Chapter 349: Body Organs Linked to Each Other, Cheng Dazhuang's Opportunity
Continuing education opportunities are generally given to young doctors in their thirties and forties, because they have great growth potential and contribute to the hospital after returning from their studies.
After seeing Zhou Can's superb operation, Director Wang was really impressed by it.
is even more desperate to get Zhou Can's skills.
He thought to himself, Tuya's regular trainees can be so powerful, if he, the chief physician, goes to Tuya for a few months to study, it will definitely be even more powerful than Zhou Can!
However, he would never have imagined that although Zhou Can was just a regular training, he was a unique existence.
Zhou Can's strength, not to mention general training, even the general deputy chief physician is ashamed of himself.
Director Wang, the chief physician of the county people's hospital, may not even be able to bubble up in the past.
"Director Wang, Dr. Zhou, the patient's heartbeat has returned to normal!"
Nurse Liu shouted in surprise.
When the blocked blood vessels are cleared, the blood supply returns to normal, the blood circulation of the heart is restored, and the beating is normal. The beating of the heart is a complex and delicate process.
The cells of the sinus node at the junction of the right atrium and the superior vena cava have the highest automaticity, so they start to be excited from the sinus node, become a pacemaker, and then excite the atrioventricular node, atrioventricular bundle, and finally the left and right ventricular muscles to complete a heart beat. Disorders in any part of the conduction system can cause severe arrhythmias or cardiac arrest.
It is not as simple as the contraction of the heart muscle and the control of the discharge by nerve signals as ordinary people think.
Even the heart is closely related to the functioning of various organs throughout the body.
For example, we all know the kidney, which is the humoral organ of the human body. Including the filtration of blood is also it.
When our heart feels a little tired and wants to relax, it can send a signal to the kidneys: "Brother kidney, my brother and I work 24 hours a day, and the master is not sympathetic to me at all, and he also eats a lot of high-salt food for his appetite, which causes the blood to become viscous, which greatly increases my workload." I'm so tired, you help me find a way, or I'll fall and you'll all have to suffer. ”
When the kidneys received the heart's distress signal, they couldn't help but tremble and were very nervous.
Big Brother Heart can't go down, as soon as it stops, we'll all have to finish playing.
As a result, the kidneys begin to regulate the 'pump' mechanism and begin to increase the suction of sodium, which accurately excretes a large amount of sodium from the body with urine.
As a result, the viscosity of the blood decreases, gradually returns to normal, and the work of the heart is reduced.
From this, it can be seen that each organ of the body has its own unique role and is closely related to other organs.
However, no matter which organ of the body, although it has a strong ability to self-regulate, it can tolerate the owner's misdeeds and spend all day drinking. But there is a degree.
Eating high-salt foods, high-sugar foods, or fried foods for a long time may cause them to get tired.
As long as one organ is lying in the nest, the other organs must be affected.
At this time, the body also collapsed.
The owner of the body will feel obvious discomfort and all kinds of bad symptoms. That's when I'm sick.
Traditional Chinese medicine often says that illness comes from the mouth, and it is really not a fart.
Many diseases are caused by eating.
……
The heart patient underwent emergency interventional surgery, thrombectomy, stent placement, and was successfully resuscitated.
"Dr. Chow, thank you so much today! Our county people's hospital can do interventional surgery, but it is far worse than yours. If you can, I'll have to learn more from you in the future! ”
Director Wang looked very happy.
The patient was successfully saved, and I believe that every medical staff is happy from the bottom of their hearts.
"Don't dare to learn from the scriptures! There are opportunities to interact with each other. ”
Zhou Can feels that it is a good thing to be able to help the people's hospital in his hometown improve its medical level. As long as he has time, he is quite happy to instruct the doctors of these county people's hospitals.
"Dr. Zhou is young and promising, and today is really an eye-opener for me! When I saw you have had a radiography, I was like, "Oh my God, this is a cardiac arteriography, how did it get so easy?" ”
Liu Bin's words made everyone laugh.
"Later, I realized that I was still too young! Because Dr. Zhou performed cardiac artery thrombectomy and stent surgery, it only took less than seven minutes, and the key was to do so well, all of them were a success. It was a game-changer for me about heart stent surgery. The chief physician of our hospital performs a heart stent operation, and it takes more than half an hour just to insert the catheter. Complete a full surgery, at least two or three hours. ”
The speed of surgery is indeed a big advantage of Zhou Can.
"Nurse Liu, didn't you study in Tuya? Even Dr. Zhou can do it so quickly, isn't it even more exaggerated for other attending and chief physicians? Could it be that Tuya's chief physician can perform a heart stent operation in a minute or two? ”
Director Wang asked curiously.
Cardiac stent surgery has many technical difficulties, and it is unimaginable to complete the operation in one or two minutes.
It's just that after seeing Zhou Can's terrifying speed, even if he is told now that Tuya's chief physician does a heart stent operation in a minute, he will dare to believe it.
"Uh...... This doesn't seem to be true. At that time, I remembered Tuya's cardiothoracic surgery, and the most skilled doctor was Chief Physician Hu Kan, but Director Hu was very slow to perform surgery. It seems that the whole cardiothoracic surgeon is a bit slow to operate, they are mainly stable. The accident rate of surgery is very low. ”
Nurse Liu's chosen department for further study should be cardiothoracic surgery.
And it is likely that you will get the opportunity to go to the operating room to learn.
"Tell me, how long does it take for Tuya's general doctor to perform a heart stent operation?"
Director Wang did not give up and continued to interrogate.
"It seems like it will take two or three hours! In a tricky situation, even seven or eight hours is possible. Nurse Liu thought about it seriously before replying.
"It's going to take so long! It's not much faster than our hospital! Director Wang nodded, much relieved.
Suddenly realizing something, he turned his head to look at Zhou Can.
"Dr. Zhou, in this case, only your surgery is fast! Are you really a regular trainee? I have the impression that if Dr. Guipei dies, he will sew a skin, pull a hook, or run errands to get a test sheet and take medicine, and it is impossible for Gui Peisheng to get started with this kind of extremely high-risk surgery. But you're so skilled at making heart stents. You're certainly not a trainee! ”
Not to mention Director Wang, others have long begun to doubt Zhou Can's true identity.
"I am a small doctor with Dr. Zhou, and we are usually in contact with each other, I am sure that he is really a doctor of Guipei, and he will never lie to you." Cheng Dazhuang's eyes were very complicated when he looked at Fa Xiao.
He really didn't expect that he hadn't seen him for a few years, Zhou Can graduated from college in the same year as him, and he was still interning two years ago, and now there is such a huge difference in medical skills.
Zhou Can's ability to perform heart stent surgery just now was enough to beat Director Wang and others in their hospital.
Two years can train a medical student who only has an internship for one year to be so good, Tuya Hospital is simply a temple for cultivating top medical talents.
No wonder so many medical students and social doctors want to get the training qualification of Tuya Hospital.
With such a big benefit, it is worth squeezing in at a great cost.
"My surgical ability is really nothing, I am just a regular trainee in Tuya, and I will never deceive you." Zhou Can showed a wry smile.
It's not a good thing to be too good!
It is easy to be suspicious of identity.
Just explaining it gave Zhou Can a little headache.
"How can there be such a powerful trainee, I have to ask Tuya's teachers about your origins. Dr. Zhou is so good at cardiac arteriography and cardiac stent surgery, he must be working in cardiothoracic surgery, right? ”
Nurse Liu became more and more curious about his identity and decided to ask the teachers he knew when he was studying in Tuya.
The level of teachers that the trainees know is generally not too high.
Most of them are within the two levels of nurse in charge and attending physician.
"I trained in cardiothoracic surgery. Actually, you really don't need to ask, I'm just a small rule pearson. ”
Zhou Can just came to see Fa Xiao, which is equivalent to being a guest at the county people's hospital in his hometown.
If his true identity was revealed, he was a little worried about being received too warmly.
He has long seen through this thing of human nature.
As long as it smells, the management of the county people's hospital will definitely surround it like flies.
"Doctor Zhou's words are too late, I have already sent the news!"
Nurse Liu raised her mobile phone at Zhou Can, revealing a slightly smug smile.
What was revealed was the WeChat chat screen.
As for who is on the other end of WeChat, he doesn't know.
However, the medical staff of cardiothoracic surgery, except for the new recruits in the past two years, he is basically familiar with those old employees.
It's really not bragging, Zhou Can's influence in cardiothoracic surgery is quite okay.
"Anyway, it's not unsightly, if you want to inquire, just ask!" Zhou Can shook his head helplessly.
"Dr. Zhou, can I ask you a question?"
Tutu, the female nurse, finally finds an opportunity to interject.
Her status is relatively low, and the chief physician and chief nurse are talking, so she doesn't dare to interject indiscriminately.
Now that the conversation between Nurse Liu and Zhou Can has come to an end, she seized this opportunity.
If you don't ask, you won't have a chance.
"Please!"
Zhou Can doesn't have any shelf, and he has the same attitude towards Nurse Liu and Tutu.
"Why do you know that the blood pressure of this heart patient is not the same in both arms? Can you give me a score? ”
"Well, the principle is very simple! When the arteries of the patient's heart are narrowed or even blocked, it is very easy to have different blood pressures on both sides of the body. Blood pressure is not only related to the total amount of blood in the blood vessels, but also related to the size of the internal space of the blood vessels, the pumping speed of the heart, and the blood circulation in the ventricles. ”
Zhou Can explained with a smile.
"In general, when the blood pressure on both sides of the body is different, you can see something abnormal with the naked eye. For example, the surface skin of the patient's body, the side with high blood pressure may be more ruddy, giving people the feeling of red light. If the difference in blood pressure is too large, you can feel the pulse of both arms of the patient. ”
"In the future, when you encounter the problem of asymmetry of blood pressure on both sides in the clinic, you must be especially careful, either heart disease or a precursor to an acute and critical illness such as cerebral hemorrhage."
Zhou Can was well-informed and talked eloquently, and the little nurse nodded again and again, admiring him so much.
When I looked at him, there were countless little stars in my eyes.
"I see! Thank you for your advice! ”
She thanked Zhou Can gratefully.
Other medical staff also benefited a lot and memorized Zhou Can's words.
In fact, Zhou Can learned a lot from those chief physicians from such clinical experience and knowledge. I can't finish writing a few books.
"The patient is fine, I came here today mainly to find Xiao Cheng Dazhuang to catch up, I won't bother you."
Zhou Can brought Cheng Dazhuang out, also to improve Cheng Dazhuang's status in this hospital.
Let these people present understand that Cheng Dazhuang has backers and connections.
"Da Zhuang, let's go back to your duty office and talk again! I'll be back in a minute! ”
Zhou Can subconsciously raised his wrist and glanced at his watch.
It was an unintentional move, but who knew that after Director Wang saw the watch he was wearing, his eyes shrank slightly.
That's hundreds of thousands of watches, and not everyone can afford to wear them.
However, he didn't break it, but he glanced at Zhou Can a few more times in his heart.
"Teachers, then I'll go back to duty first!"
Cheng Dazhuang greeted Director Wang and others.
In normal times, he basically did not have the opportunity to talk to Director Wang. Director Wang wouldn't even look at him squarely. That's how realistic people are.
Now, with Zhou Can, Tuya's doctor, as his friend, it's completely different.
When Director Wang looked at him, his face was full of smiles.
"Yes, you can! Da Zhuang, you can entertain Dr. Zhou well, if there is anything on duty, you can let Dr. Luo do more. ”
Look at the kind tone, the friendly attitude.
Let Cheng Dazhuang have some illusions, when did Director Wang become so amiable?
"Okay! Thank you, Director Wang! ”
Cheng Dazhuang hurriedly thanked him.
Doctor Luo Jian next to him was depressed for a while. It seems that tonight's work is going to be on his head.
"Although Dr. Cheng is relieved to accompany his good friends, the affairs of the ward will be left to me."
Whether you want to do it or not, if you have a little emotional intelligence, you must express your attitude at this time.
I have to show this even if I grit my teeth.
This is called knowing the current affairs, and it is appropriate to do so.
Cheng Dazhuang accompanied Zhou Can back to the doctor's office on the third floor of the inpatient department, and he was overjoyed as if he had won the jackpot along the way.
"Ah Can, you can do it, it's only been a few years, and your medical skills are so powerful. You can teach me more in the future. ”
"Isn't that? As I said, if you have any medical questions, you can always send me a WeChat question. As long as I can answer it, I will definitely give you the answer. Even if I can't answer it, I can ask the teacher for help. ”
Zhou Can really has this confidence.
In the various departments of Tuya Hospital, he knows too many chief physicians.
And most of them are department bosses and discipline leaders.
"Haha, that's great! I now feel much more confident in my heart, and I have rekindled my hope for the medical certificate. I'm so lucky to know someone as powerful as you. ”
Cheng Dazhuang smiled, a spirit called vigor and positive enterprising spirit was found by him again.
Looking at the small changes, Zhou Can was also very happy.
……
Not long after Zhou Can and Cheng Dazhuang left, head nurse Liu Bin was shocked and said to Director Wang, "Oh my God, no wonder this Doctor Zhou is so powerful!" Do you know where he came from? ”
"Where did he come from?"
Even if he knew that Nurse Liu was selling Guanzi, Director Wang could only ask.
(End of chapter)