I also understand Director Zhang's diagnostic ideas and intentions.

The pathological diagnosis and medical skills at the deputy director level are already in the same level as many experts present.

"Director Zhang, do you mean to hospitalize the patient, and then fast water, rehydration, acid suppression, and gastrointestinal decompression, and try to control the patient's vomiting and diarrhea symptoms, right?"

Zhou Can asked her just to verify whether her diagnosis level had really risen to the level of deputy director.

"That's right!"

Director Zhang nodded with satisfaction, she felt very happy to be able to watch the rapid growth of her juniors and understand her intentions.

"Do you know why symptomatic treatment is needed to control the patient's two initial symptoms, diarrhea and vomiting?"

Director Zhang wants to further test Zhou Can's diagnostic thinking.

Many novice doctors, watching senior doctors prescribe various examinations, or do some experiments and measurements on patients, do not understand why senior doctors do this?

Because they are not at the same level as the diagnosis level of senior doctors, they really can't understand the deep meaning.

It's like playing chess, people seem to fall one piece here and one piece there, and you don't know what the opponent is putting up because your level is not enough.

It wasn't until the other party's murderous intent was revealed that he tightened the net step by step that he understood the cleverness.

Zhou Can is just a regular doctor, and Director Zhang's requirement that his diagnostic thinking reach the same level as the director is really too harsh.

In the past, it would have been difficult for Zhou Can to give a satisfactory answer.

At this moment, his pathological diagnosis is also at the director level, although it is only at the deputy director level, it is also the director-level medical skill level of the Eight Classics.

Deputy high and positive high are both senior titles.

It is a rating of professional level.

Zhou Can pondered for a moment, and said unhurriedly, "Your diagnostic thinking should be a bit similar to that of a fish-eyed pearl. ”

Fish eyes mixed pearls is a derogatory term, Zhou Can used this word to describe Director Zhang Bihua's diagnostic ideas, isn't this scolding her around the corner?

Yang Chan, who was standing behind Director Zhang, and Ji You, who was standing next to Zhou Can, were all sweating for Zhou Can.

The day before yesterday, Du Leng accused Director Zhang in public, but he was criticized for being useless.

I'm still sitting on a cold bench.

Dr. Zhou is usually a very clever person, why did he scold Director Zhang today? Isn't this self-inflicted?

Just when they thought that Zhang Bihua was going to teach Zhou Can a lesson with a cold face, they didn't expect Zhang Bihua's face to show a happy smile.

was scolded by Zhou Can, and he still laughed so happily?

Yang Chan looked confused, what's wrong today? Zhou Can, a person with a very high EQ, scolded Director Zhang in public. And the latter still smiled happily with a look of enjoyment.

It's magical.

"The word "fish-eyed bastard" is used very vividly, you go on!"

Director Zhang's mere smile didn't seem to be enough to express the joy in her heart. Then he praised Zhou Can again, and then he felt comfortable.

"The symptoms of patients are very numerous and complex, involving multiple organs and tissue systems. If you want to force the real lesion to appear, you have to remove the obstacles that may hide people's ears. As long as the two initial symptoms of vomiting and diarrhea are controlled, the true cause can be identified by observing whether the patient's other symptoms have changed. ”

Zhou Can explained it according to his own understanding.

Hearing this, the family members and Yang Chan and others were very surprised.

I have never seen this method to find the cause of the disease, these experts are worthy of being experts, there are many means, there are many methods.

"That's right! Dr. Zhou can have such a high level of diagnosis now, and his future achievements are definitely far above mine. I can't even imagine what heights you're going to reach in the future. ”

Director Zhang was full of praise for Zhou Canna.

If you want to become an excellent young doctor, diligence and talent are indispensable. It also takes a little luck and chance.

"Teacher, I still don't understand too much, why is it called the Fish Eye Mixed Bead Diagnostic Method?"

Yang Chan touched her hair subconsciously.

It is said that the hair is long, but the insight is short.

Her hair isn't long, so it's shoulder-length. After tying it into a ponytail, it hasn't reached the shoulders yet.

However, she wears a ponytail and looks capable and youthful.

The youthful vitality that naturally exudes, paired with a ponytail, reveals a vigorous beauty.

"This patient has more than a dozen symptoms, and it is very difficult to find out the real cause. Because the real cause may be hidden or hidden. It's like a big pot of pearls with two fish eyes mixed in it. If you want to find out the fisheye, it is difficult to rummage directly. Because pearls are so dazzling, their precious light can interfere with people's vision, making it difficult to spot the two fish eyes mixed in inside. ”

"At this time, if you want to find out the fisheye, you have to think differently. Instead of looking for the fish's eyes, you pick out the pearls inside. When the time comes, all the pearls have been picked, and the rest will be fisheye, won't it be fisheye? In fact, only a portion of the pearl needs to be singled out, and the fisheye is automatically exposed. ”

"If the patient's diarrhea and vomiting are controlled, the originally hidden cause will be highlighted. At that time, it will be much easier to find out the cause. ”

Zhang Bihua patiently taught her disciples.

Her cultivation of Yang Chan is like her own daughter, almost meticulous.

"Dr. Zhou, Professor Zhang, after listening to your discussion just now, my confidence is much stronger. We're here to do the right thing, and I'm sure my son will be cured here. ”

The boy's father suddenly felt ashamed when he thought of all the doubts he had about Zhou Can before.

This young doctor is much more capable than he imagined.

Even this Professor Zhang is full of praise for him.

And listening to the two discuss their son's condition, the young Dr. Zhou did not fall behind at all. The diagnosis was clear and the direction was clear, which gave him hope that his son would be cured.

The patient's subsequent hospitalization is not mentioned.

……

The day's diagnosis was quickly over.

Zhou Can sat alone on the first day and gained a lot. In particular, the ability to block one side has been greatly improved.

He received a total of seven patients in one day, except for one difficult case that needed to be admitted for further diagnosis. In the other six cases, they either went with treatment or were hospitalized for surgery.

During the diagnosis process, he also discovered many of his shortcomings.

There are both knowledge and inexperience.

It's a good thing to be able to help him discover his flaws.

After this specialist consultation, he can learn more in a more targeted manner when he returns to the Department of Internal Medicine to continue his training.

After getting off work, the first thing Zhou Can did was to visit the pregnant woman in the emergency room.

It's okay, and the signs have become more stable.

Blood pressure has risen and spontaneous breathing has recovered a lot. Just by the sound of her breathing, you can tell that her lung function is recovering rapidly.

People who exercise regularly recover much faster than those who don't.

In clinical practice, Zhou Can has long discovered this phenomenon.

For pneumonia of the same degree, some people recover within a few days after medication and symptomatic treatment. However, because of the poor physical fitness, the condition continues to deteriorate, and eventually progresses to severe pneumonia.

"Ji You and I are still on night duty tonight, and it is estimated that I will be able to guard her for another night, and I should be able to consider removing the ventilator tomorrow."

Zhou Can was very happy to see the condition of the pregnant woman continue to improve.

"Ji You, is it okay to work hard for another night?"

He turned his head to look at Ji You, who had come to the rescue room with him.

"No problem at all."

She gladly accepted the night shift.

Yesterday, I accompanied Zhou Can on the night shift and had a supper, which made her very useful.

……

The next day, after a preliminary assessment, Zhou Can believed that the pregnant woman could try to remove the ventilator and completely rely on spontaneous breathing.

One thing that needed to be done before the ventilator could be removed was to help her with external femoral fixation.

This was due to the sudden removal of the ventilator, and her respiratory function could not immediately return to a normal state.

If the ventilator is removed and the external femoral fixation is performed immediately, it will definitely cause great irritation and impact on her body. This is very dangerous, and in medicine it is called a stress response.

For example, if a patient needs surgery on two parts at the same time, the doctor will generally recommend two elective surgeries to be safe. And not to solve it all at once.

After Dr. Pang came over to take over, Zhou Can went back to the hotel to wash up first, and didn't mention breakfast.

At breakfast, Director Zhang happened to be in the restaurant on the first floor of the hotel.

Zhou Can leaned over and talked to her about the treatment of pregnant women.

"Now that you've evaluated it and your treatment plan is in place, it's too early. Let's go to the rescue room now to help her with external femoral fixation. Then wait until the lunch break to check on her again, and if there is nothing abnormal, you can consider removing the ventilator and transferring her to a general ward for further treatment. ”

Director Zhang gave a relatively stable treatment process.

These chief physicians are very cautious and steady in their work.

"It's very good, it doesn't affect the normal sitting of the doctor, and it can give the pregnant woman a good buffer to get used to."

Zhou Can very much agrees with the operating process formulated by Director Zhang.

After breakfast, he came to the rescue room with Director Zhang. First, Director Zhang assessed the patient's condition and confirmed that the fetus in the womb would not be in danger, and then prepared to carry out the next step of fracture external fixation.

"Xiao Zhou, the external fixation of the fracture site is operated by you, and I am responsible for the safety of the pregnant woman and the fetus during this period." Director Zhang basically helped him to go to the bottom and let him do it without any worries.

How to implement external fixation on pregnant women, Zhou Can has studied many times.

Now it's just a matter of getting straight to the point.

"Ji You, after I raise the patient's right foot in a while, you put her foot on the pad, and then keep the height and angle of the foot unchanged." Everything needed to carry out external fixation of fractures has been prepared for a long time.

It must be done by multiple people working together to be successful.

"Okay!"

Ji You never discounted Zhou Can's instructions.

After two nights of night duty together, her relationship with Zhou Can is much closer than before.

"Chen Qingling, when the time comes, you will assist by the side, and be responsible for handing over the corresponding equipment to me." He only had two nurses under him, all of whom came in handy.

"No problem!"

Chen Qingling is an old nurse, she does things neatly and neatly, and she is extremely skilled in all aspects of cooperation and assistance.

After the arrangements were made, Zhou Can began to implement the operation. Straighten the patient's right leg and lift it up a little bit. Follow the fracture image on the X-ray and close the broken end as much as possible.

"Ah......h Uh-huh......"

The pregnant woman made a painful sound, and her blood pressure dropped instantly.

Frightened, Zhou Can quickly stopped, but fortunately, his blood pressure quickly rose again. It should have been a sharp pain that had irritated her just now.

After more than an hour of hard work, with the cooperation of several people, the external fixation of the femoral fracture of the pregnant woman was finally completed.

Zhou Can checked it and was quite satisfied.

Perfection certainly can't be rated.

[You have successfully performed a difficult fracture external fixation operation, experience points +1, bonus experience points +100.]

earned 101 points of experience points for fracture external fixation at once, which made Zhou Can so happy that he couldn't keep his mouth shut.

However, after experiencing the maximum reward of 10,000 experience points, this 100 experience point reward brought him much less joy than before.

The human heart is the most difficult thing to satisfy.

There is an ancient poem that vividly embodies the greed of human nature.

"Running around all day long is just for hunger, and only when you are full will you think about clothes. I have enough food and clothing, and I want to be beautiful and beautiful. Marry a beautiful wife and give birth to children, hating no land and no foundation. Buy a lot of farmland, in and out of the boat less horses to ride. ”

It is not difficult to see from the poem that people's needs are constantly increasing.

Just like the fisherman and the goldfish in the fable, if you get what you want, you will have greater desires. Human greed can never be satisfied.

Even if you have the most wealth, the most power, the most respected status, and the most beautiful women in the world, you will still not be satisfied. The next step to think about is how to live forever.

This has been amply demonstrated by many emperors of antiquity.

The number of emperors who seek immortality and immortal art cannot be counted.

After Zhou Can successfully performed fracture external fixation, Director Zhang did not leave immediately.

Rather, the fetal heart rate of the fetus and the vital signs of the pregnant woman are closely monitored.

Half an hour later, she was relieved that nothing unusual was found.

"No problem for now. Physician Pang, this patient is entrusted to you for monitoring, and you must always be on high alert and not make mistakes. ”

Zhang Bihua told her solemnly.

Xinxiang Women's and Children's Hospital has decided to publicize the pregnant woman's case as a model. Now it is equivalent to knocking down the country, as long as it is defended.

At this critical moment, neither Director Zhang nor Xinxiang Women's and Children's Hospital wanted any accidents.

Xinxiang Women's and Children's Hospital needs to use some typical difficult cases to increase its popularity. The condition of this pregnant woman has a high publicity value and has long been listed as the focus of publicity.

Director Zhang led a team to carry out expert consultation activities this time, and performance is also needed.

Three days have passed, and this is the fourth day.

It is not easy to diagnose and treat every difficult case. Naturally, she can't tolerate accidents during her care.

"Rest assured, I will take good care of the patients!"

While Dr. Pang expressed his position firmly, he also glanced at Zhou Can with some weakness.

What happened the day before yesterday has always made Dr. Pang worried. I am afraid that Zhou Can will find Director Zhang to complain.

Fortunately, so far, Director Zhang's side has been calm.

It seems that Zhou Can helped her hide this matter.

Dr. Pang is naturally grateful for this.

"Xiao Zhou, the results of your consultation yesterday were quite good, and I will continue today." After arranging Doctor Pang, Director Zhang's eyes looked at Zhou Can.

"I'm fine."

Zhou Can readily agreed.

Everything is difficult at the beginning, and yesterday he has successfully taken the first step, and he has overcome the fear in his heart. Now I have a little more expectation for a single consultation.

This is truly independent diagnosis and treatment.

It is of great help to improve the diagnosis and treatment ability of individuals. It also laid a solid foundation for him to officially sit in the clinic and practice medicine in the future.

Several people walked out of the emergency room, and Director Zhang took Zhou Can and Yang Chan to the ward for rounds.

The patients treated by the team are all concentrated in one ward, which is convenient for the doctors of Tuya Hospital. The day-to-day management is handled by the medical staff of Xinxiang Women's and Children's Hospital.

"Hello Professor Zhang!"

From time to time, patients greeted Zhang Bihua.

It can also be seen from this that Zhang Bihua's popularity is very high. Among these patients, a large part of them were diagnosed by Director Zhang himself and then admitted to hospital.

"Hello Professor Zhang! Hello Dr. Chow! ”

When they walked to the sixth bed, the family took the initiative to greet Director Zhang and Zhou Can with a smile.

Zhou Can took a look, isn't this the husband of the diabetic who drinks a lot and has diabetes insipidus? Looking at his happy face, could it be that his wife's illness has improved significantly?

Subconsciously looked at the female patient on the hospital bed, and obviously found that her complexion was much better.

"How's your wife's illness? Is it getting better? Director Zhang asked.

"Yes, yes, yes! Didn't you and Dr. Chow advise my wife to have radiation therapy that day? We were so scared of radiation therapy that we didn't dare to accept it. Later, the doctors of Xinxiang Women's and Children's Hospital gave us ideological work, popularized the knowledge of radiotherapy to us, and even took me to watch the radiotherapy process of other patients. ”

"Later, I asked the patients who had been treated privately and found out that someone had been able to control the condition with radiotherapy. Some people were cured directly and were discharged from the hospital immediately. I discussed it with my wife, and Hengzhi was a death, so I decided to give it a try. Hey, I didn't expect the day after the radiotherapy to improve. ”

When the patient's husband talks about this, his eyebrows flutter.

For the family, there is nothing happier than seeing their loved one's condition improve after treatment.

(End of chapter)