause of this female lawyer?"

Zhou Can racked his brains to speculate on the true cause of her illness.

While pondering, a symptom that matched the cause of the disease suddenly flashed in his mind. Portal vein thrombosis.

It is a relatively rare disease.

Portal vein thrombosis can occur in any segment of the portal vein.

The etiology of the vast majority of cases is unknown.

From current clinical experience, this disease may be associated with systemic or local infection of purulent portal phlebitis, cholecystitis, lymphadenitis of adjacent sites, pancreatitis, and liver abscess.

Portal vein thrombosis is also thought to be associated with varicose veins.

The diagnosis of this disease is quite difficult.

It is possible for many older doctors to ignore its existence.

Both ultrasound and CT can theoretically detect this disease. At least some experienced doctors can see some clues.

However, to confirm the diagnosis, an angiogram or MRI must be done.

Angiography is generally preferred.

Depending on the site, splenic portal vein or superior mesenteric arteriography may be done. The venous phase of the contrast can be used to confirm whether the patient has a portal vein thrombosis.

Compared with common cardiovascular artery and cranial artery thrombosis, portal vein thrombosis is more like a silent killer.

After it has a blood clot, some patients have a strong tolerance, and can even delay a long time before going to the hospital for treatment.

There are also acute and severe types, and after the thrombosis occurs, the patient is directly sent to the hospital for rescue.

Such patients will have severe abdominal pain around the umbilicus and paroxysmal, mostly accompanied by obvious nausea, vomiting, blood in the stool, vomiting blood, diarrhea and other emergencies.

The female lawyer had been ill for at least a month, and she appeared to have only mild symptoms that were not particularly serious.

Zhou Can was not sure if she had this disease.

Later, you can follow Director Shang to sit for a consultation, find a chance to discuss with him, and maybe get an answer.

At the very least, patients can be advised to have an angiography test.

When diagnosing such an incurable disease, the hospital basically does not consider whether the prescribed examination is excessive. As long as the attending physician believes that the relevant tests are beneficial to diagnose the cause of the disease and will not cause serious harm to the patient, then the doctor can apply for it.

Zhou Can thought that it would take an afternoon to go to the outpatient clinic, and the 77-bed stomach cancer patients and 79-bed liver cirrhosis patients were not acute or serious, and the signs were stable, so there was no need to worry too much.

The 71-bed patient with esophageal anastomotic leakage and anastomotic occlusion is an unstable factor.

Zhou Can decided to be diligent and go to the ward to see the situation.

If there are no problems, at least you can rest assured.

When I arrived at the ward, the nurse was giving nutritional injections to patients in bed 71. Intravenous nutrition is also the only way the patient is currently sustaining his life.

Because the section from his esophagus to the jejunum was blocked, he couldn't eat anything.

Even his own saliva has to be spit out in time.

The pain is clear only to the patient himself.

The arrival of Zhou Can made the patients and their families of 71 beds very happy. Because Zhou Can's diagnosis of 73 bed patients is very good, it is enough to prove that Zhou Can's diagnosis level is extremely high.

"Doctor Zhou, you're here!"

The family has great respect for Zhou Can.

Because Zhou Can has already shown a very high level of medical skills.

"Is the situation alright? Surgery can be arranged tomorrow, and you must cover the quilt when you sleep at night, and you must not catch a cold. ”

Zhou Can told his family.

Bend down to check on the patient.

Not bad, except for the weakness, the patient's vital signs are quite stable.

Theoretically, even if you stay in the hospital for a few more days, it is unlikely that your condition will deteriorate immediately, let alone an afternoon.

After Zhou Can looked at the patients he managed, his eyes subconsciously looked at the other beds.

promised Duan Zifu and Yu Xin, everyone is the same group of doctors, and they should help each other when the other party is not there.

Yu Xin's attitude towards him now has also undergone a 180-degree change.

It's no longer the kind of cold face she had before, as if someone owes her millions.

The pancreatic duct stone removal patient in bed 73 is the focus of Zhou Can's investigation.

After rehydration, the patient's condition improved.

However, it still looks like the abdominal pain is unbearable.

"Doctor Zhou, my husband has had more than ten stomach pulls in the morning, and the whole person is prostration. Is it really okay to do without medication? ”

The family asked Zhou Can.

Compared with Yu Xin, the family is more willing to believe in Zhou Can.

Almost all family members have this virtue. Whoever is more skilled will be trusted.

"Judging by his physical records, it should be pretty good at the moment. The third immune mechanism in his body seems to have been activated, and it is believed that by six or seven o'clock in the afternoon, his condition will take a turn for the better. ”

After Zhou Can checked the patient's condition, he gave an explanation.

When inactivated macrophages are reactivated by helper cells, they more than double in size and move more rapidly. It can also release highly toxic substances that have terrifying lethality to Salmonella.

Salmonella can't defeat the macrophages at this time, and it will soon be completely defeated, and finally completely defeated and destroyed by the body's immune system.

There is hardly any suspense about victory.

If the patient does not get better until tomorrow, then the drug must be decisive.

Because that means the patient has serious complications. For example, typhoid fever and sepsis are serious diseases.

At this time, the body is equivalent to a multi-faceted battle, and the defense system directly collapses.

Without the use of pharmacological intervention, patients can die very quickly.

"Okay then! We'll just wait and see! ”

The family still trusted Zhou Can's words and agreed to Zhou Can's proposal.

"Did you know? In fact, every time our human body's immune mechanism is activated and successfully destroys germs or diseases, the immune system is equivalent to a military training, and it will become more powerful. At present, with the improvement of the medical level in our country, all pediatricians have reached a consensus that babies should not be treated with drugs as soon as they have a cold, especially antibiotics must not be abused. ”

"Instead, try to use the baby's immune system and the antibodies contained in breast milk to fight colds. As long as they can get through it, the baby's immune system will be stronger than before. After exercising like this a few times, by the time the baby is weaned at the age of one, they will be able to adapt well to the complex environment of this world. ”

"Your husband is an adult, but every time you exercise your immune system, it gets stronger, and that doesn't change."

Zhou Can said to the family.

These theories may not be accepted or understood by family members.

However, as a doctor, it is a good deed and a very meaningful thing to properly educate family members about useful basic medical knowledge.

The people of China are now more and more health-conscious, which is the result of the joint efforts of doctors.

Today, a little bit of science, tomorrow a little bit of science, slowly, the people learn more and more medical knowledge. When they go back, they will spread the word to their family and friends.

In this way, the health awareness of the whole population has increased.

In the past, few people would exercise in the morning and evening, and now they have almost set off a wave of national fitness.

And there are more and more participants, and more and more people are exercising.

At present, the misuse of antibiotics has also been controlled to some extent.

Ordinary people with a little medical knowledge will no longer run to a small clinic for infusion and drip as soon as they get sick. Because they have understood the consequences of antibiotic misuse.

These are all good signs.

After Zhou Can finished inspecting the 73-bed patient, he looked at the family members.

"It is recommended that you also do a salmonella infection screening in time, which does not cost much and the examination process will not be very painful. Otherwise, if there is a problem, it can cause a lot of damage. ”

Zhou Can said to her.

"It's okay! I'm fine so far! Besides, even if my husband is infected with salmonella, don't you just give him some fluids? There is no need for medication or anything. I'm a healthy person, and if I'm really infected, I can fight it. ”

Families are reluctant to spend more money.

Wanyan rejected Zhou Can's proposal.

Zhou Can didn't say anything more.

If he persuaded him again, his family thought that he was getting a commission for the examination.

In fact, he is now just a regular trainee, Mao's commission. All you get every month is your basic salary.

I really suspect that the hospital has a three-year training plan just to save the cost of employment.

Zhou Can returned to the office, but Director Shang did not come in person. Instead, he asked the nurse to call him, and if there was no urgent matter at hand, he immediately rushed to the No. 1 special needs specialist office in the outpatient clinic.

Director Shang is the No. 1 special needs expert clinic of the Department of Gastroenterology, which shows that he is the strongest chief physician in the Department of Gastroenterology in terms of strength and status.

Zhou Can found the doctor in charge of the bed and explained, and then hurried to the outpatient clinic.

The doctor in charge of the bed is generally nominally a doctor at the attending level, but in practice, it is common for the general inpatient to hold this substantive position.

The general inpatient is a delicate person, and when he heard Director Shang ask Zhou Can to go to the outpatient clinic to follow him, in addition to envy, he also looked at Zhou Can even more.

full of promises, let Zhou Can rest assured to study.

This kind of invisible status still makes Zhou Can feel quite refreshed.

For a whole year as an intern, he was always called and drunk like a grandson in the hospital. Sometimes there are all kinds of scolding.

Now, at the level of hospitalization, he is polite.

(End of chapter)