"Okay then! I've been waiting for more than a year and don't care about this day. You have to worry a lot. The woman nodded in agreement.

The cause was found out, and this was the most exciting news for her.

It also gave her hope.

After staying up for so long, she finally saw the light.

"Xiao Qiu, you help send the patient back to the temporary bed. Go your own way! ”

After Director Shang communicated with his family, he directly called Qiu Chengyu to do chores.

Through two days, Zhou Can has established a relatively stable position in the Department of Gastroenterology. Whether it is in Director Shang's heart or in Huang Xinggui's eyes, he no longer dares to treat him as an ordinary trainee.

Director Shang didn't say anything, but his attention to Zhou Can was reflected in some details.

"I have to coordinate and arrange the operation. Zhou Can, can this patient be handed over to you to take care of? ”

I thought I had already been assigned a doctor in charge of the bed.

Unexpectedly, another patient was stuffed into Zhou Can.

"Okay! I'm perfectly fine with four patients. "Zhou Can has been stuffed with four patients so far.

The task is not heavy, and it is not light.

In general, there are no critically ill patients in the Department of Gastroenterology, and the pressure is not particularly high when there are ten beds in charge at the same time. It's certainly a lot of work. Just writing medical records and course of illness, changing dressings, and doing ward rounds are enough to keep people busy.

I really don't know what is the concept of 20 or 30 beds in some hospitals?

Under normal circumstances, a person will definitely not be able to take care of it.

The quality of medical care has dropped dramatically, and it is almost certain that medical records will be written with templates.

"By the way, the condition of the female patient who is a lawyer in bed 79, is it convenient to discuss it with you now?" Zhou Can had already found out the cause of this female patient, but he had been busy in the afternoon and had no chance to discuss it with Director Shang.

"Oh! Has there been significant progress in the diagnosis of that patient? ”

After Director Shang heard this, he was surprised and surprised.

This regular trainee is really okay, no wonder the departments that have been rotated are all rushing to keep people.

"After taking over the patient in the morning, I have always wondered how her cirrhosis formed. Later I stumbled upon her occasional diarrhea......"

Zhou Can said his diagnosis idea again.

"In summary, I suspect that the patient has portal vein thrombosis. If you can do a splenoportal venography, you can diagnose whether it is this disease or not! ”

The decision on which tests to request is generally made by the attending physician.

Zhou Can is just a trainee in charge of the bed, with the right to suggest, but not the right to decide.

"If it were really this disease, the symptoms would not be so mild. Portal vein thrombosis generally progresses very rapidly, and if there is also mesenteric vein thrombosis, the patient often dies within a very short time. According to her, she experienced abdominal discomfort, loss of appetite, and fatigue for at least a month, which is too mild compared to the symptoms of portal vein thrombosis. ”

Director Shang did not agree with Zhou Can's diagnosis.

Portal vein thrombosis is like a ferocious tiger, but the patient's symptoms are consistent with the disease, but it is as mild as a sheep.

The style of the two is too different.

"I thought about it at the time. Later, I thought about it carefully, and I thought that the patient might belong to the type of portal thrombosis that is slow. This thrombus can form collateral circulation, and the portal vein can be recanalized, although it will eventually progress to portal hypertension. But it is much milder than ordinary portal thrombosis. The time span can also be extremely long. ”

Zhou Can has thought about this question for a long time.

After the occurrence of thrombosis, multi-lumen portal vein recourse is also a relatively common phenomenon.

The human body is far more tenacious than we think.

It's like a super castle with multiple vigilance and defense mechanisms.

However, when one part is breached by the enemy, other parts can automatically take over some of the functions of that part. This ensures that the body is not too fragile.

Human beings have a history of at least 6.5 million years from ancient times to the present.

In these long years, to survive to this day and become the overlord of the earth, the vitality of human beings is far more tenacious than imagined. The various protective mechanisms of the body are also extremely complete.

Many people think that the human body is like that, isn't it just two eyes, one nose and one mouth?

Beneath the skin are the muscles, and the chest and abdomen are the organs.

It's all clear at a glance, nothing unusual.

In fact, human body organs, even any cell, have many unsolved scientific mysteries. For example, the human body is born with various proto-oncogenes, and at the same time, it also carries tumor suppressor genes.

In other words, cancer is with each and every one of us from birth.

However, the tumor suppressor genes of most people can protect the body well and suppress all the proto-oncogenes. When a cell wants to rebel, wants to mutate and become a cancer cell, the tumor suppressor gene can directly strangle it in the cradle.

And it's 100% accurate, and there's no one who slips through the cracks.

Only when a person's body has a tumor suppressor gene fails, or disappears, is there a risk of cancer.

It's just that there is a risk.

It doesn't mean you have cancer.

The wonder of the human body is not only the rivalry between proto-oncogenes and tumor suppressor genes. There are also skins that we think are very ordinary, and they also have magical abilities that we can't even think of.

For example, the tactile sensation of the skin is more complex than you can imagine.

If you close your eyes and reach out and touch it, you can immediately tell if the surface of the object you are touching is smooth, what material it is made of, whether the temperature is hot or cold, and how thick it is......

Even today's most advanced science and technology cannot replicate the human body's ability to perceive skin.

When something we touch is hot, the brain immediately receives a 'hot' signal.

At this time, they will quickly avoid the object far away, so as to avoid the body being burned.

Or if you touch a sharp object, it will cause a frightening sting, and you will avoid it immediately.

The human skin has so many abilities.

In addition to the touch like the power of God, it can also help humans resist the invasion of bacteria and viruses. At the same time, it can also retain the body's moisture. When our body is in an overheated environment, it can also regulate body temperature by evaporating water. When it is cold, it can shrink the pores and lock in the body temperature from loss.

In this sense, it is equivalent to an 'air conditioner' of the human body.

There are too many magical organs like skin in the human body to count.

There is speculation that humans are descendants of aliens.

No creature on Earth can be more amazing and complex than humans.

Zhou Can believes that humans are more powerful than alien creatures.

At the current rate of development, it is possible to conquer the entire solar system, or even the Milky Way, and the entire universe.

In fact, humanity has now begun to enter the interstellar age.

It's just in its infancy.

After listening to Zhou Can's point of view, Director Shang pondered again.

After a full four or five minutes, he seemed to finally sort it out.

"There is some truth in your analysis. I'll look at the patient again, and if there are no new findings, I'll do as you say. Give her a venous angiogram to see. ”

Director Shang was still a little undecided in the end.

Decided to observe for another night to see how it went.

I couldn't have done another imaging test today.

Unless there is an emergency, the patient must be immediately treated with a striking examination to save his life. Then it is possible to ask the teacher of the intervening department to temporarily add an evening shift.

Zhou Can just made suggestions anyway, and he couldn't decide whether Director Shang adopted it or not.

Doing your job well is already very good.

I've been working and studying in the outpatient clinic in the afternoon, and I don't know what happened to the three-bed patient in charge?

Before leaving, he handed over the patient to Mr. Luo to manage.

Big mistakes can't happen.

Zhou Can first checked the stomach cancer patient in bed 77, and his signs were stable.

"Doctor Zhou, you're here!"

The patient is filled with endless gratitude and deep trust in him.

Seeing Zhou Can enter the ward was like seeing a loved one.

In fact, Zhou Can just bought her a meal.

"Haven't there been any major changes in your body, have you? For example, which part is particularly painful and so on. ”

Zhou Can asked gently.

"I feel no different than usual, I had a bit of an upset stomach for a while, but it's much better now."

Her stomach cancer was still in its early stages, so she didn't experience excruciating severe pain.

When the cancer is terminal, the most terrible thing is the pain that penetrates deep into the bone marrow.

It can torture people to the point of suicide.

Because it hurts so much.

"Have a good rest, wait for your mother to come, and try to choose active treatment when the time comes. You have a cure for this disease now, and there is great hope of a cure. When the time comes, you can start a new life, be a confident and self-reliant woman, and repay your mother well. ”

Zhou Can can only use her relatives to awaken her desire to survive.

It is also very important to maintain a positive and optimistic attitude in the fight against cancer.

"Thank you! I'm so lucky to have met such a wonderful doctor as you! As she spoke, she burst into tears again. The voice was also choked several times.

Zhou Can sighed when he saw it.

What a good girl, just ruined by that vicious man who doesn't know how to cherish it.

He walked over to bed 79 to check on the female lawyer.

Not bad, this patient's signs are also quite stable, and there is nothing unusual.

Zhou Can went to another ward to check on the 71-bed patient.

This patient with esophageal-jejunal anastomotic fistula and anastomotic segment occlusion is getting nutrition injections again.

There was no way, he couldn't even drink a sip of water, so he could only rely on intravenous infusions to hang his life. I'll have surgery for him tomorrow, so don't worry too much.

"Ah......h Ahhh......h

73There was a humming sound from the other side of the bed.

Zhou Can turned his head to look and saw that the couple sang a double reed very tacitly. You've just finished humming and I'm on the stage.

The patient is constantly humming and crying out in pain, which can be understood.

I had just undergone pancreatic duct stone removal surgery and was infected with Salmonella. In the absence of medication, the patient's body can only resist it.

It's just that the patient's wife, that is, the aunt who didn't listen to persuasion, also hummed, what the hell is going on?

This aunt is certainly not joking.

Lying on the edge of the bed in pain, with a painful expression on his face, and humming constantly, it means that his stomach hurts badly.

"What's wrong with you?"

Zhou Can walked over and asked with a concerned face.

"Don't mention it, maybe it's because I drank that pot of chicken soup too, and I started to have stomach aches not long ago. It hurts until now, and it's getting more and more painful. ”

The aunt was so painful that she was trembling when she spoke.

After Salmonella infection, some people develop the disease early, starting at twelve or thirteen hours. Some people may be more resistant to the body, and the number of salmonella infections is not high. This has the potential for a long incubation period.

However, one thing is certain, as long as you are infected, it will be a matter of time before you become infected.

"Didn't get tested for salmonella?"

Zhou Can asked.

"Not yet...... Do! It's not easy for the two of us to make some money, so we can save a little. My body has always been fine, and the anti-primary antibody has passed. ”

The aunt was lying on the head of the bed, and her speech was intermittent.

It can be seen that the pain is quite severe.

She was originally going to the hospital to take care of her husband who had surgery, but now fortunately, her husband was put down by the poisonous chicken soup she bought, and she herself was not spared. It became two patients at once.

It's just that this aunt is really able to resist, and she can't get out of the line of fire, and she will continue to fight if she is seriously injured.

She was standing in front of her husband's hospital bed anyway, gritting her teeth and holding on.

Zhou Can is full of sympathy for the couple, but also helpless.

Originally, she was clever and did not follow the doctor's advice, which caused such a disaster.

After something went wrong, she still didn't listen to the doctor's advice and was lucky.

To put it mildly, there must be something hateful about the poor.

"When you are infected with salmonella, sometimes it doesn't depend entirely on whether you are healthy or not. If your symptoms worsen, I recommend that you still get regular treatment to avoid serious consequences. Some people can resist this disease, and some people may have a worsening condition, leading to sepsis, typhoid fever, and sepsis, and at that point, the case fatality rate is very high. ”

Zhou Can really wasn't scaring her.

This disease varies from person to person.

Some strong men become infected and quickly deteriorate and die.

Some people who seem to be thin have contracted the disease, but they have been able to get through it.

It mainly depends on whether the body's immune mechanism can be activated in time. In particular, the third immune mechanism helps cells successfully activate a large number of inactivated macrophages.

This is very critical.

If the body is destroyed by salmonella to a certain extent, and the macrophages are still not fully activated, this is dangerous.

A large number of cells are killed by Salmonella, which leads to necrosis of intestinal tissue.

At this time, the pathological mechanism is similar to that of a necrotic limb that cannot be amputated in time.

The prognosis will be very poor.

"I'll take a look first...... Thank you! ”

The aunt couldn't persuade at all.

Her husband was lying on the hospital bed, and he only cared about himself humming, and he didn't care about it at all.

Maybe I don't want to care about it at all.

It's not a family, it's not a door. The wife's thinking is backward, and the husband's thinking may not be advanced.

Zhou Can has fulfilled his obligations as a doctor, and since his family doesn't listen, then he can't do anything.

At this time, the aunt's face changed, she took the leftover half roll of paper towels on the bedside table, covered her stomach and hurriedly ran outside.

One of the major symptoms of salmonella infection is diarrhea.

Running slowly, he pulled into his crotch.

Zhou Can shook his head helplessly and walked out of the ward.

It's time to get off work, and he's ready to leave work after handing over to the doctor on duty.

Ordinary trainees need to work overtime, and it is a norm, his status is a little special, and no one arranges him to work overtime for the time being.

"Dr. Zhou is helping me take care of the patient again!"

At this time, Dr. Yu Xin in the group walked into the ward quickly.

Looking at her light steps, it means that she can get off the morning shift today.

After getting acquainted with Zhou Can, she will never have a cold face again, and she will appreciate herself.

For now, taking the initiative to greet Zhou Can is already rare.

"I just looked at it, and his condition has improved, his body temperature has not risen again, and his complexion is a little better than before. It is estimated that by tomorrow morning, his abdominal pain and diarrhea will be much lessened. ”

Zhou Can gave her feedback on his opinions.

"Great!"

She was surprisingly trusting of Zhou Can's diagnosis.

Hearing him say that the patient's condition has improved, a rare smile appeared on his face. It's just that it was collected quickly.

Perhaps, she was born not to laugh.

"His condition is improving, but his wife's condition is unknown for the time being. When I came here just now, his wife's stomach hurt so badly that she had run to the toilet because of diarrhea. I suggested that she get a check-up and receive proper treatment, but she didn't listen. After a while, you can see people, and you can persuade them again. I'm afraid of this disease. ”

Zhou Can mentioned the patient's wife to her again.

It's really bitter, it's all for the sake of that aunt.

"I've already persuaded you. Don't persuade it! It's okay, I will pay close attention to her condition during my rounds, and if her condition deteriorates, I will persuade her to get treatment, and she may listen to her at that time. ”

When Yu Xin mentioned the aunt, she was also helpless.

"Okay, I'll go to the office and finish writing the medical records, and I'll be ready to leave work as soon as I hand them over. Good bye. ”

Zhou Can no longer cares about this.

He has a lot of things to do with himself.

I went back to the office and finished writing the medical records of several patients, and prepared to leave work.

As soon as I went out, I met Director Shang who came out of the director's office, and looking at that face, it seemed that something was not very good.

"Director Shang, I'm off work!"

"Hmmm! Pay attention to safety on the road, tomorrow morning will do endoscopic surgery for the patient in bed 71, and remember to arrange it for him when the morning comes. ”

Director Shang was very gentle when he spoke to Zhou Can.

"Okay! Will the patient with the parasite in his brain be able to operate tomorrow? ”

Zhou Can asked casually.

"I'm afraid it won't be arranged tomorrow. Just now I called to coordinate with the general surgery, and they said that they should find the external part of the brain for intracranial surgery. Then I went to the surgeon and asked them to treat me together, but the little nurse who answered the phone gave me an official tone, which made me really angry. ”

Director Shang is estimated to be really angry, otherwise he would not have told his doctors about it.

(End of chapter)