"I'm just a petty pearson, and if you have any questions, you can ask Director Zhang, Deputy Director Shi and others." Zhou Can had a headache when he saw this female reporter.

Hurry up and try to get away.

"Hmph, don't think I don't know anything, Deputy Team Leader Zhou!"

She snorted proudly twice, and directly said Zhou Can's temporary position.

It means to tell Zhou Can not to fool her.

"I'm just a fictitious position, and I was caught by a senior doctor to make up the numbers." Zhou Can continued to defend that he was really afraid of being entangled by this female reporter.

"Tuya Hospital's overall score in the regular training recruitment examination is the first, is it also a good number? When you were training in the emergency department, did you make up for the increase in the total number of surgeries by more than 1,000 a month? You're ......"

She had a determined expression on her face.

"Stop!"

Zhou Can hurriedly stopped.

"You investigate me?"

He stared at Twilight's foxy face with some annoyance. If it were anyone, the old bottom would be picked up by others, and I am afraid that no one would be happy.

"Every one of us who is a reporter has the potential to be a 001 agent in Ouchi. It's not that I want to investigate, it's that you're so good. It's like a light in the dark, it's hard for you to keep others out of paying attention to you! ”

She justifiably explained.

"Rest assured, I won't delay Dr. Zhou for too long. For the sake of the little woman waiting for you for nearly four hours, answer me a few simple interview questions at mealtime, okay? ”

Seeing Zhou Can's hesitant face, she once again gave full play to the unique advantages of beautiful beauties.

"Please, please! If I can't complete the interview task, the leaders in the station will scold me. ”

She looked at Zhou Can with a pitiful expression.

"Just let your leaders scold me. You tell him that I don't want to cooperate with your interview. Zhou Can didn't mean to loosen.

If you think it's a beauty, you can take him down if you are coquettish in front of him, and you can take him down with a soft voice and begging for two words.

That's too much to underestimate him.

Seeing that Zhou Can didn't give any affection, he and the female nurse Ji You threw her down and walked straight to a small room not far away.

She bit her thin red lips with lip gloss on her lips and chased after them.

"What the hell is that pregnant woman?"

No one answered her.

"We journalists are not bad people, and the purpose of interviews is to tell the truth to the public. Besides, isn't this pregnant woman already in danger? The report is beneficial to the experts of Tuya Hospital and Xinxiang Women's and Children's Hospital! You don't have to treat me like a thief, I'm a serious TV reporter. ”

She still pestered Zhou Can.

Fortunately, at this time, Section Chief Tang walked out of the room after eating.

Seeing the female reporter pestering Zhou Can, he immediately stopped Twilight and said politely, "If Twilight Reporter has any questions, just ask me, don't pester Dr. Zhou again." In order to save patients, people are busy and haven't eaten lunch until now, please weigh it. ”

Twilight knew that there was no way to interview Zhou Can alone.

She was a little depressed, but helpless.

"Then I'll wait for Dr. Zhou to interview him next time I'm free. Goodbye, Chief Tang. ”

She's decisive enough.

found that he couldn't interview Zhou Can, so he turned around and left.

Let her interview Section Chief Tang, thank God for being able to ask the truth in ten sentences.

……

In the room, Zhou Can and Ji You found that the meals were all packed in the incubator.

The cuisine is not bad, three dishes and one soup, obviously not a big pot dish in the canteen.

"I didn't expect Dr. Zhou's resistance to beauties to be quite strong! The female reporter was very beautiful and coquettish, and it would be difficult for ordinary men to resist her request. I was really surprised that you would say no so cleanly. ”

Ji You also took this opportunity to talk to Zhou Can.

I want to add a little familiarity with each other.

After all, there are still more than five days to work together to rescue various critical patients and deal with emergencies.

"Could it be that in the cognition of Ji Beauty, men should see that beautiful women can't walk, and the lower body determines the brain?"

Zhou Can raised his eyebrows.

"Hmm...... Heroes must not be sad since ancient times! She probably didn't expect Zhou Can to speak so directly, and a little vulgar, with a slightly smoky face, and quickly changed the topic. What does Dr. Zhou think about the pregnant woman's femur head fracture? ”

"Surgery will definitely not be done, so we can only find a way to do external fixation of fractures. Judging from the X-rays she took, external fixation can only ensure that the two largest fracture sites can be corrected as much as possible, and the other three minor fracture sites may not be able to take care of them. ”

Zhou Can has also been thinking about external fixation schemes.

Thinking about it, you can only choose the lesser of two powers.

As much as possible, the main part of the femoral head is healed in situ, and the other three corner fractures and minor fractures can only be allowed to heal on their own. Malunion will occur in at least one of them.

It may affect the motor function of the lower limbs after rehabilitation.

Zhou Can's idea is to wait until the pregnant woman gives birth to a child, and then elective surgery to surgically correct and repair the deformed and healed part.

After the two finished eating, they went back to the emergency room and continued to stare at the pregnant woman.

At about 2:10 p.m., Deputy Director Shi's mobile phone rang.

"Hello Director Zhang!"

"Is the pregnant woman still in stable condition?"

"So far, it's not bad."

"I saw a patient in his fifties who had a fluid build-up in his fifties, cirrhosis, and a mass in the anterior wall of the rectum that was at least more than five centimeters in diameter during a digital anal examination. I always feel that this case is not as simple as it seems. She was treated in an outpatient hospital where she was diagnosed with rectal cancer and underwent surgery and radiotherapy. ”

Radiotherapy is radiotherapy, which uses special high-tech rays to kill cancer cells.

It can effectively prevent cancer recurrence after surgery.

Especially for tumors that cannot be removed, radiotherapy is of great significance. It completely destroys the remaining tumor cells.

It is important to explain why some cancer patients are diagnosed with cancer, but doctors do not rush to operate on the patient, but prescribe radiotherapy.

Many patients may not understand and think that doctors are deliberately increasing treatment items to toss patients and make money.

Patients are more worried about delaying for a long time, metastasizing the tumor, and missing the best time for surgical treatment.

In fact, doctors have good intentions, and the purpose of preoperative radiotherapy is to reduce the spread of cancer cells, reduce the rate of lymphatic metastasis, and expand the chance of recurrent tumor resection.

Therefore, whether it is preoperative radiotherapy or postoperative radiotherapy, doctors have their own comprehensive considerations, and it is by no means the black money that patients and their families imagine.

As for chemotherapy, it means the use of chemical drugs to treat cancer.

This treatment can have serious side effects such as hair loss, puffiness and so on.

Chemotherapy is a treatment method that kills 1,000 enemies and causes 800 self-inflicted damage.

Some patients have their immunity already poorly destroyed by cancer cells, and then chemotherapy is administered, and the patient's body deteriorates. A lot of them are empty of people and money.

With the advent of new drugs for cancer treatment, chemotherapy may be completely phased out in the near future.

At present, chemotherapy is still one of the most effective treatments for cancer.

Radiotherapy, chemotherapy, and surgery are known as the three axes for dealing with cancer.

After all three of these tactics have been used, they still have no effect, and the patient is basically sentenced to death.

In fact, many patients simply do not survive the last course of chemotherapy.

If Director Zhang was only treating a rectal cancer patient, there would definitely be no need to discuss it with Deputy Director Shi.

She continued on the other end of the phone: "This patient has relapsed in a very short period of time after undergoing surgery and radiotherapy in the hospital. The patient was just asking me, is it okay to just cut off the entire rectum and do a fecal fistula diversion? I suspect it's not that simple, so I'd like to ask you to come over for a consultation. ”

Gastroenterology finally has a place to play.

Deputy Director Shi was very excited, and hurriedly responded, "Okay, okay, I'll come over immediately!" ”

Hanging up the phone, Deputy Director Shi was still excited.

"Xiao Zhou, you are staring here, Director Zhang picked up a rectal cancer patient and asked me to come over for a consultation. I'll be back when I'm done. ”

"Okay!"

Zhou Can agreed.

The pregnant woman is stable for now, but he doesn't dare to walk away. The doctors and nurses at Xinxiang Women's and Children's Hospital have a lazy work attitude, and compared with the doctors at Tuya Hospital, the gap is very obvious.

Even the medical staff in the emergency room are so slack, can you imagine what kind of work attitude the medical staff in other departments will have?

It is really intolerable that nothing happens in such a hospital.

When a major accident occurs in a hospital, you should face yourself squarely, strictly grasp the work style, and control the safety level.

However, the practice of Xinxiang Women's and Children's Hospital is to send a large number of top doctors from the hospital to go out for further study, and they do not care about the work of the doctors and nurses in the hospital.

Now, even if the experts from Tuya Hospital are invited to come over to build momentum and stand on the platform, I am afraid that it will have something to do sooner or later.

The laws of market competition are very fair and cruel.

Hospitals with major defects are ultimately doomed to be eliminated.

It is precisely because the medical staff of Xinxiang Women's and Children's Hospital have developed a mastery style and are relatively indifferent to the lives of patients, that Zhou Can is even more afraid to leave the pregnant woman.

Because she is still in danger now.

About 20 minutes later, Deputy Director Shi called.

"Doctor Zhou, the cause of this patient is a bit difficult to diagnose, why don't you come and help take a look?"

Deputy Director Shi lowered his voice and spoke on the other end.

I guess it's a little embarrassing to ask for reinforcements temporarily.

"What about this pregnant woman?"

Zhou Can was a little worried.

"I asked Dr. Pang to come over and watch, and it will be fine."

Deputy Director Shi said.

"That's fine! I'll wait for Dr. Pang to come! ”

After Zhou Can hung up the phone, he looked at the two nurses, Ji You and Chen Qingling.

There are a total of five people in their crisis management team, and Chen Qingling is an instrument nurse, who needs to operate on patients at critical moments, or provide invasive respiratory support, which requires her assistance.

"I'll have to get out for a while, and then Dr. Pang will come over. But for the safety of this pregnant woman, please be careful and keep an eye on the two of you. ”

Zhou Can told the two.

"Understood!"

The two nodded in agreement.

Chen Qingling is older, at least close to forty years old, and his behavior is quite steady. Ji You is relatively young, in his twenties, serious and responsible in his work, and his professional level is quite good.

With these two people staring at them, plus Doctor Pang at the attending level, there shouldn't be anything wrong.

Not long after, Dr. Pang from the Department of Obstetrics and Gynecology arrived.

After Zhou Can finished handing over, he rushed to the outpatient hall to help diagnose difficult cases together.

When he arrived, several doctors were discussing it together.

Deputy Director Shi looked at it frequently, and he had long been looking forward to Zhou Can coming over.

Seeing Zhou Can present at this moment, he was also quietly relieved.

It's a bit embarrassing to say it, Director Zhang invited him over to participate in the consultation, and the opportunity to show his skills finally came. Because the patient has rectal cancer, even if there are other conditions, most of them are digestive system lesions.

As a result, after learning more about the patient's condition, he found that the case was far from being as easy to diagnose as he thought.

It also made him realize that when he was diagnosing difficult cases before, the Department of Gastroenterology had made a lot of contributions. But without Zhou Can, he, the deputy chief physician, is nothing.

"Doctor Zhou, this is the patient's examination data, you can take a look first."

Deputy Director Shi seemed to have found a savior.

After this scene, no one said anything in the eyes of other doctors, but when they looked at Deputy Director Shi and Zhou Can, there was a little strange in their eyes.

The all-pervasive twilight reporter was also staring at this side not far away.

Especially after Zhou Can arrived, her eyes were like an eagle, staring at Zhou Can without moving away.

Seeing Deputy Director Shi stuffing the patient's examination data into Zhou Can's hand, revealing a relaxed expression like a savior, she couldn't help but lift the corners of her mouth.

"The trainee, who is stronger than the chief physician, is really alive for a long time!"

She muttered quietly, and she was more interested in Zhou Can, a regular trainee.

Zhou Can took the examination data, and Director Zhang said to him in a timely manner, "We are now unanimously discussing that the patient's rectal cancer is caused by metastatic cancer. Ascites is the best proof of this. ”

Indeed, if rectal cancer is the primary lesion, it should not cause an ascites effusion.

"Did you check the fluid in your abdomen? For example, whether there are cancer cells in it. ”

Modern medical technology is advanced, and there are many ways to check it.

In this case, there is a certain chance of finding the primary lesion by directly checking the composition of the peritoneal effusion.

"Checked it! Well, this is it. The results suggest that well-differentiated signet ring-like cells were found in the peritoneal effusion. ”

After Director Zhang saw Zhou Can's ability, he did not treat him as a regular trainee, but directly promoted him to the level of chief physician.

During the discussion, she answered Zhou Can's questions directly.

This kind of invisible reliance is enough to make Gao Jian and Du Leng feel extremely jealous. Because Yang Chan and Zhou Can are classmates, she doesn't feel jealous, but she just feels the pressure of competition.

Holding back his strength, he will definitely redouble his efforts in the future and strive to catch up with Zhou Can.

Now, the gap between her and Zhou Can is very big.

She can clearly feel this and realize it.

"Ring-like cells, then you should check the stomach! The possibility of metastasis from gastrointestinal cancer may be considered. ”

Zhou Can has been mixed in digestive surgery for three months, and it is not for nothing.

He has a good understanding of all kinds of cancers of the digestive system.

Director Zhang's eyes flashed with appreciation.

This kid does have some skills, and every step of the diagnosis is consistent with the diagnosis they discussed together.

You know, their group of experts also discussed for a long time before determining that the possibility of stomach metastasis is very high. Zhou Can easily pointed straight at his stomach, this is the level!

"Gastrointestinal imaging showed a mass in the greater curvature of the stomach, and metastases were found in the anterior wall of the rectum and peritoneum."

Director Zhang continued.

Zhou Can read the corresponding inspection data.

"Her primary cancer is most likely in the ovaries."

Not long ago, a patient with ovarian cancer was diagnosed, and he was so impressed by the disease.

Ovarian cancer is even more insidious, more subtle, and very difficult to diagnose than lymphoma.

They all have a common feature: the primary lesion is less obvious, but the metastatic lesion is obvious. It is equivalent to the Ming plank road in the thirty-six plans, and secretly crosses the Chen Cang.

There's also a bit of a striking.

This cancer is really cunning as a wolf.

"However, the patient checked the abdominal CT in the hospital and found no obvious ovarian lesions!" Director Zhang said.

"Ovarian cancer is very good at camouflage, and there is one of the fastest ways to diagnose it, directly investigate the pathology of gastric cancer, and you can find out whether it is metastasis of ovarian cancer." Zhou Can provided a solution.

(End of chapter)