"Thank you for your encouragement!"

Zhou Can smiled gratefully at her.

Today's consultation made him realize the importance of fame once again.

The aroma of wine is also afraid of deep alleys.

He doesn't have outstanding academic qualifications, he has little qualifications, he is too young, and he is not well-known, and these are all obstacles that he needs to overcome at the moment.

Du Leng should be the happiest day in a few days.

He has long regarded Zhou Can as a competitor. Seeing that Zhou Can has repeatedly made great contributions in the diagnosis of difficult diseases, and he, a returnee doctor, has a stomach full of medical knowledge, but has no achievements, he is very anxious.

I am very eager to change this situation of being beaten by a domestic undergraduate.

Fortunately, God is very fair.

For three days in a row, Zhou Can was proud, but today Zhou Can suffered the worst Waterloo in history.

In the whole day of consultation, only two patients were treated in total.

One of them also released Zhou Can's pigeon, and ran away directly with the opened inspection application form. This kind of thing is quite rare in hospitals.

If this is not too bad, another patient took the prescribed prescription, did not pay the fee, and went directly to Director Dai to register a number. I asked Director Dai for diagnosis and treatment again.

This is obviously a distrust of Zhou Can's medical skills.

Although the medicine prescribed by Director Dai later, and the diagnosis results were the same as Zhou Can's. But who knows if Director Dai did this on purpose to protect Zhou Can's face?

Zhou Can is miserable, Du Liang is bad luck is gone, good luck patronizes.

He received a total of fourteen patients today, except for two difficult patients who couldn't be solved and kicked to other experts, the rest were solved by Du Leng.

Compared with Zhou Can, he is fruitful.

No wonder he's happy to be like this.

Watching the strongest competitor unlucky can be a joy for anyone.

Du Leng finally raised his eyebrows once, and remained silent like this, that was definitely not his style.

When the poor get rich, they will get ten pennies, and they will cheer up.

He was either criticized for three days in a row, or he had no achievements, and he was already aggrieved and panicked in his heart.

Today's victory and brilliant results coincided with Zhou Can's unprecedented 'cold winter', if he didn't run in front of Zhou Can twice, he would definitely not be able to sleep when he returned to the hotel at night.

I saw Du Leng holding a plate of rice and walking over with brisk steps.

"Dr. Zhou's womanhood is good! All beautiful women, whether they are doctors or nurses, like to be close to you. It's really enviable. ”

Du Leng usually doesn't have a good relationship with Zhou Can, and rarely has any formal conversations.

At the moment, I can't find anything to say.

In his opinion, Zhou Can's womanhood is indeed enviable. The beauties who appeared next to Zhou Can are not only good-looking, but also have positive features and are quite internal.

"Huh! In the eyes of different people, the result of a thing will be different. In the eyes of people who only think about work, watching me communicate with female nurses and doctors, staying together, they see that we are working hard and doing our best to save patients. In the eyes of a talented person like Dr. Du, what I saw was that the woman was very good, and I envied me for having the opportunity to stay with so many beautiful women. ”

Zhou Can didn't answer him from the front.

Rather, an example was given to fight back.

Thinking differently will lead to very different problems.

When someone sees a ghost all the time, it's because he has a ghost in his heart. The ancients said that if you don't do bad things in your life, you are not afraid of ghosts knocking on the door in the middle of the night.

The true interpretation of this sentence is that different people look at the same thing and come to completely different conclusions.

Blind people touch elephants, they are different.

"Everyone is mortal, and they eat color! In fact, Dr. Zhou doesn't have to pretend to be a gentleman, young people fall in love and try to have a few different girlfriends, which is a normal thing abroad. People who don't have the ability will only have one girlfriend in their life, and they can't even have a girlfriend! ”

Du Leng's IQ is super high, and his ability to fight is no worse than Zhou Can.

After a salute in return, his words changed sharply.

"When I sat in the clinic today, I saw Dr. Zhou sitting there bored, and I didn't feel good about it. Dr. Zhou's medical skills are so powerful, but few people care about them, which is really sympathetic. ”

Isn't this a fake mercy for a cat crying mouse?

Zhou Can's eyelids rolled, and he felt nauseous.

"If necessary, I can give a few patients to Dr. Zhou tomorrow. Alas! You don't know, when they saw that I was a medical doctor studying abroad, they rushed to register my number, and even preferred to wait in line. I'm really too busy! ”

Du Leng's purpose was to run to Zhou Can for a while.

If you really want him to help and care about Zhou Can, you won't be so kind.

When did Zhou Can fall to the point of needing charity from others? It's just a joke.

A silver-like wax spear head is also equipped with a bark in front of him?

"Thank you Dr. Du for your kindness. There are a lot of patients who are willing to give it to other specialists. Didn't the little boy who swallowed the fish alive yesterday give it to me? When I went to the ward round today, the patient's family was still talking to you, saying that a returnee doctor couldn't diagnose his child's disease? I was quite angry when I heard it, and this family member spoke too well. Returnee doctors are also people, people just went abroad to study for two more years, why must they be able to diagnose any disease? ”

Zhou Can's greatest pleasure is to choke such a shameless person to death.

A garbage goods, he was embarrassed to show off to him. Don't you love to show off? Then just talk about the fact that you always kick difficult patients to other doctors.

Hit the snake and hit seven inches, and step on the face.

Du Leng didn't come to provoke Zhou Can, it was nothing.

If you provoke the door, then you won't be happy.

I saw that after Du Leng heard these words, his face turned blue a little bit, and his smile was completely rigid.

Look at this expression, it is even more uncomfortable than swallowing a dead fly.

"Xiao Zhou, come here! Good news for you, just now the laboratory at Tuya Hospital called me and told me good news. The boy had a weakly positive ANA test. As you might venture to assume, the patient is most likely to have systemic lupus erythematosus. ”

Director Zhang had just finished answering a phone call at this time, and he was full of excitement to tell Zhou Can the good news across several tables.

Because she's so excited.

The boy's etiology was extremely complex and obscure.

Now that she has been successfully diagnosed, she is very excited. I couldn't wait to tell Zhou Can the news as soon as possible.

Because it was Zhou Can who took the lead in putting forward a bold hypothesis.

"Great, find the cause, that child is saved." After Zhou Can listened, the depressed mood when he sat in the clinic during the day was completely swept away. "This disease is very scary, although there is no cure, but as long as it is detected early and the disease is controlled in time, the child's life can be saved."

Tuya Hospital successfully detected a patient with a weak positive ANA, which shows that the testing strength of each hospital is different.

Xinxiang Women's and Children's Hospital, even the Provincial Children's Hospital and the County Women's and Children's Hospital, all did this test, but the results have always been negative.

Undoubtedly, it seriously misled the doctors who diagnosed and treated them, and let everyone rule out the possibility of systemic lupus erythematosus at the first time.

In clinical practice, there are many such examples.

It's really Xiao He who succeeds, and Xiao He who fails.

Some gold standards for diagnosing a disease not only help doctors to boldly diagnose the disease, but also allow doctors to instinctively rule out the disease under a fixed mind because the test results of this gold standard are normal.

In the end, it leads to missed diagnosis and misdiagnosis, delaying the best treatment time for patients.

By no means one or two such cases, but a lot of them.

"Doctor Zhou, that's good!"

Yang Chan smiled and gave him a thumbs up.

praised him in front of so many people, and it is estimated that he also saw that Du Leng, a villain, was embarrassed in front of Zhou Can and humiliated Zhou Can, so he deliberately magnified Zhou Can's advantages and achievements.

Class leader Yang is most disgusted with the bullying of his classmates.

Even if Vice President Bai or Director Xie of the Department of General Surgery bullied Zhou Can, she was by no means ambiguous. Directly asked Director Zhang for help to help Zhou Can.

Didn't the squad leader make the same bold assumptions about this diagnosis at the time? Do we want to boast to each other? Zhou Can smiled and winked at her.

"Nasty!"

She glared at Zhou Can, no matter how she sounded, she looked like she was coquettish.

It is completely different from the attitude towards other men.

Du Leng saw a burst of jealousy, and he pursued Yang Chan many times but couldn't get it. Unexpectedly, Zhou Can didn't need to pursue it at all, Yang Chan directly maintained a very close relationship with Zhou Can.

Fools can see that Yang Chan regards Zhou Can as a good friend and Du Leng as a 'guest'.

The term "guest" does not mean the person who is a guest, but a polite stranger.

"Dr. Zhou's femininity is indeed very good! Dr. Yang Chan is the most delicate and coldest flower in our obstetrics and gynecology department, she never pretends to men, but takes special care of Dr. Zhou. ”

Ji You smiled and teased Zhou Can.

"She's my college classmate and my class president, so she can do the same to me!"

After Zhou Can finished answering, he didn't pay any attention to Du Leng, who was blue-faced, but walked quickly to Zhang Bihua's table.

"Director Zhang, since the cause has been found, did you give the child medicine overnight?"

He couldn't wait to see the child's condition improve significantly after treatment.

Because the ANA test result is only weakly positive, it is still uncertain whether it is systemic lupus erythematosus. Only after treatment with medication is the only way to test the truth.

"Yang Chan, you and Xiao Zhou talk together, how to treat this disease?"

While Director Zhang took the test for Zhou Can, he did not forget to cultivate his beloved apprentices.

Her cultivation of Yang Chan is really a lesson by word and deed.

"Hmm...... Considering that he has been proteinuria 3+, he has restricted a protein-based diet, given angiotensin 2 receptor antagonist medication, and avoided ultraviolet exposure! ”

Yang Chan answered first.

The treatment plan given is more appropriate to the actual situation of the boy.

"Xiao Zhou, what is your treatment opinion?"

Although Director Zhang did not express his position, he was obviously not very satisfied with the treatment plan given by Yang Chan.

"I think estrogen-containing medications should be avoided. Depending on the patient's current symptoms and the organs and tissue systems affected, anti-infective therapy should be difficult to be effective. Pulse methylprednisolone and intravenous immunoglobulin should be better if pulse methylprednisolone therapy is available. ”

Zhou Can's pharmacological differentiation is still only at the inferior level of the main treatment, and the treatment opinions given may not be perfect.

However, compared with Yang Chan, it is obviously not at the same level.

The treatment method given by Yang Chan is textbook, which is almost equivalent to reading from a textbook. The treatment plan given by Zhou Can has been integrated with valuable clinical experience.

The difference between the two is quite big.

"Well, there is a certain desirability in the treatment options for both of you. According to the actual situation, the pulse therapy proposed by Xiao Zhou is the preferred treatment option. If you are taking the drug, it is okay to use methylprednisolone and immunoglobulin first, but after five to seven days of treatment, you will definitely need to change the medication according to the actual situation of the patient. ”

Director Zhang made a concluding speech.

saved some face for Yang Chan. The final treatment plan is basically the same as the treatment given by Zhou Can.

Director Zhang Bihua is also a vigorous and resolute person, found out the cause, determined the treatment plan, rushed to the ward on the spot to check the condition of the patient, and prescribed medication.

It is worth mentioning that she does not preempt Zhou Can's functions.

The medical order was handed over to Zhou Can, and she was just guiding and checking in the back.

This is an opportunity to show the young people as much as possible.

Many veteran comrades have tried their best to take the benefits and credit on their own heads. Director Zhang's selfless performance of vigorously cultivating newcomers has also made her image extraordinarily lofty.

Zhou Can didn't say it, but he was full of respect for her in his heart.

Especially after experiencing the 'smell of wine and fear of deep alleys' during the day, Zhou Can's accumulation of fame has become much more positive than before.

Glory that does not belong to him, he will not want.

But this patient himself was treated by him, and his contribution in the diagnosis was very large. Basically, he has always been the attending doctor, and Zhang Bihua is just tutoring from the side.

It makes sense for him to prescribe this treatment.

After prescribing the doctor's order, what I expect is the result of the medication. We will need to wait until tomorrow to get feedback on the results.

Any treatment takes time.

The treatment of systemic lupus erythematosus is a long cycle, and usually requires lifelong medication like hypertension, diabetes, and chronic pulmonary obstruction, and there is no cure.

Coming out of the ward, Zhou Can knew that Zhang Bihua would work overtime tonight to operate on two patients.

He volunteered to participate and was operated on with him.

It just so happened that the pregnant woman had been successfully removed from the ventilator at lunchtime, and after an afternoon of monitoring, her signs were normal. Spontaneous breathing also recovered quite well.

It is already possible to transfer to a general ward for care.

With his hands free, Zhou Can can focus his energy and time on other studies.

Surgery has always been his forte, and it is also a medical path that he is ready to adhere to all the time.

Even the current internal medicine training is only to lay the foundation for the future surgical path.

Director Zhang is very fond of him, and he readily agrees to this kind of small thing.

However, if Zhou Can wants to get an important surgical task as soon as he enters the operating room, it is almost impossible.

Every chief physician who wants to gain their recognition and trust must prove himself little by little.

All treatments that require the patient's practice will be given special care when delegating authority from the senior doctor to the doctor below. If you use the knife, it will be recognized as a high-risk project in practice.

Not to mention regular trainees, it is normal for many residents to work for two or three years without touching a knife in the operating room.

……

The next day, Zhou Can had breakfast at the hotel and rushed to Xinxiang Women's and Children's Hospital with the experts.

More than half of the seven-day specialist clinic has passed, and today is the fifth day, which is coming to an end.

Zhou Can felt that the total harvest in the previous four days was even greater than the harvest he had in Tuya Hospital for one month. This time, he was forcibly apportioned by Director Shang of the Department of Gastroenterology and asked him to participate in the expert outpatient clinic with him, which is the right time.

Life is like this, if you don't go on a journey, you never know how exciting tomorrow will be.

If he doesn't sit alone, he will never get a sense of how important fame is to a doctor. Yesterday, I sat in the clinic all day, and saw that other experts were receiving many patients one by one, and there was a long queue in front of Zhang Bihua's consultation table, but Zhou Can was full of doors. He didn't feel good in his heart.

It was this experience that gave him a sense of what to strive for in the future.

Just like many rich second generations, when their parents are there, they spend their parents' money anyway, and they don't feel distressed at all. I never knew the hard work of making money.

It wasn't until the family was backward and didn't eat the last meal that I understood the importance of money.

If you can understand this truth earlier, don't be so willful and loser when you have money, even if you keep 108,000 yuan, you won't even have to eat.

Cognition is sometimes more important than anything else.

The first thing Zhou Can did when he arrived at the hospital was to rush to the ward to check on the child's condition.

After the patient took the drug, the body temperature dropped further and was already very normal. Symptoms such as cough, vomiting, and abdominal pain have been greatly reduced, and the stool has changed from watery to yellow-brown loose stools.

Diarrhea has been reduced from a dozen or twenty times a day to five times.

In addition, the child's father happily told Zhou Can that the child ate two steamed buns and drank a cup of porridge in the morning, indicating that the child's appetite has increased significantly.

There are signs that the boy has systemic lupus erythematosus, and everything is going in a good direction.

The improvement of the condition this time is completely different from the improvement of the condition after the treatment of fasting water, gastrointestinal decompression, rehydration, acid suppression and other treatments the day before yesterday.

Now that we have found the right cause, we have received a truly effective treatment.

And the day before yesterday, the condition improved slightly, but it was just an illusion, temporary.

(End of chapter)