Chapter 594 If you have eyes and don't know Taishan, you can find it yourself

Zhou Can sat down below, listened to the five diseases mentioned by Director Tang Fei, and almost subconsciously excluded most of them.

"Let's talk about typhoid fever. First of all, typhoid fever is self-limited, the course of the disease generally does not exceed one month, and the lower gastrointestinal bleeding occurs about half a month after the onset of the disease. The reactions of Feida and Waifei were negative, and no pathogenic bacteria were found in blood and fecal cultures, and she did not have typical clinical manifestations of typhoid fever. Typhoid fever can also be largely ruled out. ”

Director Tang Fei has a very high level and is very familiar with various intestinal diseases.

Why each disease is ruled out, she can say one, two, three.

"There are three diseases left below, which are more difficult to eliminate. Dr. Zhou Can is a special talent in our pediatrics, and has been the focus of gastroenterology and digestive surgery, and has unique insights in diagnosing various difficult cases. Next, please take over the baton analysis and strive to diagnose the cause of Lin Yuxi, is it okay? ”

After Director Tang Fei ruled out two diseases in a row, he actually lifted Zhou Can out.

This is to clearly elevate Zhou Can's identity.

It also helped Zhou Can eliminate the grievances he suffered before.

It can be understood as a kind of care.

Lin Jinzhi thought that Zhou Can was young, so he asked Zhou Can to ask fewer questions in public, leaving time for the old experts. Director Tang Fei felt that this incident had wronged Zhou Can, and other experts did not take into account Zhou Can's feelings at that time, but she remembered it deeply.

Because Lin Jinzhi's identity is very noble, he can't be directly refuted like ordinary family members.

She chose to maintain Zhou Can's status and authority at this critical moment.

"Okay, thank you for your trust."

Zhou Can didn't say anything, but in his heart, he was full of gratitude to Director Tang Fei.

I can clearly know that she is releasing kindness.

It is precisely because Director Tang Fei has always treated him well that he will be like a brave general when he works in pediatrics, constantly charging and making countless achievements.

Lin Jinzhi looked at Zhou Can with some surprise.

Then he looked at Director Tang Fei.

"It turns out that he is Dr. Zhou Can!"

It seems that he has heard of Zhou Can's name.

"Yes, he is Zhou Can. Looking very young, in fact, his medical skills are very high. ”

Director Tang Fei nodded solemnly and said.

When he was transferred to the Provincial Children's Hospital, Professor Wei also mentioned Dr. Zhou. Just now, I didn't know Mount Tai, and I despised Dr. Zhou, don't blame me! "Lin Jinzhi is also a boss mixed up in human spirits.

I already understood her deep meaning from Director Tang Fei's words.

This kind of BOSS-level character can also put down his body.

apologized to Zhou Can on the spot.

"The forest bureau is polite!"

Zhou Can waved his hand indifferently.

As his strength continues to improve, he looks at all kinds of false names more and more.

If he was despised before, or someone said bad things about him, he would still care. Now it's really light and light, and I don't care.

"Professor Wei has great respect for you, and asked me to transfer my daughter to Tuya, so I can see the effect first. If there is no major diagnostic progress, you can be asked to try it out. Really, even Ling's phone number was given to me. Now, you're directly involved in the consultation, and I don't need to ask for any additional help. I just didn't expect you to be so young. ”

Lin Jinzhi raised his mobile phone and told Zhou Can that he had his phone number.

"Professor Wei really looks down on me, but in fact, I am just a resident doctor at Tuya Hospital."

Zhou Can couldn't help but show a wry smile.

Sometimes, he doesn't understand why these professors and directors look up to him so much? either wants to accept him as a successor, or argues with his peers, and even admires that his medical skills are even more powerful than them.

This makes Zhou Can really helpless sometimes.

In fact, he just doesn't know how good he is. There is hardly any doctor who can elevate so many medical skills to the level of director at the same time.

And unlike other doctors, Zhou Can takes the route of general practice.

Other doctors are basically specialists, and at most two medical fields can be chosen.

When Zhou Can first planned training, he also thought that he would be greedy and chew more, rather than just a little bit of everything, broad but not refined, it was better to specialize in two fields.

Later, he discovered that there was a strong connection between the various fields of medicine. Just mastering one or two disciplines will lead to many shortcomings and obstacles in diagnosis.

Even with this understanding, he still never thought of taking the route of general practice.

Dr. Xu, Director Hu Kan, Director Tan and others have all admonished him, asking him to identify one or two areas of specialization as soon as possible, and focus most of his time and energy on the main direction.

By the end of his training, he had found that he had reached a very high level in many fields of medicine.

After a few years of residency, I have accumulated more clinical experience and learned more knowledge. He reluctantly found that he was moving in the direction of a general practitioner.

He discovered this problem when the pathological diagnosis was promoted to level six.

Later, when pharmacological syndrome differentiation was also promoted to level 6, the chief physician at the general practice level was born. Maybe he still has some shortcomings and flaws, but this one is becoming less and less.

For example, in the field of orthopedics, he used to be very weak in joints and various difficult orthopedic diseases.

Now I am studying orthopedics in graduate school, and I am making up for this shortcoming.

In addition, he had not been particularly involved in pediatrics before.

Although he has made some reputation in pediatric consultation, it mainly relies on excellent diagnostic ability and emergency and critical care rescue ability.

However, after a few years of sitting in the pediatric department, he participated in more difficult cases, participated in various pediatric difficult surgeries, and emergency and critical rescue, which gave him a rich accumulation and qualitative breakthrough.

So unconsciously, his level of diagnosis and treatment in the field of pediatrics gradually equaled that of the chief physicians of pediatrics.

For example, Director Zhuang Sheng is good at neonatology, and he is an expert in this regard.

Zhou Can is now also good at neonatology.

Another example is Director Yan, who is good at pediatric respiratory diseases, and Zhou Can is also good at it.

Therefore, one Zhou Can is equivalent to the integration of N pediatric directors.

This is just in the field of pediatrics, Zhou Can is also excellent in many fields such as cardiothoracic surgery and emergency department. It is precisely because of this that after those professors and experts come into contact with him, they will deeply admire and respect him.

"Before I transferred my daughter to Tuya, I had heard about Dr. Zhou's fame. As early as more than a year ago, I heard some friends and colleagues mention that among the new high-level doctors in the province, Dr. Zhou Can of Tuya has been mentioned many times. But what I've learned is that you seem to be very strong in the two fields of emergency and cardiothoracic surgery. ”

Lin Jinzhi is the boss of the medical system, and he is naturally very well-informed.

The situation of famous doctors is also far beyond imagination.

He basically knows what really high-level doctors there are in the province.

At least he should have such a roster.

It's unrealistic to say that you want to remember every doctor's name and what they're good at.

It's more likely that there is a need, take it out and flip it over.

Zhou Can is so young, but he is fortunate to be mentioned by many people in charge and enter the roster of high-level doctors. I have to say, it's a great honor.

"Dr. Chow is a very low-key person, he specializes in far more than acute and critical care and cardiothoracic surgery, and has been working in paediatrics for several years. Forestry Bureau, you may not know how sought-after Dr. Zhou's number is in our pediatric department. Almost every time a new account is launched, it will be sold out within ten seconds. And it often requires a plus sign to basically meet the needs of patients. For example, today, Dr. Zhou has added dozens of numbers. Not long ago, he successfully rescued a critically ill child transferred from another hospital! ”

After Director Tang Fei's introduction, he looked at Zhou Can with a smile.

For this hero of pediatrics, she tried not to let Zhou Can suffer any grievances.

The honors, bonuses, and development opportunities that should be given are never stingy.

"It turns out that Dr. Zhou is so powerful, no wonder Professor Wei strongly recommends him to me." After Lin Jinzhi heard this, his gaze at Zhou Can was completely different.

Full of respect, but also with a strong sense of hope.

"I really don't have that high level, it's just that everyone loves me. Let's hurry up and diagnose the patient! ”

Zhou Can was a little embarrassed to be praised in turn.

The experts here actually have a little ninety-nine in their hearts.

Because of Lin Jinzhi's noble status, there are not a few experts who want to curry favor with him.

Zhou Can had just asked two questions before, and was sent a cold bench by Lin Jinzhi, and several experts immediately rushed to ask questions. These people are nothing more than careful thoughts about grabbing merit.

Now that they are being praised by Director Tang Fei like this, it has become a little futile for them to grab credit.

At least Lin Jinzhi already has a very deep impression of Zhou Can.

"The experts just worked together to point out five relatively close diseases for Lin Yuxi's diagnosis. Director Tang has already excluded two, and I will directly rule out three next. Crohn's disease, myeloma, lymphoma, all can be ruled out. ”

As soon as Zhou Can expressed his opinion, everyone's jaws were shocked.

Lin Jinzhi was even more dumbfounded.

He didn't expect Zhou Can to directly eliminate all the remaining three diseases in one go.

These are five diseases with high probability that have been discussed by many experts for a long time!

It's all vetoed, which is somewhat of a juvenile arrogance.

"Dr. Zhou has ruled out all the remaining three diseases, so what do you think is the disease?"

An old expert asked with some displeasure.

"The course of Crohn's disease tends to be extremely long, starting at least six months. Moreover, Crohn's disease has a rapid and ferocious onset, and there are no recurrent attacks, it is mainly manifested in intestinal diseases. So it can be ruled out directly. ”

Zhou Can unhurriedly said why the three diseases were ruled out.

"Myeloma is also ruled out, and bone marrow aspiration did not detect myeloma cells, and there was only one symptom of unexplained hyperthermia, which is difficult to support the diagnosis of this disease."

"Lymphoma sounds like a tumor, but according to my personal clinical experience, it's not often that you can feel such a large cord-like mass in the ileocecal region. And the nature of the mass is far from the feel of the tumor. Also, the signs and symptoms are not consistent with lymphoma, so they can also be ruled out. ”

After explaining the reasons for the exclusion of the three diseases one by one, Zhou Can's gaze swept over the audience.

finally fell on Lin Jinzhi's face.

"I think the most likely cause is the malignant group, also known as intestinal malignant histiocytosis, which is extremely dangerous."

As soon as Zhou Can's words fell, the old expert immediately denied it, "There are very few abdominal lumps in the evil group. ”

The people present are all highly qualified and experienced experts.

He has a deep understanding of various common and rare diseases.

"Yes, it is true that there are very few abdominal masses in the malignant group, but the symptoms of the sick children, as well as the rapid progression of the disease, are highly similar to the malignant group. Although the experts at the Provincial Children's Hospital have basically ruled out the disease, I highly suspect that it is the disease. ”

Zhou Can has always had unique insights into diagnosing difficult diseases.

"Director Tang, I think it's better for you to preside over the discussion of the diagnosis. Dr. Zhou has the adventurous spirit of a young man, is too aggressive, has a big brain, and is a bit paranoid. This sick boy is the daughter of the Forestry Bureau, we should be cautious and not take too many risks. ”

This veteran expert, like Director Yan, is a rehired veteran pediatric expert.

usually participates in consultations, as long as Zhou Can participates with her, she will refute Zhou Can in a more targeted manner.

Sometimes, the older people get, the more eccentric they become, and Zhou Can doesn't bother to take care of them.

At this moment, I don't know which tendon of this old lady is wrong, and she is obviously very aggressive towards Zhou Can.

The prejudice against Zhou Can was almost not written on his face.

"Director Qu, have you ever heard that severe cases require strong medicine? I don't think I'll be wrong with listening to Dr. Zhou's explanation first. Based on his previous consultation experience, Dr. Zhou's diagnosis accuracy rate is close to 100%. ”

Director Tang Fei is extremely protective of Zhou Can.

But these old experts must also be respected.

Otherwise, these old experts will be quite troublesome in raising children's tempers.

"Is his diagnosis that correct? The little boy with the brain tumor I consulted with last time, wasn't he misdiagnosed? At that time, he said that the little boy had cardiovascular disease, and I was diagnosed with a brain tumor. ”

Director Qu was quite unconvinced.

even did not hesitate to expose Zhou Can's troubles.

"That little boy, don't mention it."

Director Zhuang shook his head again and again and sighed.

"It's not that I want to mention it, I just want to tell you that Zhou Can, a young man, is indeed excellent, but he can't be too mythical. Otherwise, he'll be killed! This time it is more about the life safety of the Forest Bureau, and everyone should be more cautious. ”

Director Qu said solemnly.

I don't know why this old lady is trying so hard to please the forest bureau?

Adults often have a strong sense of purpose in doing things.

She must have had some purpose.

"Director Qu, I didn't want to mention this again. In fact, it was later confirmed that the brain tumor in the little boy's skull was benign and did not cause adverse effects on the little boy's body. After cutting it, the little boy's illness was still there. The little boy was later transferred to the Department of Cardiothoracic Surgery, where Dr. Zhou and Director Xueyan underwent surgery, and he was cured. We are worried that you are too old to accept it, so we don't tell you the final result. ”

Director Zhuang said helplessly.

Suddenly, Director Qu's facial expression became stiff, and the atmosphere in the conference room became even more strange.

Everyone wants to laugh, but they don't dare to laugh.

I'm afraid that the old lady will be old, and if she is stimulated, she will be in trouble if something happens on the spot.

(End of chapter)