Chapter 120 His point of view is actually correct, the situation is not good
Everyone was stunned.
Director Shen was obviously very angry just now, so why did he suddenly agree with the intern's point of view?
The wind direction is changing quite quickly!
"May I have your name?"
Director Shen looked at Zhou Can carefully for the first time. His eyes were not as cold as before, but rather very gentle.
There was even a hint of subtle admiration.
"My name is Zhou Can!"
Zhou Can remained quite calm in the face of this heavyweight chief physician.
Compared with other junior doctors who try every means to curry favor and fawn on others, he is simply a breath of fresh air.
"From the emergency department, your name is Zhou Can... So, you are Zhou Can! No wonder you performed so well!"
Instead of criticizing Zhou Can, Director Shen actually praised him highly.
Everyone was confused for a moment.
What the hell is going on here?
Also, judging from what Director Shen said, this trainee seems to be quite famous.
"Who is he?"
A doctor whispered to the person next to him.
"I know him. He is the top scorer in this year's regular training recruitment exam for our hospital. But his education level is a bit low, he only has a bachelor's degree."
Some of the trainee students from the same class recognized Zhou Can.
Nowadays, many graduate students with master's degrees may not be able to enter Tuya.
Every undergraduate student who is able to enter Tuya has absolutely strong abilities.
"It's really amazing that he can get the top score in the regular training recruitment examination. The competition is particularly fierce this year. No wonder even Director Shen has heard of his name."
These people obviously didn't know about some of Zhou Can's glorious deeds in the emergency department.
Our understanding of him is also extremely one-sided.
Director Shen holds a very high position. At his level, he can learn about important events in the hospital in a timely manner.
He knew that Zhou Can had made many great contributions in the emergency department.
Moreover, many directors of major departments admire this young man very much.
The "cover-up case" that was known to the hospital's senior management some time ago made everyone realize Zhou Can's influence. So many department heads and directors stood up to speak for Zhou Can.
In the end, even Vice President Bai was forced to compromise.
What a terrifying energy this is?
"Teacher, are you really going to adopt this trainee's point of view?"
Doctor Shan didn’t understand why Director Shen’s attitude suddenly changed 180 degrees?
"Dr. Zhou was so persistent in insisting that there was something wrong . We cannot underestimate his opinion just because he is of a low rank. At least he deserves our serious attention."
Director Shen's words sound like he is just trying to save face.
If he guessed correctly, he might have realized that there was something wrong with the patient's legs after Zhou Can's reminder.
His high position and great reputation prevented him from immediately admitting that Zhou Can's views were correct.
Otherwise, wouldn't that be slapping himself in the face?
Therefore, those who can become leaders are all masters of adapting to changing circumstances.
If you realize that you have made a mistake and still insist on doing it, you are a fool.
Even if such a person becomes a leader, he will not be able to hold the position for long.
"Xiao Zhou, tell me your diagnostic ideas in detail!"
Director Shen also took the opportunity to bend down and examine the patient again.
You can see that he checked very carefully this time.
I paid special attention to the subcutaneous purpura on the patient's feet and pressed the edematous area with my hands.
"Around eight o'clock, when I examined the patient, I found that his subcutaneous purpura had only reached this position. Now, only about an hour has passed, and it has spread to this position of the ankle. This shows that the purpura on the patient's leg is getting worse. This is definitely abnormal. If it was subcutaneous congestion caused by the wheel scratch before the operation, it should remain the same and it is impossible for it to expand rapidly."
Zhou Can described his observations and judgments in a clear and organized manner.
"Also, the edema seems to be getting worse. When I press it with my hands, it's very hard, which means that the lymph fluid or water accumulation inside is getting worse. With all due respect, if we can't find the specific cause in this case, the failure rate of the operation is very high."
Zhou Can's words were already giving enough face to Director Shen and Doctor Shan.
If the root cause of the problem is not found and solved in time, the operation will fail 100%.
It may even threaten the patient's life.
The lightest outcome is amputation.
And it is not amputated from the surgical site. If it is not treated in time, it is likely to require high amputation, amputation from the thigh root.
In fact, at that point, all we think about is how to save the patient's life.
It is simply impossible to consider what to do if I lose my legs.
"Your analysis is very reasonable and your observations are very detailed. What do you think is the specific cause?"
Director Shen seemed to be testing him.
"The possibility of blood vessel damage is small, and then only blood clots will remain."
When Zhou Can said this, he glanced at Dr. Shan intentionally or unintentionally.
Female orthopedic surgeons are rare.
She was able to stay and stand out amidst the fierce competition in orthopedic surgery.
This is not easy at all.
Female doctors have both advantages and disadvantages when it comes to surgery.
Their physical strength is not as good as that of male doctors, their logical thinking is inferior, and their psychological quality in facing various emergencies is also worse than that of male doctors.
However, there are also particularly calm female doctors who are better than male doctors at rescuing patients.
In addition, female doctors are dexterous and have a natural advantage in performing delicate surgeries.
There was no expression on Doctor Shan's face.
Maybe she was pretending to be expressionless to cover up her inner embarrassment.
Because Zhou Can's diagnosis results directly pointed out that there was a problem with vascular anastomosis.
This is the area she is most proud of.
She still held on to a glimmer of hope at this moment, after all, the final result had not yet come out.
"As a resident intern, it's quite good that you can make this diagnosis. Remember, the simultaneous appearance of edema and purpura is not necessarily a blood clot, but may also be limb rejection. This part of the patient was almost severed, and when he was sent for surgery, it was only connected by a layer of skin. The surgery performed on him is not much different from replanting a severed limb. It is even more difficult."
Director Shen made a concluding speech.
It seemed like he was giving Zhou Can some advice, but more importantly, he was trying to save his own face.
"Send the patient for a color ultrasound scan, just below the knee."
Zhou Can's mouth corners slightly raised, revealing a barely perceptible smile.
Director Shen said that it was not a blood clot, but the tests he prescribed for the patient betrayed his true feelings.
Color Doppler ultrasound is the most commonly used non-invasive examination device in clinical practice to detect whether there is blood clot in the blood vessels.
It can effectively judge whether there is blood clot in the limb arteries, veins or organ blood vessels.
The attending physician and the resident doctor present were all well aware of this.
It seems that this trainee is really capable!
When everyone looked at Zhou Can, no one dared to look down on him anymore.
…
Director Shen finished his ward rounds quickly.
As soon as he left, Zhou Can was pulled into the office by Dr. He.
"Doctor Zhou, you were too reckless just now. Even if you really felt that there was something wrong with the patient's postoperative abnormality, you could have waited until Director Shen and his team finished their rounds and left before reporting it. Director Shen, Doctor Shan and others worked together for more than 11 hours on that operation, and they were originally proud of it. You insisted that there was a problem in front of the patient and so many doctors. Aren't you undermining their reputation?"
Dr. He was almost scared to death just now.
Because he angered Director Shen, he would definitely be implicated.
"I know all this. But have you ever thought that if you don't report the situation to Director Shen during his ward rounds, and then report it afterwards, it will definitely delay the patient's treatment. The sooner the leg is treated, the better it will be for the patient. If it's too late, it will be too late."
There is no problem with Zhou Can's IQ and EQ.
If the situation wasn't urgent, why would he risk offending his superior doctor by being the first to speak out?
"Anyway, please be careful next time. Otherwise, it will be hard for me, a senior doctor, to live."
Dr. He had no choice but to set a hard and fast rule for him.
Not every doctor is willing to risk his or her own future for the benefit of his or her patients.
Because that's stupid behavior.
This ward round incident did not have much impact on Zhou Can.
Just do what you should do.
Except for being a little timid and attaching more importance to future and interests, Dr. He is pretty good in other aspects.
Not only did he patiently teach Zhou Can how to manage a bed and how to deal with various patient emergencies, he also took the patient's films and taught him how to read them.
Look at the films taken by ultrasound, X-ray, CT, and MRI.
For orthopedics, more X-rays are taken.
During his internship, Zhou Can learned how to watch movies, but he only learned the basics.
After working with Dr. Xu for three months, my ability to read films improved, but I couldn't say it was very advanced.
You can only look at the most basic ones.
It is impossible to be like those experienced attending physicians and chief physicians who can see the deep information conveyed in the film at a glance.
For example, Dr. Xu once took a look at the color ultrasound of a patient and immediately concluded that the patient had cardiovascular disease.
Later I checked and it was true.
The patient suffered from severe coronary artery sclerosis.
As for how Dr. Xu figured it out, Zhou Can still doesn't understand.
This is the level.
Now, Dr. He teaches him how to read patients' X-rays, and he has gained a lot from it.
Especially some difficult-to-detect fractures really test the doctor's eyesight and experience.
Doctors in the medical technology department can sometimes only mark part of the image because their ability to read the film is limited.
This requires the attending doctors and surgeons to have a pair of sharp eyes.
…
When it was time to get off work, it was originally agreed that Zhou Can would work the night shift, but Dr. He did not give him this difficult task in the end.
Maybe he saw Zhou Can's amazing potential and thought that if he could establish a good relationship with him now, he might be able to use him someday in the future.
Exploitation can only bring temporary pleasure.
If Zhou Can develops resentment because of this incident, it would be a waste of time.
After Zhou Can got off work, Su Qianqian, wearing large sunglasses, was already waiting for him in the outpatient hall of the hospital.
"When did you come? Have you been waiting for a long time?"
Zhou Can walked over quickly, looking straight at the girl he loved deeply.
Up to now, he and Su Qianqian have been in love for almost a month.
It still feels a little unreal.
Others have flash marriages, but they just have lightning-fast love.
There was almost no sign that the two fell in love.
It was as if I fell in love with her that very night when I was drinking with her.
Of course, for Su Qianqian, there may be a certain period of preparation for love.
Specifically, it started from the time when Zhou Can brought her the keys late at night and acted heroically to save the beauty by beating the thugs away with one punch.
After all, every girl wants to have a strong boyfriend to protect her.
No girl likes a cowardly man.
Zhou Can's strength and dominance are very popular among girls.
Later, Zhou Can broke into the drinking party to save her, and did not take advantage of her or take advantage of her when she was drunk.
This gave her an extremely good impression of Zhou Can.
What really brought the two together was that night when they were at the darkest moment of their lives.
That day, she suffered a major setback at work, developed uremia, and was burdened with a foreign debt of more than 300,000 yuan. The multiple pressures pushed her into a desperate situation.
I even had strong thoughts of committing suicide at one point.
When she was most desperate, it was Zhou Can who accompanied her through an unforgettable night.
The warmth and the hazy sweetness of love that it brought her will never be forgotten in her life.
What happened later, needless to say.
Zhou Canhao spent 1.6 million to buy her album of songs, helping her to successfully terminate her contract. He also spent 4 million to partner with others to set up an entertainment company specifically for her.
I ask, which girl can resist this kind of love offensive?
The moment Su Qianqian saw Zhou Can, a smile of extreme happiness broke out on her face.
"I know you're at work, so I just sent you a WeChat message. How's it going? Did you miss me?"
"Yes! Every part of my body wants it!"
"Bad guy!"
She spat.
"Hey, didn't you say that women like handsome and cool men?"
"I can't argue with you! What to do next is up to you, the boss."
She said with a smile.
"Didn't you say last time that you wanted me to take you to the amusement park for some fun? It's about 5:40 in the afternoon now, so it's no problem for us to play until about 9 o'clock."
Zhou Can hugged her and walked out.
"Okay! But you have to protect me. I'm the most timid person. My legs go weak when I see that Ferris wheel."
Like most girls, she still has a childish nature.
She was overjoyed when she heard that Zhou Can was going to take her to the amusement park.
As soon as the two of them walked a short distance, Zhou Can noticed someone secretly photographing and following them. He couldn't help but frown slightly.
"Qianqian, don't look back. We seem to be being followed by paparazzi."
Her fame is now rising steadily, even surpassing her previous peak.
The paparazzi are omnipresent.
It is really disgusting to film all kinds of privacy of celebrities just for the sake of traffic.
"Ah... what should I do? I've dressed up like this, but I'm still being targeted. These paparazzi have really sharp noses."
She said a little depressed.
"Don't worry, I'll take care of everything. The hospital is my territory. Let alone one paparazzi, even if there are ten of them, I'll make them fail miserably."
Zhou Can hugged Su Qianqian and walked towards the two hospital security guards.
"Hello, I'm a doctor at the hospital."
Zhou Can showed his work ID to the security guard. Doctors have a very high status.
At least the hospital's security guards, cleaners, nurses, and some people who depend on the hospital for their survival are willing to curry favor with doctors.
"Hello, Doctor Zhou. Please tell me what I can do for you."
The security is very good.
"There's a man with bad intentions following us. I don't know what he wants to do. Please help me stop him and interrogate him. Check his ID card."
Zhou Can explained.
"No problem! Just go ahead and we won't let that person continue to follow you."
The security guard exchanged a look with his companion, and they both watched the stalker slowly approaching from the corner of their eyes.
The faster Zhou Can and Su Qianqian walked, the faster the stalker walked.
As a result, after tracking him for just over ten meters, he was captured by two security guards and pinned to the ground.
"What do you do? Why are you following the doctors in our hospital?"
"Let me go, let me go!"
The paparazzi who took the photo struggled frantically.
Zhou Can took the opportunity to leave quickly with Su Qianqian.
"Haha, you're amazing. If I run into paparazzi like this, there's nothing I can do. I can only hide from them."
Su Qianqian feels particularly safe when she is with Zhou Can.
He used a little trick to deal with the troublesome paparazzi.
"A few days ago, a bad paparazzi threw a photo of us dating at me and asked me to give him 20,000 yuan."
When Su Qianqian talked about this, her tone was full of anger.
"You didn't give it to me?"
"Where can I get the money to give him? I'll just give him my life."
Su Qianqian still owes hundreds of thousands of dollars in debt and doesn't even have money to buy medicine for her illness.
The paparazzi even came to blackmail her, how unethical.
"Besides, what's wrong with me falling in love? It's not something shameful."
"You are in the rising stage of your career now, so it is better to be cautious when announcing your relationship. Have you told Li Lao about this?"
Zhou Can asked.
"I didn't tell him."
She shook her head.
"You should talk to him. He will give you professional guidance."
Zhou Can realized that fame brings with it a lot of gossip.
If there is a chance, maybe I should find her a reliable female bodyguard.
He would not allow anyone to hurt his woman.
…
The next day, Zhou Can and Jin Mingxi rushed to the orthopedic surgery department to work together.
Today it was finally his turn to enter the operating room.
I heard from Jin Mingxi that among their batch of trainee students yesterday, there were two who were extremely strong.
In total, only six people were able to stay and work in the operating room.
This made Zhou Can feel a little bit pressured.
Under the guidance of Dr. Yang, Zhou Can and five other interns entered the operating room.
This 100,000-level laminar flow operating room is obviously much more advanced than the conventional operating room in the emergency department.
"Remember, your mission is to assist in the surgery. When you get off work, the chief surgeon will give you scores based on your performance. If you perform well, you will have a chance to stay."
Doctor Yang gave a few instructions and left in a hurry.
Not long after, Dr. Shan, who had dealt with me yesterday, along with two nurses and two assistant doctors, walked into the operating room.
Perhaps considering that there were a large number of trainees entering the operating room, no interns were brought into the operating room.
"Wow, you're all here pretty early!"
Doctor Shan's eyes swept over the six people.
When she found Zhou Can was also inside, she was a little surprised, and her eyes looking at Zhou Can were also cold.
Zhou Can thought to himself that this was not good.
Judging from the situation, Dr. Shan is most likely the lead surgeon.
He offended her yesterday, and if she makes things difficult for him today, he might be eliminated directly.
