Luo Shengsheng from the Department of Gastroenterology basically responded to Zhou Can's needs.

This kind of special treatment can only be enjoyed by Zhou Can, a regular trainee.

Don't underestimate the convenience that comes with invisible status, many times it can be of great help. Needless to say, there are other doctors and nurses to help keep an eye on the patients, and you can sleep in the duty room at night.

Some trainees need to work 36 hours a day, and this kind of super-intense long-term continuous work, if you don't take a few naps in the middle of the way, even the iron man can't resist.

You can sleep for a few hours while on duty, and only come back to life the next day with full blood.

Sudden death can also be prevented.

……

He went straight to the No. 1 Special Needs Specialist Clinic. Even though it's not yet 1 p.m. for work, the corridors outside and the waiting hall further outside are already crowded with patients.

The standard of living of modern people has improved, but the number of digestive tract diseases caused by eating and drinking has also increased.

There is also because I am busy with work, I often miss meals and deal with them hastily.

Over time, various problems will arise in the digestive tract.

The most common are stomach ulcers, enteritis, etc.

As everyone knows, stomach ulcers can greatly increase the risk of stomach cancer.

Not to mention eating and drinking indiscriminately, it will increase the burden on the body. The risk of liver, kidney, cardiovascular and other diseases will be greatly increased.

Zhou Can's time to come was just right.

Director Shang also brought an outpatient nurse, an assistant doctor, and three graduate students.

The chief physician of the hospital, as long as the academic strength is a little stronger, is basically an associate professor and a professor level. While practicing medicine in the hospital, he also teaches and educates people at Tuya Medical College.

Generally speaking, the assistant doctors brought by the chief physician when he is in the clinic are generally the key training objects.

It can be understood as teaching as a personal disciple.

There is a saying in medicine that says if you want to treat a disease, you must first see a doctor.

All procedures are based on the diagnosis of the patient, the identification of the cause, and then the corresponding treatment.

If you can't even figure out what kind of disease the patient has and where the lesion is, it is very likely that one person will be treated and one will die, and two will die and one pair will be treated.

The hospital has its own mechanism for cultivating new talents.

Under normal circumstances, they will first practice in the ward for one year, and train for one to three years, and after accumulating a certain amount of experience in various reception processes and the treatment of various diseases, they can gradually follow the teacher to the outpatient clinic to learn.

It must be mentioned here that the inpatient physician usually only has one opportunity a week to visit the outpatient clinic.

That is, one day of consultation.

The chief physician or the well-known attending physician or deputy chief physician of the hospital all wish that they sit for consultation 24 hours a day.

In fact, because of various work, meetings, and scientific research, they are too busy to have time, and they often need the hospital to set a mandatory time for them to sit for a few days a week.

For example, Director Shang is required to sit for no less than two days a week, but Director Shang is very busy. The patients who are admitted, the attending physicians under him, and the resident doctors who cannot handle them, must be handled by him personally.

I also have to engage in scientific research, go to the college to take classes, take students, perform interventional surgeries on patients, participate in various conferences, go to other departments and even other hospitals, and so on.

He's just too busy.

Therefore, I can only make arrangements for the week's itinerary, and if I have time on Monday morning, I will sit for half a day in the morning. I can squeeze in time on Tuesday afternoon, and then I can sit for half a day on Tuesday afternoon.

Therefore, when patients register, they often find that experts and professors are fighting guerrilla warfare, sitting in the clinic from time to time.

In fact, these national treasure-level chief physicians are already trying to squeeze out time to complete the outpatient task.

Zhou Can is a regular trainee and can follow the chief physician for consultation, which is a reward given to him by Director Shang.

It is also a recognition of his work attitude and strength.

"Doctor Zhou has been waiting for a long time, right?"

Director Shang greeted him with a kind smile.

"I've just arrived, too. Along the way, the corridors and waiting halls were full of people, and I never thought that the outpatient volume of the gastroenterology department was so terrifying! ”

Zhou Can's purpose in chatting like this is to liven up the atmosphere.

Don't talk to death.

"Huh! The afternoon is good, but the morning outpatient volume is larger. Whether a department develops well or not can actually be reflected in the outpatient volume. Since the Department of Gastroenterology in Tuya created endoscopy and interventional surgery separately, the overall satisfaction of patients with us is quite good. Word of mouth has led to today's situation. ”

Director Shang is the leader of the Department of Gastroenterology.

When it comes to the outpatient volume of the department, his face and eyes are full of pride and pride.

This is the prosperity that he has only achieved after years of painstaking operation.

It is also a satisfactory answer sheet that he has handed over by the leadership of the Department of Gastroenterology over the years.

"Oh, by the way, I'll introduce you to you. This is Zhou Can, a resident trainee who has been transferred to our department. This is Huang Xinggui, the attending physician in the anorectal field of the Department of Gastroenterology. The three of them are graduate students I took with me, Qiu Chengyu, Xie Lin, and Luo Jingyi. ”

It is said that the number of female doctors in internal medicine is considerable.

Of the three graduate students led by Director Shang, two are women, which seems to be true to rumors.

"Hello, it's a pleasure to meet you, please take care of me in the future!"

Zhou Can put his posture very low, even if he was very polite to the three graduate students.

"Hello!"

"Dr. Zhou is very handsome!"

"If you have difficult problems in the anorectal field in the future, you are welcome to discuss with me at any time!"

Three of the four were warm and friendly to Zhou Can.

Only the male graduate student with a horse face was more indifferent to Zhou Can.

Some people are naturally disinclined to talk and are introverted and silent. Zhou Can didn't care about this.

Several people walked into the consultation room together behind Director Shang.

Patients and their families who were waiting in line outside the door were overjoyed when they saw that the specialist had come to work.

The area of the consultation room is not large, only about 20 square meters.

A rudimentary bed is placed against the wall, which can be used when the patient needs to lie down for an examination.

There is a circular curtain above the bed.

As long as the curtain is pulled together, a private space can be formed.

If the patient needs to be examined for some private parts, the doctor will often close the curtain.

However, when doing an examination in a hospital, sometimes it is necessary for the patient to cooperate bravely.

Try to be as sick as possible.

For example, when Zhou Can sat with Liu Lao, he encountered a female patient with breast disease, who needed to check and even press the patient's lesion with his hand. In this case, there is generally not much privacy protection.

Anyway, there are only family members, patients in the consultation room, and the physicians and auxiliary physicians who sit in the consultation.

In exceptional cases, an outpatient nurse will be assisted.

"Dr. Huang was my assistant, and the four of you studied next to me, while Xie Lin took notes and entered the examination application and other data into the computer. For the time being, Zhou Can will pick up and drop off the patient. ”

After taking a seat, Director Shang made a clear division of labor arrangement.

Now, even township health centers can basically achieve data networking such as drug prescribing and examination applications.

Each department can directly view the corresponding information.

Feeding this information into a computer is mostly done by young doctors.

That's why older doctors like to take their students.

All kinds of chores need the help of these young doctors. Teachers can also get tangible benefits and convenience from it.

Picking up and dropping off patients is a poor chore.

Let Zhou Can do it, which also faintly indicates that Zhou Can's status in Director Shang's mind is not high. At least lower than the attending physician Huang Xinggui and the three graduate students.

And that's okay.

What Zhou Can is best at is to quickly emerge in adversity, rise step by step, and get the respect of senior doctors.

He is fully confident of surpassing these opponents.

"Knock knock!"

There was a knock on the door outside, and without Director Shang's instructions, Zhou Can took the initiative to walk over and open the door.

Patients and family members walked into the consultation room.

Zhou Can closed the door.

The process of a doctor's consultation with a patient is usually a one-on-one service.

It's impossible to fill a small clinic with patients.

The patients waiting outside the door are quite knowledgeable about the rules and training, and they do not forcibly rush in. They are all polite to wait outside the clinic.

"Doctor, please help my daughter! Recently, she has been saying that her stomach is bloated, and the amount of food she eats is much less than before. Sometimes I would cry out about stomach pain. ”

The family member is a middle-aged woman in her 40s who came with her 18 or 9-year-old daughter.

In general, young people are in good health.

Her presence in these abnormalities is a sign that something may be wrong.

"Have you been tested at another hospital?"

"Nope! We are here for your fame, and Grandma Wang in the same community praises your medical skills. My colleague also said that looking for you cured years of stomach pain. My family is such a child, I am very afraid that she has three longs and two shorts, please be careful. ”

Family members are here to visit.

Famous doctors basically accumulate fame little by little, and the cured patients are passed on by word of mouth.

Coupled with the publicity of the hospital, and then he has excellent skills in this field, he was able to erect a famous doctor plaque.

The whole process is full of hardships.

"Girl, what is the condition of a swollen belly? For example, do you feel bloated after eating, or do you have irregular bloating? ”

Director Shang asked the patient kindly.

The eighteen- or nineteen-year-old girl looked quite shy.

"Hmm...... It's just that sometimes I feel bloated in my stomach, and I feel bloated all the time. Sometimes it can even last from morning to afternoon, or from late afternoon to evening. ”

Director Shang continued to ask while taking notes.

"Your mother said you ate less than before, did you have no appetite, or did you eat snacks behind your back?"

"No, no, I don't snack much now. I used to eat a lot. Now when it comes to meals, I feel very hungry, but after a few bites of food, I feel full. By the way, bloating seems to happen most of the time after eating. Sometimes I feel nauseous and belching for no reason, but I feel uncomfortable. ”

She described some of her symptoms.

Director Shang nodded.

"Luo Jingyi, take her blood pressure, body temperature, pulse and other signs."

The more doctors you have, the better.

It is possible to arrange multiple people to work at the same time, and it will be more efficient.

"Girl, do you feel bloated right now?"

Director Shang continued to consult the patient.

"Well, a little."

"Which part?"

"Well, this is it."

Soon, the physical signs were measured. The basic physical examination and consultation are also done.

Zhou Can saw the physical examination column, and Director Shang gave an evaluation of malnutrition.

This girl is really skinny.

I believe that those aunts who weigh more than 130 pounds per capita will be very envious of the little girl's slender figure.

"Well, the patient's symptoms, basic signs, medical history and other information have basically been collected. The four of you talk about it, what tests should be done for the patient next? ”

Director Shang was obviously asking about the three studies and Zhou Can.

As for the attending physician Huang Xinggui, he had a faint smile on his face and a confident look. Definitely have thought about what tests the patient should do.

"I think I should have a gastroscopy!"

Qiu Chengyu was the first to express his opinion.

I thought this man was a silent man, but it doesn't seem to be the case.

"I think it's better to have a CT scan of the stomach first. You can look for tumors in the stomach and the like. The duodenum should also be examined. ”

Xie Lin's brain hole was a little wide, and the duodenum was pulled in.

This is also the most common mistake most medical students who lack practical experience. As long as the symptoms match one or two, regardless of the rest, just take it and put it on top of those diseases.

The more experienced the doctor, the fewer tests need to be done.

Based on the patient's comprehensive information and symptoms, they will directly rule out some diseases with similar symptoms but low probability of occurrence.

After the number of patients is diagnosed, the same abdominal distension and abdominal pain, the doctor only needs to press the patient's abdomen, and then ask the patient's symptoms and duration, and then according to the patient's age, gender, work, daily habits and other information, screening out the most likely to approach several diseases.

Then a targeted examination is prescribed.

In this way, the patient can be able to do the least examination in the shortest time and successfully find the lesion.

"I think I would do a blood routine first, and then I would do further tests based on the results."

Luo Jingyi is the type of talented woman who is very quiet. The first test she was prescribed was a blood count. This is also the most common test that hospitals do for their patients. In almost all hospitalized patients, a complete blood test is required.

Some hospitals are worried about something going wrong and will require more inpatient tests.

It often causes dissatisfaction among patients and their families, who feel that the hospital is earning examination fees in disguise.

Director Shang listened to the opinions of the three studies and smiled silently.

He looked up at Zhou Can, who had not spoken.

"What about Dr. Zhou's opinion?"

Compared with the three graduate students who lacked practical experience, Zhou Can appeared much calmer.

"Uh...... From the perspective of saving time for patients and allowing patients to get effective treatment in the shortest possible time. I will prescribe three tests for the patient: bleeding routine, Helicobacter pylori test, and gastroscopy. ”

Zhou Can gave his opinion.

Up to three inspection items are prescribed.

Compared with the petty fights of the three graduate students, the examination he prescribed was more in line with a mature sitting doctor.

"Hehe, it seems that Dr. Zhou has not only exercised strong strength in surgery and patient management. The level of sitting is also far beyond that of ordinary residents. ”

Director Shang smiled and praised Chan.

The attending physician Huang Xinggui also looked at Zhou Can again.

This extremely young trainee seems to have a strength far beyond that of ordinary doctors.

Not to mention these three graduate students, even the senior residents under Director Shang, I am afraid that none of them can beat Zhou Can.

"Xie Lin, write an application according to the examination prescribed by Dr. Zhou, and prescribe these three examinations to the patient."

Director Shang instructed Xie Lin.

When the family heard this, there was a hesitant expression on their faces.

In the end, he couldn't hold back, and said, "Director Shang, we are here specifically for your name, and we are also hanging a special needs expert number of several hundred yuan." Why don't you let these novice doctors treat my daughter? They don't have much experience, so I can understand how to heal from you. But you can't leave them alone! ”

She is such a daughter, and she is worried that these young doctors will not see it well.

In case the illness is delayed, who will she go to?

She was never willing to take that risk.

It cost a few hundred yuan, and it took a lot of effort to grab a special expert number. As a result, I bought the services of an intern, and no one would agree to it.

"It's not that I follow the diagnosis and treatment ideas of these young doctors, but that the three examination items prescribed by this Dr. Zhou coincide with the examination items I prescribed. That's why I praised his level of sitting and diagnosis and has quite attainments. ”

Director Shang smiled and patiently explained to the family.

"Hehe, I see! I'm sorry, I'm sorry, I misunderstood you. ”

After listening to Director Shang's explanation, the worry on their faces disappeared, and they immediately showed an apologetic smile.

She couldn't help but look at Zhou Can.

Her daughter is also quietly looking at Dr. Zhou, who is higher than other young doctors.

Zhou Can looked indifferent.

For him, he has received too much praise. The vice president, the dean, all praised him vigorously.

After listening to all kinds of praise, he is now almost immune.

But it's a lot of fun to hear.

(End of chapter)