"Dr. Zhou just mentioned that he suggested that the family of the female patient should also be tested for Helicobacter pylori. The advice is very good, but in the actual diagnosis and treatment process, you must pay attention to the methods and methods. It is best to wait until the female patient has completed the examination and confirmed the Helicobacter pylori infection, and then the female patient has been diagnosed and the treatment plan is given, and both the family and the female patient have expressed their acceptance. At this time, look for an opportunity to remind the family. ”

"If the family member is disgusted by this, don't say more. As doctors, we must first learn to protect ourselves. Some family members are short-tempered, he may not necessarily understand your affection, and scolding people is good. It's not for nothing that you can smash doctors with things. ”

As a former person, Director Shang shared his experience of being beaten with these young doctors.

When you go to see a doctor, if you pay close attention, you will find that the chair in which the doctor sits is a black leather chair that is flat and stable. But it is a plastic round stool for patients and their families to sit on.

Many people think that this is discrimination against patients, but it is not.

In the past, some hospitals also provided patients with high-quality iron round stools. As a result, the family members used this iron chair to beat the doctor to the point of fracture.

The little nurse was even more frightened and hid under the table.

This kind of infuriating thing has happened more than once.

After the incident, the family will definitely be punished by law.

But the doctor was injured, which was a very big loss to the hospital. In particular, some well-known doctors in a certain field were injured, and they were injured at work, and they couldn't do their work.

Not only did the work have to be stopped, but the patients that the doctor had in hand, whether it was surgery or medication, had to be handed over to other doctors to deal with.

It would be good to have a new doctor take over those patients, who are not familiar with the condition and are not familiar with the condition, and who do not make mistakes.

This results in a decrease in the quality of treatment.

While the injured doctor was recuperating from his injuries, the hospital also had to pay him a salary, give him a certain amount of compensation for his work-related injuries and condolences.

It can be seen how much the hospital has suffered.

The key is that today the doctor was beaten to the point that his arm was broken, and tomorrow the doctor was beaten to the point that the eyebrow bone was fractured and seriously injured. The other doctors were scared when they sat down!

This will definitely affect the quality of the doctor's diagnosis.

In the end, the hospital leaders came up with a solution. Replace all the chairs in the outpatient room with plastic stools.

In this way, even if a family member is exposed to flatulence, the doctor will only suffer minor injuries.

Later, this good method swept the country and has developed into a standard configuration of outpatient rooms.

"Xiao Qiu, go open the door and call the next patient in! Dr. Chow's diagnostic thinking is very flexible and he has extensive knowledge of basic medicine. It can be used flexibly in clinical practice, and you should learn from him. ”

Director Shang was full of praise for Zhou Can's performance.

What's even more interesting is that Zhou Can was directly prevented from ushering in the 'doorman' sent to him.

"Ah...... Good! ”

Qiu Chengyu was stunned for a moment, and then his face showed a gloomy look.

Everyone competes fairly on their own.

In the first round of the competition, he was directly killed by Zhou Can and turned on his back, which can be said to be a complete defeat.

Director Shang doesn't ask him to pick up patients, who is he called?

When the door of the consultation room opened, a thinner woman of thirty-seven or eighteen years old came in with a middle-aged man who was much taller than her.

The middle-aged man was sick and emaciated.

At first glance, it is malnutrition.

Typically, there are three types of malnutrition. One is to come out hungry. Usually eat a single food with no nutrients, no oil and water, and after a long time, the body will naturally become emaciated.

The second is the occurrence of malignant diseases such as tumors and leukemia in the body, resulting in a sharp loss of body weight.

The frantic growth of cancer cells consumes a lot of nutrients in the body, which is a significant cause of rapid weight loss. At the same time, it can also cause the patient to lose appetite, not feel hungry, and not want to eat.

The third is indigestion. Some patients have problems with their digestive tract and experience indigestion symptoms. Either eat a full meal for the whole day, or the intestinal absorption capacity is weakened, and the food you eat can only absorb a small part of the nutrients.

Everything else is excreted.

This excretion does not only mean excretion with stool, but also excretes a large amount of nutrients in urine.

For example, the most common symptom of proteinuria.

"Can he sit?"

Zhou Can saw that this 'female man' was gritting his teeth with difficulty and moving forward with the patient on his back, so he hurriedly stepped forward to help.

It's just a small act of kindness.

Director Shang didn't say anything after reading it, but when he looked at Zhou Can, there was obvious appreciation in his eyes. On the contrary, looking at Qiu Chengyu, who opened the door for the patient, there was a little more coldness in his eyes.

Benevolence of doctors is the minimum quality of all doctors.

It is impossible to be a qualified doctor without a loving heart.

"I can sit, but I can't walk because I'm weak."

The woman smiled gratefully at Zhou Can.

"Slow down, slow down!"

After Zhou Can helped catch the patient, he sat on the chair.

The patient is at least 1.85 meters tall and the female is no more than 1.6 meters tall. She carried the patient all the way, and the process must have been very difficult.

Don't look at the man is very thin, but the skeleton is so tall, and he must weigh more than 100 pounds.

"Thank you!"

The woman thanked Zhou Can.

"You're welcome. What's wrong with him? ”

Zhou Can found that the patient's eyes did not have a trace of brilliance, and his hair may have been shaved for hygiene. The cheekbones on the face, the collarbones on the neck, and the wrist joints on the hands are all high and prominent.

Dull and yellowish skin.

This is a typical yellow-faced hunger and thinness.

The patient's heavy breathing can be faintly heard.

It's as if the donkey is grinding, too tired to work.

The patient was carried in by the woman and did not take a step. Just sitting made him feel so tired, indicating that his body was on the verge of complete collapse.

Zhou Can couldn't help but feel a little worried when he saw that the patient's condition was so bad.

"I don't know what it is. I vomit all the time when I eat, and my food intake is constantly decreasing. I have taken my husband to many large and small hospitals, Chinese medicine, Western medicine. He also took a lot of medicine, and his weight dropped from more than 170 catties to more than 100 catties now. A lot of tests were done, but the cause could not be found. ”

The woman handed the two large white plastic bags she was holding to Zhou Can.

I saw that it contained various inspection reports and films.

"This is Director Shang, my teacher, please help me take a look!"

After Zhou Can took it, he naturally introduced Director Shang's identity, and at the same time put the information bag in front of Director Shang's desk.

It seems to be a simple response, but it is a great test of a person's emotional intelligence.

Zhou Can's performance is undoubtedly excellent.

This introduction can not only reflect his respect for Director Shang, but also all parties will not be embarrassed.

Director Shang picked up a bag and checked the inspection report inside.

"Ah, you've done a lot of checks! I see that a lot of repeated inspections have been done. ”

"I can't help it! Many hospitals don't accept the results of other hospitals, so we have to do it again in their hospital. The more hospitals you see, the more tests you do. The MRI alone has been done three times. ”

When the woman mentioned this, she was also full of bitterness.

These inspections not only take a lot of time to queue up, wait, but also require a lot of money.

An MRI examination, even if it is only the worst 0.5T, will cost three or four hundred at a time. Some hospitals even received more than five hundred. A more advanced MRI is more expensive, a thousand, two thousand.

Some doctors in hospitals are dogmatic in what they do.

In order to generate income for the department and complete the performance, I know that the radiation of MRI and CT examinations is very large. Doing too much is not small to the body. Patients are always asked to repeat these tests.

It's too lacking in morality.

"How long has he been sick?"

Director Shang asked about the patient's medical history while reviewing various examination reports.

"It's probably been more than a year since the onset of the disease. Once, my husband got drunk because of work and was driven home by a colleague from his company. I've been drunk like this before, but when I wake up, I'm fine. But that time, after the wine woke up, he vomited the next day after breakfast. At the time, I thought it was a normal reaction when he was drunk, so I didn't pay much attention to it......"

The woman gave a general account of the patient's medical history.

According to her, the patient was drunk a year ago because of work and sobered up, and since then he has been eating and vomiting.

And the process of vomiting is particularly strange.

In the beginning, it was not a fixed time to vomit every time I ate.

Sometimes I vomit, sometimes I don't have anything at all, it's normal.

At first, they thought it was due to the fact that the food they ate was too greasy and the taste was too heavy.

However, after many experiments and observations, it was found that vomiting did not have much to do with the type of food eaten.

When you want to vomit, you will vomit no matter what you eat.

It's okay to eat anything normally.

The onset of the disease is also irregular, at the beginning, it will only suddenly vomit once in ten days and half a month. Up to now, I vomit almost every day. Drinking water makes you vomit.

"Have you had a gastroscopy?"

Attending physician Huang Xinggui asked the family.

In the patient's current state, it is difficult to even catch his breath, and it is obvious that he is unable to communicate normally.

"Done! Ordinary gastroscopy, capsule gastroscopy have been done. The results of the inspection are all in the bag, do you need me to find out and show you? The woman spoke with great humility.

In her heart, as long as she can cure her husband's illness and let her crawl on the ground, she is willing.

I have to say that this patient can meet such a good wife, which is the greatest luck in his life.

It also made a few young doctors believe in love.

"No, no, you just hold him. But don't let him fall to the ground, the stool has no armrests. Huang Xinggui waved his hand again and again. He took out all the examination reports, payment slips, and photocopied medical records in the bag by himself.

Inpatient medical records generally need to be kept in the hospital for archiving.

When the patient is discharged from the hospital, they can choose to make a photocopy themselves.

Some hospitals even operate the test results in this way. Patients need to take the initiative to ask the hospital for the results and make a copy.

As for some patients saying on the Internet that so-and-so hospital does not give medical records and examination results, as long as they are treated in a regular hospital, it is basically impossible. It must be that the patient did not figure it out on his own, or did not make a request for a photocopy.

Zhou Can didn't take the inspection data to check it.

The identity is a regular trainee, and he has just received the initial recognition and appreciation of Director Shang, so he can only do what a student should do.

When the senior doctor finishes looking at it, it's okay to take it and take a look.

He stood behind Huang Xinggui and Director Shang, and when they reviewed the inspection report, he could also read it together.

Luo Jingyi also came over, stood with Zhou Can, and followed to watch the patient's examination report.

This incurable disease is also the most likely to arouse the interest of medical students.

Everyone wants to know what is the cause of the patient?

After studying medical knowledge for so many years, there is no doctor who does not want to apply it to practice.

Using what they have learned to successfully diagnose a patient's disease can fill them with a sense of accomplishment and pride.

"The gastroscope looks quite normal, Dr. Zhou, you said yes!"

Luo Jingyi brushed the loose hair on the left side with her hand and returned it to the back of her ear, revealing a delicate and white face.

Zhou Can didn't expect that she, who was shy and quiet, would take the initiative to talk.

He was stunned for a moment, and then said, "Doctor Luo has seen it and said that it is normal, it must be right!" ”

"It's not that I'm not confident, I have little practical experience, so I can ask you for advice, and I dare to determine whether my judgment is correct." She explained quietly.

"Hehe, I'm also a half-ass, let's hear what the teachers have to say later!"

After Zhou Can's hands were exposed, her status in the heart of a graduate student rose sharply.

Obviously, he can see the results of the examination, but he has to ask Zhou Can to confirm his opinion before he can be sure.

"Jingyi, you can see it accurately, and the gastroscopy did not find anything abnormal."

Qiu Chengyu also came up.

However, Zhou Can noticed a small detail, when Qiu Chengyu leaned towards Luo Jingyi's side, she subconsciously hid to Zhou Can's side.

A girl's thoughts are generally not written on her face.

It's reflected in their actions.

This small move shows that Luo Jingyi does not call Qiu Chengyu.

"Oh!"

She replied lightly.

Director Shang and attending physician Huang Xinggui checked the examinations done by the patients one by one, as well as various treatment records and medication results.

Patients have been hospitalized and have been hospitalized in more than one hospital.

But without exception, they all ended in failure.

Later, he may be overwhelmed by the financial burden, so he goes home for treatment.

When Director Shang picked up an MRI film to check, Qiu Chengyu came over a little more, and his head was also leaning on Luo Jingyi's side.

Her body was already about to hit Zhou Can, and there was no way to avoid it.

I saw that her eyebrows were slightly furrowed, because she was shy and introverted, she obviously didn't want to be so close to Qiu Chengyu, but she was embarrassed to resist.

Zhou Can can't look down on this kind of man who is dead and dirty, and leans towards girls.

If the girl agrees, it is a mutual relationship.

What is this?

Isn't it workplace harassment?

"Doctor Qiu, I don't seem to have good eyesight, if you can't see clearly, stand in me!" Zhou Can took the initiative to instruct her to break the siege.

When Qiu Chengyu heard that he could stand on Luo Jingyi's right, he was happy in his heart and hurriedly agreed.

Immediately walked over.

"Doctor Luo, please come over a little bit."

Zhou Can motioned for Luo Jingyi to move to the side where Xie Lin was sitting.

Then, he stood between Qiu Chengyu and Luo Jingyi, separating the two.

At first, Qiu Chengyu felt quite happy, but when he saw Zhou Can doing this, his face immediately became a little unsightly.

Luo Jingyi smiled at Zhou Can shyly.

The girl's mind is generally very delicate and sensitive, and she must know that Zhou Can is helping her resolve the invisible harassment brought by Qiu Chengyu.

In the workplace, whether it is a male colleague or a male leader, harassment of female colleagues is mostly the beginning of this kind of tentative 'inadvertent' behavior.

Many times, women can only endure in silence.

Because people don't do some excessive things openly, everyone is a colleague, and they can only endure it when they take into account the impact and work.

It took nearly 20 minutes for the two senior doctors to read all the patient's examination materials and treatment history.

Huang Xinggui's brows were tightly locked, secretly discerning the cause of the patient.

Director Shang's face was a little serious, and his eyes showed that he was thinking deeply.

"Doctor Zhou, your diagnostic ability is so powerful, can you see what kind of disease this is?"

Luo Jingyi asked in a low voice.

She seems to trust Zhou Can very much, and she has a hint of nonsensical affection.

"Where am I so good, the first two times I happened to run into it. Take a trick, you know! ”

Neither of the senior doctors has yet to express their opinion.

How dare Zhou Can easily express his diagnostic opinions!

Besides, the cause of this patient is extremely strange, and Zhou Can is not a miracle doctor. At least not yet, it was far from that level, how could he be so happy to diagnose what the disease was?

Even if he followed Liu Lao to diagnose those incurable diseases in the general surgery department, he had many undiagnosed.

Thank you for your support!

(End of chapter)