Chapter 276 The patient who drank water wildly, the embarrassment of the horse's fart slapping the horse's leg
After listening to Director Zhang Bihua's evaluation of Zhou Can, Dean Tian showed a look of clarity in his eyes.
She is also a good person, and she knows what Zhou Can's position is when she hears it.
Listening to Director Zhang's tone, Zhou Can's status in Tuya Hospital does not seem to be lower than that of Du Leng at all. The hospital's training of Zhou Can will be even greater, and the expectations will be higher.
"Doctor Zhou, if you have been contemptuous before, please Haihan. Today you saved Xinxiang Women's and Children's Hospital once, we will definitely remember your credit, and we can come and go often in the future! ”
Dean Tian took the initiative to shake hands with Zhou Can again and put forward the idea of more interactions.
"It's easy to say, it's easy to say."
Zhou Canzi will not refuse to expand one more connection.
Don't look at the Xinxiang Women's and Children's Hospital, which is now deserted. But as long as it gets back on its feet, it will still be a heavyweight presence in the medical community in the province.
It's a lot of time when it's needed.
"Director Zhang, Director Dai, and Dr. Zhou, it is not easy for this patient to be successfully rescued. It can be said that it is a life of nine deaths, and it also fully proves that the three of them have superb medical skills. I mean, as soon as Tuya came to our hospital to carry out a specialist outpatient clinic, she got off to a good start and saved a sick child who was almost certain to die, and I wanted to organize the hospital's publicity department to publicize this matter. I don't know what the three of them think? ”
Dean Tian wanted to advertise the three of them, so he naturally had to consult the opinions of the three of them.
"I think it's good! This is a good thing, and it does have certain medical clinical significance. ”
Director Zhang Bihua nodded and agreed, and Zhou Can and Director Dai naturally had no opinion.
Everyone originally came over to help endorse the platform of Xinxiang Women's and Children's Hospital.
They can understand the difficulties of Xinxiang Women's and Children's Hospital, and the idea of being desperate to quickly change the unfavorable situation.
"Gee, it's already noon. There are thousands of things, and there are big things to eat, so it is better for everyone to go to eat first, rest for a while, and have plenty of energy to receive new patients in the afternoon. ”
Dean Tian raised his wrist and glanced at his watch and said.
The sick child turned from danger to safety, and all parties were happy and got along very well.
Dean Tian personally accompanied him and led a few people to eat Chinese food in the hospital cafeteria.
Zhou Can was very righteous, and called Deputy Director Shi over to eat together. This time, he attended the specialist clinic and represented the Department of Gastroenterology. Deputy Director Shi is his nominal senior doctor.
This kind of performance of respecting his superiors invisibly made him gain extra points in the hearts of Dean Tian, Zhang Bihua and others.
There is no parent who doesn't like a filial child.
By the same token, there is no leader who doesn't like people who know how to respect their superiors.
After eating, Dean Tian thoughtfully arranged a medium-sized conference room for the 27 doctors and nurses from Tuya Hospital as a temporary resting place for lunch.
Everyone sat in the conference room either swiping their mobile phones, closing their eyes and recuperating, or chatting about this morning's work.
Some people saw five or six patients in the morning, and some people were embarrassed that no one cared about them.
Du Leng's diagnosis and treatment volume is quite outstanding, and he has received eight patients. He ranked first in the total number of consultations, overtaking many chief physicians and becoming the morning champion.
If Director Zhang Bihua hadn't left the scene temporarily and went to the operating room to rescue the child, the total number of patients received would definitely be Director Zhang's first.
Deputy Director Shi is the worst one, because he is not well-known, and the number of outpatients in Xinxiang Women's and Children's Hospital is scary, Deputy Director Shi was stunned and ate a duck egg.
He also suffered a deputy chief physician and an attending physician.
From this phenomenon, it can be seen that doctors are nothing unless they are a few top performers who are particularly famous, and other doctors have left the original big platform.
Many patients come for the hospital's fame.
It doesn't seem to matter so much who the doctor is who treats them.
According to incomplete statistics, less than 4% of patients come to the hospital's famous doctors. Such patients will have a strong sense of purpose, and must hang the number of the specialist, regardless of seeing another doctor.
The remaining 96% of patients are randomly registered according to their own needs.
For example, when registering, they will give priority to the chief physician who is good at treating their own diseases, and if the professor number and expert number are gone, they can even register an ordinary number.
Du Leng was only at the level of an attending physician, and when he went to an unfamiliar environment, there were actually eight patients looking for him in the morning, which was indeed a bit unexpected by everyone. It also shows everyone how popular a doctoral degree from an overseas famous university is.
Even a highly talented student of Imperial Capital Medical University like Gao Jian, who has a master's degree, is still overshadowed by Du Leng.
Takami sat with a chief physician in the neurology department for the morning, and they only saw two patients in total.
This kind of encounter made these experts who had some status in Tuya Hospital very embarrassed.
Actually, this is normal.
The types of patients served by Xinxiang Women's and Children's Hospital are mainly gynecology, obstetrics, and pediatrics, and it is normal for people like these general chief physicians and deputy chief physicians of the departments of gastroenterology and gastroenterology to be ignored.
Du Leng is the first to receive consultations, and the returnees have a doctorate degree, which makes him find an unprecedented sense of superiority.
Two young female doctors took the initiative to talk to him.
A beautiful and young female nurse also stepped forward to chat with Du Leng for a while under the pretext of asking for nursing knowledge. The phenomenon of such beautiful nurses and female doctors chasing each other is indeed enviable.
Despite having so many young female doctors. The female nurse chased after her, but Du Liang was not satisfied.
It's like the emperor is used to sleeping with the concubines and maids in the palace, and gradually gets tired of it, and always wants to go outside the palace to find folk beauties.
With Du Leng's excellent conditions, if you want to chase an ordinary female doctor or female nurse, the success rate is very high.
But there was a woman he wanted but couldn't.
That's Yang Chan.
She has a beauty that is almost not inferior to Su Qianqian, coupled with self-improvement and self-reliance, and has been trained by Director Zhang Bihua, which makes her more confident and her temperament is more and more outstanding.
The unique charm exuded made Du Leng's heart scratch like a cat's claw.
It's a pity that Yang Chan belongs to the flowers that grow on the top of the snow-capped mountains, and there are thorns, and it is not easy to pick them.
Du Leng tried to pursue Yang Chan many times, either bright or dark, and the means were exhausted, except for touching a nose of ash, there was no gain.
This time, I came to Xinxiang Women's and Children's Hospital with Yang Chan to participate in the expert outpatient clinic, which is a very good opportunity.
Especially under the brilliant result that he got the first place in the total number of consultations in the morning, he gave him two more points of confidence.
Du Leng stood up and walked towards Zhang Bihua and Yang Chan with an elegant confident smile on his face.
"Director Zhang, two of the patients I saw in the morning had doubts, could you please take the time to give me some advice?"
He asked very politely.
"Dr. Du is gracious! If you have any doubts, you can say it and discuss it together. You are a highly talented student from a famous overseas school, and you don't dare to be a two-word guide! ”
Zhang Bihua responded with a smile.
It can be seen that her attitude towards Du Leng is quite friendly.
"The first difficult case is that the female patient who was overly obese and had apnea during sleep, if it was not caused by obesity, what do you think could be the cause?"
The female patient had taken medicine and undergone surgery, but none of them could cure the disease of apnea during sleep.
Du Leng sent the female patient to have an enhanced CT scan and bronchoscopy at that time, and estimated that it should be done in the afternoon. When the time comes, I will definitely come back to him with the results.
Now ask Director Zhang for advice, and then you will be able to know it in your heart and not make a fool of yourself.
"There are many factors that can cause SAS disease! Such as genetics, alcohol consumption, smoking, increased pharyngeal muscle tone, and so on. I think it would be better to wait for the patient to have a further examination and look at the results of the examination before making a specific diagnosis. ”
Director Zhang Bihua is obviously not particularly good at this field, and she can't give Du Leng better advice.
Sleep apnea syndrome, medically referred to as SAS.
It is a relatively rare disease.
The greatest danger of this disease is that it causes the patient to suffocate to death during sleep.
The answer to this case was not answered, and Du Leng continued to consult the second case.
"There is also a case that is also very strange. The 32-year-old patient suffered uterine bleeding one year ago and was hospitalized for dilation and curettage. A pathology test was done, and what was scraped off was endometrial tissue. About two months ago, the female patient suddenly liked to drink a lot of cold water, at least more than 10,000 ml a day. And there will also be a disturbance of consciousness. The patient has been treated in several hospitals, but no cause has been found. The family heard from others that it was likely to be neuropathy, and this time they heard that experts from our Tuya Hospital had opened an expert outpatient clinic at Xinxiang Women's and Children's Hospital, so they rushed to try their luck to see if they could find out the cause. ”
Du Leng's personal introduction says that he is good at neurosurgery and nail and breast surgery.
Coupled with his outstanding academic qualifications, he won the jackpot and let this patient with ultra-high diagnostic difficulty come to the door.
If you don't have a diamond, you have to do porcelain work, and you will be constantly slapped in the face.
This is especially true of this kind of open, large-scale specialist outpatient activity.
Smart doctors are the more low-key the better.
Du Leng seems to have treated eight patients, and it is difficult to say how many of them can be cured.
"Do you have a specific information about the patient? It is difficult to associate uterine bleeding with polydipsia and impaired consciousness of the patient based on the uterine bleeding described by Dr. Du alone. ”
Director Zhang is not a god, she just has a lot of clinical experience in the field of obstetrics and gynecology, and the academic research in this field has also made quite high achievements, that's all.
Of course, her gynecological and obstetric surgery abilities are also second to none, at least among the top ten in the province.
"The specific examination materials have been taken away by the family, and I asked the patient to check the urine routine and blood routine first, and I estimated that I would definitely get the results in the afternoon. The patient was examined in an outpatient hospital and found that the pituitary stalk was thickened, the blood prolactin was elevated, and the diagnosis of type 2 diabetes mellitus was confirmed. ”
Du Leng could not provide too detailed information about the patient, and could only give a general description of the patient's main condition.
"It's right to check the urine and blood tests. If the patient drinks more than 10,000 milliliters of water a day, he will inevitably have frequent urination and may even have diabetes insipidus. However, the specific cause needs to be comprehensively demonstrated by integrating all the examination data, as well as the actual situation such as the patient's physical condition. Let's wait until the patient has finished checking the basic biochemistry! ”
Director Zhang is cautious in his words and deeds in the diagnosis of patients, and never makes conclusions.
This is the case with almost all famous doctors. The diagnosis should be as detailed and pragmatic as possible to prevent missed diagnosis and misdiagnosis.
Du Leng consulted two difficult cases, but he didn't get the answers he wanted, and he was not too disappointed.
Originally, it was also the intention of the drunkard, not to drink.
His eyes naturally looked at Yang Chan, "Doctor Yang, I heard that you rescued the sick child who had a severe cold in the morning, so the process must have been very thrilling!" ”
It's just a lack of words.
Can the two chief physicians of pediatrics and obstetrics and gynecology be alarmed to put down the expert sitting activities in the outpatient clinic and participate in the rescue for more than two hours, can the process not be thrilling?
Yang Chan didn't seem to have the desire to talk to Du Leng too much.
Just a faint "um".
Director Zhang does not interfere in this kind of personal affairs of children.
There's no way to interfere.
Don't look at Yang Chan as her apprentice, she has to be led by Director Zhang in the hospital, but she is limited to work. personal feelings, even the king of heaven and Lao Tzu can't force her.
"When I was eating in the cafeteria just now, I heard the nurses at Xinxiang Women's and Children's Hospital talking about it, saying that the patient was almost gone. It was Director Zhang who took a young doctor to actively rescue the person who rescued him, and after listening to it, I admired the young doctor very much. I know that the young doctor must be you. ”
Du Leng tried to praise her as much as he could.
Pursuing girls, praising them for being beautiful, praising them for being gentle, kind, intelligent, etc., are all ways to get closer to them.
Pickle girl, Du Leng is definitely a veteran.
"It's not me!"
She glanced faintly at Zhou Can, who was studying with his mobile phone not far away.
Compared with Du Leng's high-profile and show-off, Zhou Can's performance in all aspects is particularly pragmatic.
People are most afraid of comparison.
Compared with this comparison, her impression of Du Leng is even worse. The impression of Zhou Can is even better.
"Not you? Impossible! Director Zhang only brought you a young doctor at that time...... Ah, could it be him? ”
Du Leng suddenly realized that Zhang Bihua had also deliberately seconded Zhou Can to Deputy Director Shi at that time.
The young doctor who helped rescue the sick child together was not Yang Chan, it was likely to be Zhou Can.
I wanted to come over and praise Yang Chan and get closer to her, but I didn't know that I praised a potential love rival. Du Leng is afraid that he wants to die.
"Dr. Du guessed correctly, the young doctor who made great achievements is Zhou Can."
Yang Chan's face showed a little urgency, and she shouted at Zhou Can.
"Zhou Can!"
"What's the matter?"
Zhou Can raised his head and looked at Yang Chan when he heard the sound.
"Dr. Du Leng heard about your great contribution to rescuing sick children, and he said that he especially admired you and wanted to communicate with you."
Yang Chan, this beautiful woman, is too bad.
Knowing what kind of calculation Du Leng was playing, now calling Zhou Can over, Du Leng's heart is estimated to be no different from eating a dead fly.
The point is that this dead fly is still what he wants to eat with his mouth open.
"Dr. Du is polite, I am a petty pearsman, and my ability and knowledge are not as good as one-ten-thousandth of yours. Of course, if you want to communicate, you are always welcome. ”
Zhou Can didn't have a good impression of Du Leng, and always felt that this person was a little sinister and hypocritical.
But if you want to say that there is any deep hatred between him and Du Leng, there is really none.
Anyway, promotion and competition for the training resources of the hospital are all based on their abilities.
As for Du Leng's jealousy of him, this is Du Leng's own business.
It will not cause any substantial loss to Zhou Can.
"Ahem, ahem...... I will continue to sit in the afternoon to sit for the clinic, and there are still a few patients I received in the morning who have not found out the cause and need to consult the information. I'm afraid I don't have time to communicate with Dr. Zhou today, I'll see you next time. ”
Du Leng ran over to communicate with Zhou Can at this time, undoubtedly sending it to the door to put gold on Zhou Can's face.
This kind of thing that is used as a stepping stone for a potential love rival, he will never do it.
"Okay!"
Zhou Can didn't bother to waste time with him, so he lowered his head and continued to read.
It is actually quite convenient to use a mobile phone to read medical books on the Internet. However, the physical book feels more in the hand, especially some larger anatomical drawings, and the screen of the mobile phone is too small and needs to be enlarged to see the local details.
This has a big impact on the reading experience.
Gao Jian heard that Zhou Can had made great contributions in the operation to save the sick child in the morning, and couldn't help but take a deep look at Zhou Can. Since the two passed the training exam, they have started to compete.
It's just that the gap between him and Zhou Can seems to be getting bigger and bigger.
Zhou Can's current reputation in Tuya General Hospital is already on par with Du Leng. Even in the minds of many chief physicians, the status is much higher than that of Du Leng.
Takami has been working silently with his head down, trying to catch up.
It's a pity that Zhou Can is too demonic, and he rode the dust, leaving him far behind.
This frustrated him somewhat.
They are all people, Zhou Can's starting point was not as good as him, but now he is so good, it is really enviable.
They rested in the conference room for half an hour, and at one o'clock in the afternoon, they returned to the outpatient hall on time to continue their consultation.
Since it was the first day to open such a large specialist outpatient clinic in an outer hospital, I had insufficient experience in many aspects.
Director Zhang needs to constantly summarize and convene a meeting in the evening to make improvements.
For example, the patient had an accident in the morning and urgently needed to be rescued, and after the experts sitting at the door were dispatched, there was no way to deal with the patients in the outpatient clinic.
The patient's experience is sure to be particularly poor.
As soon as they were seated in the outpatient hall, a patient came over with the examination materials.
"Dr. Du, please help my wife take a look again. This is the result of a urine test and a blood test. ”
A middle-aged man led a middle-aged woman with a somewhat dull gaze to Du Leng's desk.
Zhou Can's heart moved slightly, it seemed that this woman was the female patient who drank more than 10,000 milliliters of cold water a day and was unconscious.
The diagnosis of this incurable disease is Zhou Can's favorite.
Not only can you earn 100 high experience points as a reward, but you can also really relieve the suffering of patients, killing two birds with one stone, why not.
(End of chapter)