After being promoted to attending physician, his status in the department will be qualitatively improved. Although he has proven himself with his strength before, and has been recognized by most of the people in the department.

But the title is very low, just a resident doctor, which seriously affects his weight. Since ancient times, there has been a rule in architecture that nothing is magnificent or powerful.

100 feet is the shape, and 1,000 feet can become a potential. This is also the reason why the mansions, official mansions, and imperial palaces of ancient magnates all cover an extremely wide area and look magnificent.

They must create an air of majesty in the minds of the common people, and the workplace and home are the most important thing.

The degree of civilization in modern society has far surpassed that of ancient times, and it advocates equality for all. This concept has also been deeply rooted in the hearts of the people.

But in any unit, there is still a saying that the officials and universities crush people to death. This is the extension and evolution of non-magnificence.

The manager can command the supervisor, the supervisor can command the team leader, and the team leader can command the members of the group, building a pyramid-shaped hierarchy.

With each jump, there will also be more power and higher status. When Zhou Can was promoted to deputy head of the operating room before, why were so many people opposed?

It was because they felt that Zhou Can was just a resident doctor, with a lower title than them, but now he was above them, so they naturally disagreed.

Now, Zhou Can has officially become the attending physician, and the residents who can look up to him already need to look up to him.

The attending physician, who could look down on him, needed to look at him at eye level. At the level of the winner, it is already a bit weighty, and even at the level of deputy director, he has to face up to his existence.

The human heart is the most complicated. Why is job title so important? It is because of its high gold content. The larger the compound, the higher the gold content of the title.

The deputy chief physician and chief physician of a small hospital usually have a lot of water. It's okay to bluff ordinary people, but insiders all smile tacitly.

Perhaps the chief physician of the small hospital was not convinced when he saw it. This is very simple, and there are often deputy directors and chief physicians of small hospitals who go to the compound for further training.

After the chief physician entered the compound, his status immediately changed to that of a senior student. No matter how much the department of the university respects the chief physician, the status of the trainee cannot be changed.

Then, the attending physician will take the trainees. When Zhou Can was training in internal medicine, he saw the deputy chief physician of a county-level hospital below, and when he came to Tuya for further study, he was scolded by an attending physician and didn't dare to raise his head.

If you change to the deputy chief physician of this hospital, which attending physician dares to scold? Zhou Can followed the nurse who was passing the word to the triage desk.

At a glance, he recognized the woman who was looking for him.

"It's you!" Zhou Can was a little surprised when he saw the woman. The young woman was none other than the girl he had met on leave two days earlier during his rounds at the pharmaceutical department.

Later, Zhou Can helped her say hello, and the matter of asking for leave must have passed. She is coming to Zhou Can now, is she here to thank you?

Cheng Xiaolu looked at Zhou Can who came over in a white coat, and her eyes were quite complicated.

"I didn't expect you to be Dr. Zhou Can that day! Thank you for helping me take my leave. After she came to the emergency department to inquire, she was shocked to learn Zhou Can's true identity.

Who would have thought that the young man he met that day would have such a big background. Even though she worked in the pharmaceutical department, she still heard of Zhou Can's famous name.

Deputy Director of the Emergency Department, Deputy Head of the Operating Room, Member of the Quality Control Department of the Hospital, The Youngest and Most Promising Quasi-Famous Doctor in the Hospital, and the New Boss of the Pharmaceutical Department...... These identities are too dazzling.

So much so that she was terrified.

"Don't be polite. How's your mother's illness? Zhou Can didn't care about helping her ask for leave.

For him, this is a small act of kindness.

"My mom had a cerebral hemorrhage and was ...... Woo woo......" She couldn't help but cry, turned her head and secretly wiped away her tears.

"Don't worry, sit down and talk slowly!" Zhou Can moved a high stool without a backrest for her to sit down.

The triage desk used to be filled with plastic stools, but now that the hospital security guards are strong, they dare to replace them with iron stools.

The nurse who had spoken cleverly poured a glass of water and handed it to her.

"Thank you." She nodded at the nurse in thanks.

"My mother is now in a coma and the county hospital can't treat her, so I called an ambulance to take my mother to Tuya Hospital. But the doctors here said they couldn't do anything. "For this kind of transfer of patients, especially patients in a deep coma, any hospital will feel hot when they receive them.

Kicking the ball and pushing it out is basically a default unspoken rule. Therefore, it is best to say hello to an acquaintance before transferring to another hospital, ask clearly, and then transfer the patient around.

Otherwise, if you pull people to a big hospital and are 'euphemistically' rejected, you will be in a dilemma at that time. The patient was also guilty of being transported during the transfer.

Even some patients who are already in critical condition cannot bear the bumps on the road and may die directly.

"Where are the people now?"

"Over there!" She got up and pointed not far away, where she could see an old man on crutches standing in front of a flat bed.

There are also nurses and doctors who follow the car. The doctor was rhythmically pinching the ball.

In this case, either the patient loses spontaneous breathing, or the blood oxygen is severely lower than normal.

In either case, if you need to pinch the ball during transport, it means that the patient's condition is more critical than you think.

If you are hospitalized, you must have been on a ventilator. The doctors at Tuya Hospital are experienced and have a high level of medical skills, and there must be a huge risk to patients that they dare not accept.

The current medical environment is very poor, and everyone does not want to get involved. Therefore, in order to protect themselves, doctors can only do more than less.

Pushing away a patient will not affect their income and promotion, but if you take the patient with a kind heart, you are likely to be bitten by a 'poisonous snake'.

When the young doctors and nurses in the hospital first started working, many of them were simple and kind. As a result, after experiencing the story of the farmer and the snake a few times, they had to put away the overflowing kindness in their hearts.

"Which departments did you ask?" Zhou Can got up and walked towards the patient, and she followed closely.

"Neurosurgery, neurology, emergency department, and intensive care medicine department, I have asked about these four departments, and they all said that it is difficult to treat, and I have no choice but to come to you for help." It's hard to cure, and the subconscious meaning is that we can't do anything here, so you should hurry up and find another master.

All four departments asked, and the answers were surprisingly consistent. Zhou Can's heart sank to the bottom. I'm afraid he won't be able to help this poor filial girl.

The doctors and nurses who followed the car saw Zhou Can coming over and did not say hello. They are just attendants in the ambulance, and they are responsible for getting the patient to the place.

Now Tuya Hospital refuses to accept patients, they can't leave patients behind, and their hearts are on fire.

Naturally, it is impossible to give Zhou Can any good look.

"Is the patient still breathing on his own?"

"Weaker." The male doctor who followed the car replied coldly. Zhou Can listened to the patient's heart rate and heart-lung sounds, and then measured his pulse.

The heart rate is normally the same as the pulse. But that's just the same quantity. The significance of the examination is completely different between the two.

Heart rate is the frequency at which the heart beats, usually calculated as a 60-second statistic. By checking the heart rate, it is possible to know the condition of the patient's heart.

An experienced and skilled cardiothoracic surgeon like Zhou Can can hear a lot of in-depth information in the process of auscultating the heart rate.

For example, whether the heart rhythm is normal. Slow beats, premature beats, interphrenic defects, tricuspid valve, mitral regurgitation or regurgitation, etc., can be heard.

The pulse can tell you how well the heart is ejecting, as well as the blood flow in the patient's body. For example, if the pulse is measured and the carotid artery is felt, the blood supply to the head can be inferred.

Of course, this kind of examination is only a preliminary diagnosis, and can only provide a preliminary diagnosis direction for doctors. After checking the heart rate and pulse, and listening to the heart and lung sounds, Zhou Can opened the patient's eyelids to check again.

The child's hole is not scattered, and the light reflection is poor.

"What day did she get sick?" Zhou Can asked the sixty-year-old man on crutches. Cheng Xiaolu told him that her father had an accident on the construction site and had a disabled leg.

Now it looks like one side of the pant leg is empty. However, this old man's amputation should not be a high-level amputation.

You can feel the thighs still there.

"Dad, this is Director Zhou, he can help my mother stay in the hospital." Cheng Xiaolu said to her father in dialect.

This meant that the father cooperated with the doctor's inquiry.

"On the night of the 16th, when I got up in the middle of the night to relieve myself, I found that the situation of the old woman was not right, and her mouth was a little crooked. I didn't care about it at the time, thinking it was just a normal situation after falling asleep. Later, when I slept until five o'clock in the morning, I found that her mouth was even more crooked, her eyes were wide open, she couldn't speak, she couldn't move, and I didn't respond when I called her...... "The old man recounted the situation at that time.

Therefore, it is useful to learn some medical knowledge. At a critical moment, you may be able to save yourself or your family's life.

If this old man knows a little medical knowledge, when he notices that the corners of his wife's mouth are crooked, he will immediately be alert to whether it is a stroke.

Under normal circumstances, acute and serious diseases such as myocardial infarction, cerebral infarction, cerebral hemorrhage, and aortic dissection are detected as early as possible.

Timely delivery to the hospital for rescue can sometimes minimize the loss. It will not cause irreparable consequences.

For example, in myocardial infarction, as long as the ischemia time exceeds three minutes, irreversible damage will occur. A large number of heart muscle cells begin to die due to ischemia and hypoxia.

If the patient can be sent to the hospital in time, immediately rescued by a professional doctor, and urgently treated with thrombolytic drugs, or intervened to remove the thrombectomy, the blood circulation can be restored in the shortest time, and the patient's harm can be minimized.

The prognosis is also often ideal. But if it drags on for too long, it's hard to say. Even if a life is saved, follow-up treatment is often very troublesome.

A large number of heart muscle cells die, causing the heart to contract weakly, and symptoms such as heart failure appear. Not to mention a stroke.

The brain is much more fragile than the pericardium. When many doctors teach, they directly say that the brain is tofu brain. This analogy is not an exaggeration.

"I've seen the situation, it's not very good. Have you ever made a film in the outer yard? Zhou Can said to the girl and the old man.

"Yes, the film and inspection materials are here." Cheng Xiaolu hurriedly handed the inspection report to Zhou Can.

Before transferring to the hospital, it is important to remember to bring all the examination materials with you. There are many checks, and if they are still within the validity period, they can be done without repeating them.

It saves time, check-up costs, and patients suffer less. And get the fastest diagnosis and treatment.

Of course, there is a premise, that is, you must meet a reliable attending doctor. In case you are unfortunate enough to encounter an unscrupulous doctor, blindly pursue performance, regardless of the patient's interests, and do the examination that has already been done, and give the patient another examination.

This kind of is more tragic. Zhou Can once treated a patient with a difficult disease, and that patient had a total of 17 MRIs and CT examinations.

Although there is a reason for the incident, the doctor's immorality is also beyond doubt. The patient insisted that he had a disease in his head, which the doctor examined and found nothing wrong.

Patients and families do not trust the doctor's diagnosis. Therefore, in order to convince the patients and their families, the doctor did so many MRIs and CT examinations.

It is important to mention that these tests are not done in one hospital, but in a total of seven hospitals. The cheapest head MRI is more than 600, and the higher the accuracy, the more expensive.

The cost of the inspection alone has been as high as tens of thousands. Tuya's most expensive MRI examination is 5,000 yuan per examination.

It is very difficult to apply and there is a queue. It is specially used to diagnose some difficult and difficult cases. Below the rank of deputy chief physician, it is not possible to prescribe such an application for examination.

Basically, the application for this type of examination is issued by a special needs expert. If the chief physician of a certain department needs it, it can also be prescribed, but it has to be queued up and reviewed by the medical department.

But how many hospitals can achieve Tuya's level? The management of many hospitals is quite chaotic, and the leaders above are good cats regardless of whether they are black cats or white cats, and they are good cats if they can catch mice.

What does it mean to be able to catch mice? It can help the hospital generate income and win the reputation of the hospital. It is recommended that if you encounter a difficult case, you can first hang up the general doctor's diagnosis number and do the examination that should be done.

Then this ordinary doctor can't find out the cause, it doesn't matter, and there is no need to angrily accuse people of poor medical skills in person.

Keep these inspections and hang the special needs expert number. Whatever type of disease it is, hang the number of which expert.

It's important to find out what areas the special needs specialist specializes in diagnosing diseases. If it is an intestinal disease and hangs up a neurology specialist, the result will definitely be unsatisfactory.

Let's talk about the benefits of hanging a general physician number first, and then a special needs expert number. Save time and save on registration fees.

Most of the special-needs experts are 300 yuan, or even 7 or 800 yuan a number. You didn't do any checks, and you just hung up the special needs expert number.

Experts are human beings, and you will be asked to do the same tests. Many test results are not available on the same day.

Then you have to wait for the next day, or even the third day. After getting the test results, I went to the specialist for a follow-up consultation, and the first registration number had lost its timeliness.

I have to register again, and the key may not be grabbed. So for the first time, I hung up a general physician number for a few dollars and did all the tests that should be done.

It doesn't matter if the general doctor can't find out the cause, take the test results and hang up with the expert, and you can usually diagnose it on the same day.

He was then hospitalized. Save time, effort and money. Zhou Can took the patient's examination data from Cheng Xiaolu and checked it so that he could know it in his heart.