But the more this kind of person, the thicker she is beyond your imagination.

"Who are you?"

Zhou Can looked at the woman with a 'puzzled' face.

Aren't you stinky and shameless? The master will accompany you to play a shameless role today.

The woman's face was suddenly frozen, she thought that Zhou Can would refuse, but she never thought that Zhou Can would give her such a play.

subconsciously looked at Zhou Can and found that he was indeed puzzled, as if he didn't know himself.

The woman immediately explained, "I took my son to see you in the morning, and my son broke his left hand, so you asked us to do a CT scan of the brain to see if there was any intracranial hemorrhage." I didn't agree, and I scolded you, do you have an impression? ”

The woman had to patiently explain to Zhou Can.

She thought to herself that it was normal for doctors to see so many patients a day that they forgot about her.

Coupled with the fact that her son was not by her side, after a day of tossing, her whole person was already messy with hair and haggard. Zhou Can was even more difficult to recognize her.

"Oh...... A little bit impressed! I still have to rush to the night shift, sorry! As for scolding me, you don't have to take it to heart, there are often some family members who scold people, and we are all used to it. ”

After Zhou Can finished speaking, he turned around and left directly.

The woman was left behind watching him leave, her mouth opening several times, but she couldn't stop him again.

Zhou Can made it clear that I am not familiar with you and have no impression of you, which naturally blocked the woman's idea of asking him for help.

Family members who have a lot of this kind of thing, whether it is a doctor or a nurse, can hide and hide, and no one wants to get into trouble.

When I entered the operating room, I saw that there were already many patients waiting for surgery in the corridor outside.

Due to the need for anesthesia, many surgical patients are fasted from water.

Surgery requires fasting, which is usually about eight hours.

Children digest faster than adults, and sometimes the criteria can be relaxed a little. There are two main considerations for not being allowed to eat before surgery.

First, after general anesthesia, vomiting is prevented, causing food to enter the airway, resulting in death by suffocation. Second, to prevent the patient from fecal incontinence, pull on the operating table.

Incontinence of urine and urine on the operating table is a relatively common phenomenon in surgical patients.

Not only does this contaminate the operating room, but it can also make medical staff sick.

Some patients were received in the morning and waited for eight hours to meet the requirement of fasting water. This also results in more patients undergoing general anesthesia surgery on the night shift than usual.

Considering the digestive capacity of Zhou Can's team, the department will make a reasonable arrangement for the patients reserved for him.

It is unlikely that there will be several tertiary major surgeries.

"Doctor Zhou, I'm really here!"

A tall and thin man had been waiting in front of the operating room for a long time, and when he saw Zhou Can coming, he immediately stepped forward.

"Welcome, welcome! Let's go in with me! ”

Zhou Can didn't expect to talk to Dr. Yang Zhi of the Anorectal Surgery Department yesterday that he would really come over to help today.

This is to prepare for Zhou Can's assessment.

Entering the operating room with Yang Zhi, Zhou Can did not see Dr. Xu for the time being. I guess I went to eat.

To do some minor surgery, Zhou Can is fully qualified for this, and there is no need to have the attending physician present.

"Hey, the boss is here with a helper!"

Luo Shishen couldn't help but be stunned when he saw Zhou Can walking into the operating room with a male doctor.

"You...... Isn't that the one from yesterday? Ma Xiaolan recognized Yang Zhi with sharp eyes.

"Hehe, I didn't expect the beauty to have such a good memory. I would like to join Dr. Chow's surgical team, and I came here today to be assessed by Dr. Chow. ”

Yang Zhi spoke straightforwardly and unabashedly, which made Zhou Can's impression of him a plus.

"His name is Yang Zhi, and he is a surgeon at our hospital. Later, during the operation, I will assign him some tasks. Xiaolan, can you temporarily serve as an instrument nurse for him? ”

Zhou Can asked Ma Xiaolan.

"No problem! But I told you in advance, I've only been studying for less than a year, and Dr. Yang can't scold me if I'm clumsy. ”

Ma Xiaolan said half-jokingly.

It has been almost a year since she joined Zhou Can's surgical team. From the very beginning, he was arrogant, showing off his might to Qiao Yu, an old-timer, and then after being taught by Zhou Can, he was honest.

Although there are still some shortcomings, her work attitude and learning attitude make Zhou Can satisfied.

Of course, her progress is also visible.

There is also the need to follow Zhou Can, because the amount of surgery every month is huge, and the salary and bonus she receives are also quite large.

It has to be said that the amount of salary can also affect a person's temperament and mentality to a large extent.

Ma Xiaolan is a typical example.

She is obviously much more humble now than before, and the confidence of the whole person is from the inside out.

This kind of inner self-confidence is many times smarter than the previous brainless and arrogant external self-confidence.

"Let's get ready! I see that there are already a lot of patients waiting for surgery in the corridor outside the operating room, so we need to hurry. ”

Zhou Can gave the battle order.

It also means that the intense work is about to begin.

Outside the emergency department, there are many surgical patients waiting in line for surgery, which is difficult to see in any other department.

Maybe there will be this phenomenon in front of the operating room of the specialist clinic.

But it is impossible for so many patients to have surgery.

Even if there is, the specialist department will find a way to stagger the time of surgery.

For example, elective surgery is the most common.

You can tell the patient that we don't have a bed on our side for the time being, so you'll have to wait a day or two. Or let the patient stay in the hospital for observation, go home and wait.

For the surgical method in the emergency department, Zhou Can made a suggestion to Dr. Xu and Director Lou very early.

Make it as time-sensitive as possible for patients.

Just like when we buy an item online, after buying it, we must look forward to receiving it as soon as possible. Under normal circumstances, it is normal to receive the goods in about three days, but if it takes more than a week, we will feel a little disappointed. If you place an order today and it arrives tomorrow, we'll be pleasantly surprised.

The treatment of patients is quite similar to the mentality of online shopping.

Because of the pain of the disease, the patient must be very eager to undergo surgery as soon as possible when he arrives at the hospital.

Zhou Can can understand the patient's anxiety very well, so he boldly put forward a suggestion. Admitted patients have surgery completed within 24 hours at the latest.

In most cases, the emergency department is filled with patients who are admitted in the morning and can be operated on the same day.

Some individual tertiary surgery patients may need to wait for the results of the examination and may not be able to finalize the surgery plan for the next day. However, it is basically guaranteed that the operation can be arranged within 24 hours.

This time-sensitive treatment has also created a high reputation score for the emergency department.

Looking at the whole province, I am afraid that there is no hospital whose surgical department can have such a high timeliness of surgical service guarantee.

However, Tuya's emergency department, with Zhou Can, a quick knife hand, has been providing high-efficiency surgical treatment services. And the aging is getting faster and faster.

This feature also makes Tuya's emergency department a great plus in the fierce competition.

In the past, in order to intercept patients in the emergency department, it was necessary for the attending doctors and nurses in front of them to use certain words to persuade the patients. Nowadays, many patients come to the clinic and even ask for surgery to be done in the emergency department.

Some patients who come here have to let them go to the specialist for treatment because the operation is too difficult, or they have strict requirements for equipment, operating room environment, and surgical team, and their families still do not agree.

It is not for nothing that Zhou Can's position in the emergency department is becoming more and more important.

He is now more like the most critical 'engine', the 'heart' of the emergency department.

Ma Xiaolan quickly brought in the first patient.

The patient was a young woman, estimated to be twenty-five or sixteen years old, and quite slender. Her condition is a large bag growing at the tip of her left arm, near the wrist joint.

According to her own account, the tumor was only a little bigger at first, but then it grew bigger and bigger, and now it is the size of an egg.

Looking at the bulge is tall, it's weird and scary.

What about the films? Show me.

Since it is an operation, it is definitely necessary to take a radiograph, and in this case, at least a CT is taken.

Many veteran doctors are accustomed to referring to X-ray imaging data.

It must be noted that X-ray is one of the earliest scanning methods developed, and it is inferior to CT in terms of accuracy. If it's a fracture, an X-ray is perfectly suitable.

However, in the case of tumors, X-rays can detect them, and they are usually very large.

Therefore, when doing tumor screening in the body, do not be superstitious about X-rays.

For example, for the most common liver tumors or lung tumors, take an X-ray, and the results may look normal. However, a chest CT was done, and a smaller tumor was found.

Doctors now, with enhanced training in this area, may be a little better.

There have been many tragedies before.

The patient reported discomfort in the lungs, and after an X-ray, the doctor told the patient that nothing was wrong.

After hearing this, the patient was very happy, prescribed a little cough and painkiller, and went home to take it.

In this way, nearly a year has passed.

The patient's cough gradually worsened, and he went to the hospital again for examination.

This time, I still looked for the same doctor as last time, because the patient felt that the first time I found this doctor, I had established a certain foundation of trust!

So I still went to see this doctor the second time.

An X-ray was also prescribed to the patient.

After this photograph, the doctor's face became serious. Tell the patient that there is a large tumor in the lungs and that further tests are recommended immediately.

Then, after a number of examinations, the patient was desperate to learn that he had advanced lung cancer.

The patient was filled with despair when he learned that the opportunity for surgery had been lost. At the same time, there is also anger in my heart.

At the first examination, if the doctor could be careful and find out the problem, it must have been only the early stage of lung cancer. There is also a chance of radical surgery.

Now that it has been found out, it is directly an advanced stage of lung cancer, and time is running out, who can accept this?

There are old and young, and the family is waiting for him to make money to support the family.

Patients can't imagine how their families will survive when they die.

The more he thought about it, the more angry he became, and finally bought a sharp knife to kill pigs, and took the opportunity to learn about the doctor's condition, he suddenly pulled out the sharp knife and stabbed it into the doctor's abdomen.

After stabbing 27 times, the patient was finally stained red with blood, and the doctor was lying in a pool of blood, with no chance of rescue.

This murder case caused a sensation throughout the country that year.

Since then, experienced doctors have deliberately reminded novice doctors that when encountering a suspected tumor, they must not only use the results of X-rays as a reference.

A CT scan must be done to supplement this.

If needed, it can even be done with enhanced CT or MRI.

The nuclear magnetic resonance must be boasted here, which is definitely a major artifact invention in the history of human medicine. MRI can be accurate to a lesion as small as 5 mm in size.

With it, many tumors that could not have been detected in advance can now be detected at a very small age.

However, there are many kinds of tumors, and even if they are detected, if they are too small, the doctor will not recommend immediate surgery. Rather, it is to observe if it continues to grow and if there are any signs of malignancy.

In addition, even if some tumors are found to have blood flow signals and the boundaries are not clear, they are not necessarily malignant tumors.

Many patients are shocked when a tumor resembles a potentially malignant tumor.

This is completely unnecessary.

It's better to relax, eat when you should eat, sleep when you should sleep, and maintain a happy mood, its effect is not even inferior to good medicine.

Zhou Can took the video taken by the female patient and looked at it carefully, his brows were furrowed all the time, and his face was very serious.

Although the female patient could not see his facial expression because of the mask, she could still feel the invisible oppressive atmosphere.

"Doctor, is this tumor of mine bad? Is it cancer? ”

When she asked, she was visibly nervous.

Whether in the operating room or in the ward, doctors and nurses generally do not say the word cancer in front of patients. Instead, use CA or bad instead.

"Does it hurt when you touch it?"

Zhou Can asked the female patient.

"It's going to hurt a little! It seems to be a dull pain type. ”

The attending physician had most likely asked her similar questions.

Therefore, she can say that it is a dull pain more professionally.

Cancer tumors have a characteristic that it usually does not hurt to touch, or it is dull and painful.

The real cancer pain is actually the metastasis pain in the later stage. For example, bone metastasis can be painful into the bone marrow.

"Doctor Yang, come and see."

Zhou Can called Yang Zhi over to check it out.

Of course, it is also intended to test Yang Zhi's diagnostic ability and surgical experience.

"Luo Shishen, you can also take a look."

For the cultivation of Luo Shishen, although Zhou Can is unwilling to be his master, he usually teaches with all his heart. More dedicated than a true master.

"I'll touch it!"

Luo Shishen tried to touch the tumor on the woman's arm.

"It's quite hard, and it seems to be mobile, is this fibroid?"

He asked Zhou Can.

The latter did not answer, but waited for Yang Zhi's diagnosis to come out.

"It's kind of like fibroids."

Yang Zhi's answer is basically the same as that of Luo Shishen.

"You're watching!"

Zhou Can took the female patient's hand and touched it with two thumbs on the tumor.

PS: (Thank you readers for your companionship and support for hundreds of days and nights!) On the last day of the Year of the Tiger, I wish you all a happy Chinese New Year's Eve and a family reunion. I wish you all a happy new year and an early new year! Thank you for your support! ）

Thank you readers for your companionship and support for hundreds of days and nights! On the last day of the Year of the Tiger, I wish you all a happy Chinese New Year's Eve and a family reunion. I wish you all a happy new year and an early new year! Thank you for your support!

(End of chapter)