In addition to the successful curation and discharge of this patient, the stomach cancer patient has also been discharged. However, it is still necessary to come to the hospital regularly for chemotherapy and follow-up.

The female lawyer with cirrhosis of the liver underwent surgery, and the treatment effect was obvious.

I was discharged from the hospital three days ago.

However, cirrhosis is a common chronic progressive liver disease in clinical practice, and diffuse liver damage is caused by the long-term or repeated action of one or more causes.

This damage is often irreversible.

The liver and kidneys are very similar in this regard.

Once an injury is suffered, it is difficult to recover.

The best thing to do is to detect it early and treat it early.

However, compared to the kidneys, the liver has a strong regenerative ability. If the liver texture is good, even if 80% of the liver is removed, it can be restored.

Because the liver of patients with cirrhosis has entered the compensatory phase of disease, its regenerative ability will definitely be affected, which is far worse than that of a normal liver.

If it develops to the advanced stage of cirrhosis, that is, the decompensated stage, the liver at this time is basically abolished.

Not to mention cutting out part of the liver, even other surgeries must be performed to consider whether the patient's body can withstand it.

The 79-bed female lawyer is a great blessing in misfortune, and her cirrhosis is still in the early stages. After the real cause was found, the hidden danger was eliminated after surgery.

In the future, she only needs to take long-term medication to protect the liver, and her life will not be greatly affected.

Speaking of which, Zhou Can gave this female patient a discharge order, and successfully earned a reward of 100 pharmacological pattern differentiation experience points!

This is also the first time he has prescribed a discharge order for a patient with liver disease.

His pharmacological differentiation has now been successfully promoted to level 4, and his current experience value is 227/10000, which is inferior to the attending physician.

This level is less than enough.

Not to mention that it is in the regular trainees, even if it is placed in the group of resident doctors, it is definitely an existence that stands out from the crowd.

All doctors know that pathological diagnosis and pharmacological differentiation are the two most difficult medical skills to promote, and there is a fight with the promotion of anesthesia. Many doctors have studied medicine all their lives, but they have always stayed at the level of the main treatment.

It is not simply because the medical papers are stuck in their passage to be promoted to deputy chief physician, but indeed because there are many doctors who are more slack and lazy after work because of their limited understanding, and are unwilling to study and study as hard as they did when they were studying.

In the end, he did not understand the high-level pathological diagnosis and pharmacological differentiation until he retired.

If it is traditional Chinese medicine, in addition to pharmacological syndrome differentiation, there is also a more difficult medical technique, which is called the effect of medicine and meridians.

It is equivalent to the advanced medical skill of medication.

After learning pharmacological syndrome differentiation, you can only treat the disease, know what medicine to use for what disease, and accurately control the compatibility, dosage and usage.

However, compared with the real Chinese medicine masters or internal medicine masters, there is still a significant gap.

Because they all know how to attribute the effects of medicine to the art of medicine.

It is also referred to as the return of the scriptures.

For example, Director Tan of the Department of Internal Medicine has studied the theory of traditional Chinese medicine, and I heard that he has also worshipped many old Chinese medicine doctors as teachers. In order to learn in-depth about the medicinal effects.

It is natural that people can become first-class professors, be elected academicians, and sit firmly in the top spot of the director of the Department of Internal Medicine.

Director Tan's medical achievements in the field of internal medicine are ranked among the best internal medicine experts in the country.

It's just that he is usually low-key and doesn't pursue false fame, so he is not as famous as Wu Baihe.

Even Director Yin Hua of the Department of Neurology is more famous than Director Tan.

But Yin Hua is usually respectful like a student in front of Director Tan.

Like Director Tan, after achieving certain medical achievements, there are many scholars who specialize in studying Chinese medicine. Almost all the famous internal medicine experts have taken this path. Just like all the famous scientists who ended up on the path of theology.

Newton, Einstein, Edison...... In their later years, these men moved from scientific research to theology. No one can explain why.

It is speculated that they may have known too much and found that many things cannot be explained by science, so they believed in the existence of God.

According to this logic, after achieving certain achievements, Chinese internal medicine physicians began to study and study Chinese medicine in depth, and it seems that they also found that many medical phenomena cannot be explained by the theory of Western medicine.

On the contrary, the answer can be found in the theory of Chinese medicine.

Therefore, it is natural for them to start exploring Chinese medicine.

Despite the rapid development of Western medicine in pharmacy, Western medicine still suppresses traditional Chinese medicine and belongs to the mainstream of the market.

But when it comes to returning to the scriptures, foreigners' heads shake their heads like rattles, and they will only say NO, NO.

Because in Western medicine, there are no such things as meridians and acupuncture points.

They don't even know what the meridians are, and if you talk to him about the medicinal effects and the meridians, isn't this playing the piano to the cow?

Zhou Can's pharmacological differentiation is currently level 4, and his understanding of pharmacology and medicinal properties has reached a new level, but compared with the medical giants such as Director Tan of the Department of Internal Medicine, the level is still far behind.

Therefore, he is still very vague about the concept of attribution of medicinal effects.

However, it is much better than a foreigner, he at least knows some basic knowledge of meridians and acupuncture points.

On this day, Zhou Can, as usual, came to the ward early to check on the patients he managed.

The number of patients assigned to him by Director Shang has increased from seven to 11. During these seven days, some of the patients in his care have been discharged, and some are newly admitted.

So far, all the patients he has treated have been effectively treated, and there are no incurable diseases for the time being.

Endoscopic surgery is surgery, interventional treatment is interventional, and medication is used.

Most of the patients he has managed have received formal treatment within two days of admission.

It is precisely because of his excellent management work that Director Shang will keep adding burdens to him.

Zhou Can also did not refuse.

In particular, after his pharmacological syndrome differentiation skills were upgraded to level 4, his ability to prescribe various medical orders to patients was significantly improved. The selection, compatibility, and dosage control of drugs can be more accurate.

For example, there are many drugs to choose from, such as ibuprofen, aspirin, acetaminophen, indomethacin, nimesulide, celecoxib, and so on.

When taking medication, he would only blindly pursue fever-reducing effects at his previous residency level.

Now that he has been promoted to the level of caretaker, he will consider many factors such as the patient's age, gender, what underlying diseases are in the body, and the cause of the fever.

It is noticeably more thoughtful and meticulous than before.

The advantage of this is that it can better reduce the harmful effect of the drug and truly treat the disease.

In this respect, the level of prescribing of medications by attending physicians and residents is really not at the same level.

"Doctor Zhou, can you please help me see the patient in bed 65?"

Zhou Can was checking the bed in the ward, and Yu Xin, a female trainee in the group, came over.

"What's wrong?"

Zhou Can turned his head and asked.

Since he entered the Department of Gastroenterology, it is a fact that all the patients in the tube have been effectively treated.

Many people don't say it, but in their hearts they admire his ability very much.

Not to mention Yu Xin in the group.

"It's the aunt who was infected with salmonella last time, and she just came back from the intensive care department. I see that her situation is still very scary, my level is limited, and I am worried that something will happen. Please help me check the gates, I can rest assured. ”

Yu Xin explained.

Now as long as she encounters a patient who can't figure it out, or is not sure, she will ask Zhou Can for help.

It is much easier to find Zhou Can, who is also at the level of regular training and has stronger ability than the main director, for help than to find Director Shang and Huang Xinggui.

And also those psychological pressures.

"Alas, that aunt is really, if she was infected with Salmonella and was diagnosed and treated as soon as possible, how good it would be! I have to be dragged into a serious illness before I am willing to seek medical treatment, and it is good to pick up a life. ”

Zhou Can shook his head and sighed.

followed Yu Xin to the ward where the 65th bed was.

Auntie's husband has long been discharged from the hospital.

On the contrary, because of ignorance and luck, she, the escort, put herself into the intensive care unit.

"Auntie, can you speak now?"

Zhou Can looked at the aunt who was sick on the hospital bed, and everyone had lost a lot of weight, and his mood was very complicated.

When the aunt saw him, she almost didn't shed tears.

"Doctor Zhou...... If I had listened to your persuasion, I wouldn't have walked into the ghost gate with half a foot. My heart is so panicked, my intestines are repentant, I hurt my family......"

Auntie's voice whimpered, and tears couldn't stop flowing.

The daughter who came to take care of her on leave quickly wiped her tears.

"Money is something outside of the body, and saving one's life is the best outcome. Isn't there a saying that if you don't die in a great disaster, you will have a blessing in the future? I am sure that you will live happily in the future, you see, your daughter is so filial that she specially asked for leave to take care of you at the bedside. ”

Zhou Can is not very good at comforting people.

I can only roughly comfort my aunt for a few words.

"I'll take your signs first, and if you feel unwell, be sure to let us know. In addition, there is no need to worry about and regret what has happened, keep a happy mood, and you can be discharged from the hospital a few days earlier. If you feel depressed and your chest is stagnant, it is very detrimental to your recovery. ”

Zhou Can continued to persuade this aunt.

There's no way, people are already unlucky like this, and if a doctor can help, try to help the patient.

"Hmm...... I listen to you, this time I must stop being self-righteous! ”

Auntie has suffered a loss, and she doesn't dare to be willful.

I really stopped crying and tried to adjust my emotions.

Her daughter also took the opportunity to comfort her mother.

"Mom, the doctors have said that you want to keep your mood happy, so don't blame yourself and worry about this anymore!" She sincerely hopes that her mother can live happily and untie the knot.

"Good news for you! Dad was discharged from the hospital two days ago! I'm recuperating at home! He's still saying, your mom isn't at home, I always feel like something is missing! My sister-in-law and I laughed at him for not seeing you, as if he had lost his soul. ”

The aunt, who was still immersed in self-blame and regret, heard this, and a smile really appeared on her face.

"He never said such nice things to my face. When I am discharged from the hospital, I must stew him a pot of chicken soup. Let him eat early to recover his body. ”

The aunt suddenly remembered that she and her husband were infected after drinking the problematic chicken soup, and hurriedly asked Zhou Can, "Doctor Zhou, can you eat your own chicken?" ”

She was bitten by a snake once, and she was afraid of the well rope for ten years, and she had a psychological shadow when she drank 'poisonous chicken soup'.

"Of course you can eat it. As long as it's a healthy chicken and it's cooked thoroughly, it's fine. The tonic of chickens is mild, and it is very suitable for nourishing the body. ”

Zhou Can said with a smile.

Yu Xin, who was standing next to her, couldn't help but smile at the moment.

This aunt also has a cute side.

Zhou Can measured the basic signs of body temperature, blood pressure, and heart rate for the aunt, and then learned about the aunt's physical symptoms at this time.

"Auntie's current signs and symptoms are not bad, I believe that Bao must actively cooperate with the treatment, or she will be discharged from the hospital in a short time." Zhou Can's words reassured Yu Xin, her aunt, and her family at the same time.

Several people's faces showed joy.

Patients can recover and be discharged from the hospital, which is the common pursuit of patients, families, doctors and nurses.

"Dr. Zhou, could you please help me read the patient's doctor's order again? Is there anything that needs to be changed? Yu Xin may also be worried that Zhou Can will think she has too many things, and explained. Director Shang said, Duan Zifu and I have encountered something that is not accurate on the doctor's order, so I can ask you. ”

"Director Shang really lifted me!"

Zhou Can showed a wry smile, he was just a trainee, and he was not as powerful as Director Shang thought.

But fortunately, his pharmacological differentiation has been promoted to level four, and as long as he doesn't encounter too complicated conditions, he can basically solve it.

I carefully read the patient's doctor's instructions, and there was nothing wrong with it.

"The doctor's instructions match her current treatment and symptoms, and she can continue to use it. However, it is still necessary to closely observe the patient's drug reaction. If there is an abnormal reaction, you must seek treatment from a senior doctor as soon as possible. ”

My aunt has just been transferred out of the intensive care unit and is still very weak.

According to Zhou Can's training experience in the intensive care department, such patients belong to the key care objects.

Zhou Can was talking to Yu Xin, and Huang Liang, a senior resident under Director Zheng Hongtao, walked into the ward quickly.

I saw him go straight to bed 67.

It seems that the patients in this bed are in his charge.

When Huang Liang saw Zhou Can, he couldn't help but be slightly stunned, his expression was somewhat unnatural.

Because seven days ago, the patient with acute gastroenteritis almost died because of his misdiagnosis and miscalculation, as well as delays.

The situation was particularly dangerous.

As long as the patient is sent to gastrointestinal surgery two or three hours late, the patient may develop shock and even die.

Zhou Can found out in time that the patient may have had intestinal perforation, which not only saved the patient, but also saved Dr. Huang Liang and Director Zheng Hongtao.

It's just that the two have very different attitudes towards Zhou Can.

After Director Zheng shook hands with Director Shang and made peace, his attitude towards Zhou Can has now become very warm and friendly.

When they met, they would even take the initiative to greet Zhou Can with a smile on their faces.

It shows that Director Zheng Hongtao is very grateful.

"Morning!"

Huang Liang nodded at Zhou Can and said hello.

"Morning!"

Zhou Can knew that his heart was still awkward, but he didn't have the same knowledge as him.

Huang Liang's status in the Department of Gastroenterology is still quite high, and his reputation is not small. Among the residents, he is one of the best.

Being able to take the initiative to greet Zhou Can at least shows that he understands or understands whether he is a reasonable person, but he just takes his face very seriously and is arrogant, so he will behave so unnaturally when he greets Zhou Can.

To put it bluntly, I just don't want to look too weak in front of Zhou Can.

But Zhou Can saved him once, this kindness was there, and when he saw the face of his benefactor, he still couldn't do it like a stranger.

At this time, one of Director Zheng's interns also walked into the ward quickly.

"Doctor Huang: Morning! I heard that you entered the hospital room and rushed over. The patient was admitted to the hospital yesterday with unbearable epigastric pain that was paroxysmal and lasted more than 10 hours. After receiving the emergency department, the patient has been given blood routine and B-ultrasound, and anti-inflammatory treatment has been given to the patient, but no effect has been observed. Then I was transferred to our gastroenterology department. ”

The intern on duty quickly reported the patient's condition.

Labor pain in the upper abdomen is extremely severe, and the hospital generally takes it very seriously.

At the beginning of the emergency department, there is a suspicion that the patient has eaten unclean or irritating food, causing gastritis or enteritis. That's why anti-inflammatory treatment is given to patients.

Now it seems that the patient's condition is more complicated than expected.

After listening carefully, Huang Liang picked up the patient's information to check.

His brow furrowed more and more.

Explain that the cause of this patient is not easily diagnostic.

(End of chapter)