He began to press on multiple parts of the patient's abdomen.

When pressed to the middle area of the upper abdomen near the right side, the patient emits a muffled grunt.

"It hurts, it hurts!"

She hurriedly shouted with a trill.

Zhou Can did not stop the tenderness test, but continued to press on the surrounding area, and the patients did not respond to pain.

When he finished pressing, he turned back to the tender area just now, and while pressing, he closed his eyes and felt it carefully.

If it weren't for his serious face, the family would really think that this doctor was not serious and was eating their daughter's tofu.

"Well, her lesion area can basically be locked onto the jejunum segment of the small intestine. This is also consistent with the results of a GI angiography. Duodenal lesions are generally characterized by inflammation and ulcers. In addition to inflammation and ulcers, the ileum is also prone to bleeding. Only the jejunal segment has the highest risk of malignant disease in clinical practice. ”

Doctor Chi, who is also a doctor, immediately understood a little when he heard Zhou Can say this.

Sometimes, even if the cause has been identified, try to be as tactful as possible when telling the patient about the diagnosis. Tell the patient directly that you have a terminal illness, which can easily cause the patient's psychological breakdown.

When patients go to the hospital for treatment, many of them are very nervous.

In this case, their psychological capacity should be taken into account.

"Doctor, what is my daughter's illness?"

When the family heard that Zhou Can's words were wrong, their faces suddenly turned pale.

Pity the hearts of parents all over the world.

Love for children is like meat on the tip of one's heart.

Hearing that their daughter might be seriously ill, the family's hearts were extremely panicked.

"It's just a preliminary diagnosis, and it's too much to count. Don't be too nervous, I think she's in good shape right now, and there's only one part of the tenderness that has a strong reaction, which is a good thing. It shows that the medical treatment for this disease is very timely and is still in the early stage. ”

Zhou Can explained to the family.

He now finally understands why the monks in the temple always love to play Zen.

Some things are directly told to the parties, and the other party is not acceptable. Let the other party understand it for themselves, but it is more kind.

"Dr. Chi, I recommend a laparotomy for the patient. Of course, if possible, you can discuss it with your family before performing the exploratory surgery, and if you need surgery, you can do it together at that time. It can minimize the surgical damage of the patient. ”

Zhou Can's next proposal, not to mention the family, even Dr. Chi was taken aback.

Laparotomy is an invasive procedure, and only in the face of some critical and malignant types of diseases will be done.

"Isn't it okay to do a colonoscopy?"

Doctor Chi asked solemnly.

"I'm afraid not. If colonoscopy can detect it, it will not be difficult to diagnose her cause. I personally recommend doing a laparotomy. Zhou Can's resolute attitude made Dr. Chi also become solemn.

He knows Zhou Can's ability very well.

If he was not sure, Zhou Can would never have asked for a laparotomy so firmly.

"Dr. Zhou, can you tell us about the basis for this examination?" Dr. Chi certainly wouldn't have said yes.

He decided to listen to Zhou Can's examination first.

"Doctor, my daughter is still so young and unmarried, and if she has a laparotomy, she will leave an ugly scar. It will affect her future marriage and life. Please make a careful decision and avoid it as much as you can. ”

The family members pleaded weakly beside them.

For family members, they have little right to change the doctor's decision on examination and treatment.

Often, it's the doctor who has the final say.

Family members and patients are in a vulnerable position because they do not understand the medical profession.

When I arrived at the hospital, I basically had to choose to trust the doctors and nurses and put the right to life in the hands of the medical staff.

At present, in general, the vast majority of doctors and nurses are just, kind, and very compassionate. It is believed that with the continuous improvement of the law, the supervision and crackdown on that handful of 'rat droppings' will become more and more severe.

In some well-established hospitals, there are a large number of veteran comrades who have spontaneously upheld the red line of medical ethics from being trampled on.

This is the case, for example, at Tuya Hospital.

Those who are not good at medical ethics will have little room for development in Tuya Hospital.

"Let's go outside and talk, don't affect the patient's rest."

Zhou Can glanced at the girl on the hospital bed and took the lead in walking out.

"When I did the tenderness test and palpation just now, it was clear that she might have a hard nodule or tumor in her abdomen. Coupled with some of her symptoms, it is relatively close to a malignant tumor. In addition, I have been in contact with some patients with similar diseases in the intensive care department, and many of them have been found too late and missed the opportunity for surgery. This patient is the same age as flowers, and I think that life safety is far more important than leaving a scar on my abdomen. ”

Zhou Can's words were not only for Dr. Chi, but also to tell the family that the sister's illness was likely to be a malignant tumor.

He called Dr. Chi and his family members outside the ward to talk, just so as not to cause psychological burden to the patients.

"Doctor, what is my daughter's disease? What does malignancy mean? ”

The girl's mother asked nervously.

No matter how stupid the family members are, they can feel that something is wrong with the atmosphere.

At this point, they must have realized that the problem could be very serious.

It's just that Zhou Can is very young, and his family members have doubts about his medical skills and diagnosis and treatment experience. The family still has a lot of luck in their hearts, thinking that their daughter is so young that it is impossible for her to get too serious a disease.

"Malignant tumors are what people often call cancer, and we divide tumors into benign and malignant in medicine. The risk of benign tumors is low, and as long as malignant tumors spread, they are almost in the countdown to life. ”

As soon as Dr. Chi explained this, the girl's mother was already pale, without a trace of blood, her body shook, and she almost collapsed to the ground.

Fortunately, I was held by my husband next to me.

"It's just a preliminary diagnosis, and you don't have to be too pessimistic until the final test results are available. And Dr. Zhou also said just now, your daughter went to the doctor in a timely manner, even if the test result is really bad, it is not the worst step. ”

Dr. Chi hastened to comfort the family.

"So what you mean, my daughter has to do this exploratory laparotomy? Is it dangerous to have my stomach cut open? ”

At the critical moment, men can resist.

The girl's father, though frightened by the thunderbolt news, managed to keep his cool and take on the responsibility of head of the family.

"Any invasive surgery has risks, but the technology of laparotomy in our hospital is very mature, and the probability of an accident should be 1 in 1 million. In addition, before the exploratory surgery, a professional anesthesiologist will conduct a risk assessment of the patient's physical condition, and only if it is considered relatively safe will the exploratory surgery be agreed. ”

Dr. Chi tried to allay the concerns of his family, but at the same time, he did not say anything to death.

If something really happens, then I'm sorry, your daughter's life is not good, and it happens to be this 'one in a million'.

If the doctor doesn't know how to fool around, he really can't play it.

"Isn't the colonoscopy you said before?"

The girl's father is still making his last efforts.

"If the tumour is in the intestine, it can definitely be detected by colonoscopy. If the tumor is outside the intestine, colonoscopy cannot detect it. In particular, some malignant tumors are extremely insidious in the early stages. It is precisely because your daughter's condition is complicated that I am worried about misdiagnosis or missed diagnosis, so I invited Dr. Zhou to come over for a consultation. ”

Dr. Chi said.

"There's something I said, please don't mind you two doctors! Dr. Chow looks very young, can he see it accurately? Can you ask an older doctor to come back and see if you can do it again? After all, it's always right to be cautious about having a stab on my daughter's stomach. ”

The girl's father eventually raised questions about Zhou Can.

Zhou Can is indeed very young.

A young man in his twenties doesn't look like a skilled doctor.

"Hmm...... Okay, I'll ask an older chief physician to come over later. ”

Dr. Chi agreed.

"Dr. Zhou, thank you for coming over and helping today. Later, I will ask Director Shang or Director Zheng to read it, and then give you a reply, and I will definitely convey your diagnosis to them. ”

The family's questioning made Zhou Can a little embarrassed, and Dr. Chi worked hard to eliminate this embarrassment.

"You're welcome, if you have any questions, Dr. Chi can come to me at any time. This patient's illness must not be delayed. I'll go back and get busy first, goodbye. ”

Zhou Can waved his hand and turned to leave.

Not long after he left, Dr. Chi felt that the situation was serious and hurriedly went to the chief physician to come and help with the consultation.

Director Shang was not there, and he found Director Zheng Hongtao.

Although the chief physicians of the department are very busy, they are very enthusiastic about the affairs of patients.

Zheng Hongtao personally went to the ward with Dr. Chi to examine the female patient.

After reading the information of the female patient, Zheng Hongtao pondered for a moment.

"I look a bit like intestinal tuberculosis, and I can try the efficacy of anti-tuberculosis and then make a further diagnosis."

"Uh...... Director Zheng, that's right, I just asked Dr. Zhou Can to also come and help with the consultation. Dr. Chi did not expect Zheng Hongtao's diagnosis to be consistent with his own diagnosis.

He estimated that Director Zheng was likely to be out of sight this time.

So hurry up and talk about what Zhou Can has also come to see.

"Oh! Dr. Chow has also been here? What did he say? ”

Zheng Hongtao's long eyebrows trembled twice, and it could be heard that he attached great importance to Zhou Can's diagnostic views.

Dr. Zhou recommended an exploratory laparotomy to determine the cause. He said that when the patient pressed on the abdomen, he could feel a visible nodule or tumor. Before leaving, he also deliberately explained that this disease could not be delayed. ”

Dr. Chi hurriedly picked out the key points.

"Ah...... Why didn't you say it earlier? Dr. Chow's diagnostic ability is not below mine, and he will not easily let patients have exploratory laparotomy. I took a look again, just a cursory look at it, not so detailed. ”

When Zheng Hongtao heard Zhou Can propose to let the patient have laparotomy exploratory, his face changed slightly.

Immediately changed his tone.

The chief physician can't be slapped in the face by a regular trainee in public.

And with his observation of Zhou Can during this time, as long as Zhou Can thinks that the patient's condition is very serious, it will be almost 100% fulfilled.

When the family members next to the hospital bed heard this, their faces became complicated.

Listening to the tone of this elderly Director Zheng, the young doctor who came to see his daughter before seemed to be very unusual!

Director Zheng just said that Dr. Zhou's diagnostic ability is not below him.

I can't imagine that such a young doctor is not inferior to this old chief physician.

In the future, you really can't judge people by their appearance.

Moments later, Director Zheng's re-examination of the patient ended.

"Although I couldn't find a particularly serious problem, Dr. Zhou must have a reason for asking for an exploratory laparotomy. And the patient's symptoms do tend to be malignant. I recommend that you do this check. Of course, the decision is yours. ”

Director Zheng is somewhat personable.

did not completely shamelessly say the same diagnostic conclusion as Zhou Can.

However, he very seriously asked the family to agree to a laparotomy section.

"Since you said so, then we agreed to do this test. Please ask the hospital to arrange it for us as soon as possible, okay? The girl's father became heavy.

Originally, I still had a lot of luck in my heart.

But after really inviting Director Zheng to come for a consultation, he felt that the young Dr. Zhou was more like that.

When Zhou Can was leaving, he told the disease not to be delayed, which made the girl's father anxious.

I look forward to getting checked out as soon as possible and receiving treatment as soon as possible.

It is not easy to raise a daughter so big.

There really needs to be three long and two short to make them live!

"Doing this test requires fasting, and from now on, the patient should not eat anymore, and it is better not to drink even water. I will apply for exploratory laparotomy for her immediately, and the anesthesiologist will come and talk to you later, do a risk assessment of the patient's surgery, and sign the consent form. ”

Dr. Chi was very happy to see that the family had such a positive attitude.

I don't ink either, and I arrange examinations for patients on the spot.

……

The next day, as soon as Zhou Can finished checking the room, Dr. Chi found him.

"Dr. Zhou, the family of the female patient has agreed to have an exploratory laparotomy done. I also communicated with the family before the operation according to your wishes, and if the tumor is found, it can be removed at the same time as the exploratory surgery. ”

Exploratory laparotomy has a lengthy recovery time of more than a month.

It would be best to be able to have the surgery done all at once.

The patient can also avoid suffering twice.

"That's good! The family members are much more enlightened than they think! ”

Zhou Can said with a smile.

"Uh...... Do you see there is time? In our department, you have the strongest surgical skills, can you please help with this exploratory technique? "Dr. Chi is like a child who is afraid of rejection.

"Yes, that's perfectly fine. It's just that after the exploration, it was found that there was a tumor that needed to be swept, although I could do it, but the title was not enough. Moreover, our gastroenterology department does not have the conditions for this operation, so it is safest to pull the patient to the general surgery department for this operation. ”

Zhou Can's current surgical ability is very strong.

Even many surgeries that can only be done by deputy chief physicians, he has the ability to complete them alone.

For some ultra-difficult separation and excision tasks, he relied on the blessing of the fast knife technique, and he could even cross a large realm and reach the operation level of the chief physician.

The only problem is that the job title is a bit low.

He is still in the training stage of residency and has very little qualifications.

Normally, other doctors are still happy to grab the task of sewing the skin of a surgery at this stage. Zhou Can has been able to open his abdomen and thoracotomy and even craniotomy independently.

He was not at the same rank as those ordinary trainees.

"Puwai has already been contacted. This surgery was performed at the newly built Department of Gastrointestinal Surgery. It has also been agreed that a deputy chief physician will be sent to the operating room to guide the operation. However, we need to send a capable doctor to complete the surgical task. ”

Doctor Chi's operation made Zhou Can shake his head and smile bitterly.

It seems that he has been targeted by Dr. Chi for a long time.

However, this need to be combined with other departments is not easy to coordinate.

Even in the surgical department, not every surgeon does a good job.

Many surgeons are also half-baked.

In order to implement this matter as soon as possible, Dr. Chi found a deputy chief physician with average surgical ability to circumvent the surgical access system, and then asked Zhou Can to take charge of the surgery. Although these operations are criticized, they are very practical.

"Doctor Chi, this is a long time ago to hit me! Can I still say no? ”

Zhou Can smiled bitterly.

"Hehe, who made you famous in general surgery? When I consulted with the deputy chief physician of the Department of Digestive Surgery, he did not agree. As a result, as soon as I heard that you were the main knife on our side, I immediately agreed. He also praised you for doing the surgery quickly and well, and you are very steady, and your strength is not inferior to that of the average chief physician. ”

Dr. Chi smiled wickedly, very proud.

After Zhou Can listened, he touched his nose and smiled bitterly.

People are afraid of being famous, and pigs are afraid of being strong.

If the pig grows stronger, it is easy to be targeted by the butcher. If a person becomes famous, more people will target him.

"They really promoted me and promoted me to the rank of chief physician. Is it to go through surgery now? I will need to follow Director Shang to the outpatient clinic later. ”

Zhou Can is now one of the busiest doctors in the department.

Even busier than the chief physician.

He was very busy, sitting in consultations, performing surgeries, managing patients in the ward, and participating in difficult case consultations.

"It's over now. The patient's side is already prepared for the operation, and just push it over. ”

Dr. Chi is a very steady person.

Every time I came to ask Zhou Can for help, I did enough preparations.

Zhou Can followed him and pushed the patient to the gastrointestinal surgery.

The last battle for the construction of subdepartments in general surgery also made Zhou Can famous. The fame of general surgery is no longer inferior to that of any chief physician.

Pushing the patient all the way, from time to time doctors and nurses took the initiative to greet him.

(End of chapter)