Chapter 153 Hidden shock, everything is nothing in front of strength
"Doctor Ou, you came just in time. This patient has a high fever of 39.2 degrees. After reading his examination report and other information, I feel that he cannot be simply treated by reducing the fever!"
Zhou Can got straight to the point.
His approach was very smart. He did not take advantage of his power to hold Dai Wei and Chen Hao hostage.
I believe that Dr. Ou’s attitude just now has already given the two of them some idea of what’s going on.
But he was a little puzzled. Many people in the department knew that Director Wen appreciated him, but these two people didn't know? Or did they only know a little bit, so they didn't take themselves seriously?
Zhou Can’s status in the neurosurgery department is not very high, but at least ordinary residents have little confidence in front of him.
Even Cheng Gang, who used to be extremely unfriendly to him, has now become submissive.
It's just that he couldn't save face, so he didn't take the initiative to curry favor with others.
How could Dai Wei be so short-sighted?
" Dr. Dai, is this what made you angry just now?" After listening to Zhou Can's explanation, Dr. Ou looked at Dai Wei.
"Uh... maybe I was a little impatient just now. I'm mainly worried that what Dr. Zhou said would cause unnecessary disputes between doctors and patients." Dai Wei also followed suit.
After discovering that Dr. Ou was very friendly towards Zhou Can, he immediately took the initiative to turn off the heat.
"Because he is just a resident doctor, do you think his opinions are outrageous? Let me tell you, Dr. Zhou Can has made great contributions in many director-level consultations. And just today, he performed a level 4 operation with Director Wen and made great contributions again. Don't underestimate the opinions of junior doctors in the future."
Dr. Ou and Dai Wei don't seem to have a bad relationship.
Otherwise I wouldn't say this.
Exposing many of Zhou Can's secrets in public shows that Dr. Ou has already inquired about Zhou Can's deeds in the emergency department.
Tuya Hospital is neither big nor small, and the personnel relationships inside are complicated.
Maybe a doctor or nurse in the emergency department has some personal relationship with Dr. Ou, or even a classmate.
Doctor Ou witnessed with his own eyes the whole process of how Zhou Can was appreciated by Director Wen yesterday. Out of curiosity or other considerations of interest, he asked his acquaintances about it.
Wow, this is incredible.
It turns out that this trainee is actually pretty awesome.
"He has performed many outstanding work in director-level consultations and level 4 neurosurgery operations... Oh my God! This is really a flood that has washed away the Dragon King Temple. I actually thought that Dr. Zhou was a resident intern who was arrogant and incompetent. This is my mistake, and I will definitely correct it in the future."
After hearing Zhou Can's brilliant record, Dai Wei was so frightened that his neck shrank and he quickly took remedial measures.
It is a very wise thing to do to apologize proactively as soon as possible.
"I'm not as good as Dr. Ou said. At best, I'm just luckier. For this patient, I strongly recommend measuring his blood pressure. If he shows symptoms of low blood pressure, he must be highly alert."
Zhou Can's goal had been achieved, and he passed it on with just a few words.
Then move on to business.
It can resolve Dai Wei’s embarrassment to the greatest extent.
As for the flattering resident doctor Chen Hao, Zhou Can never took him seriously as a human being from the very beginning.
It's almost like air.
"Xiao Chen, measure the patient's blood pressure immediately, don't just stand there." Dai Wei has a strong ability to survive in the workplace.
After knowing that Zhou Can was very capable and that he could only look up to him, his attitude towards Zhou Can changed 180 degrees.
And there have also been changes in Zhou Can's good friend Jin Mingxi.
The treatment of the flatterer Chen Hao dropped drastically.
"Isn't this patient being treated by Doctor Jin?"
Chen Hao muttered softly.
Obviously some people were not used to this sudden change of treatment.
"Be quick!"
Dai Wei's gaze and tone were already quite cold.
Chen Hao then realized that the situation had changed. He immediately took out the blood pressure monitor and measured the patient's blood pressure.
Dr. Ou and others were waiting for the blood pressure results.
"Is this blood pressure monitor broken? Why is the systolic pressure only 100 mmHg?" Chen Hao muttered softly after taking the blood pressure initially.
"Xiao Chen, stop dithering. Are the results out yet? Doctor Ou and Doctor Zhou are waiting!"
Dai Wei directly ranked Dr. Zhou on the same level as Dr. Ou, which shows his strong desire to survive!
Zhou Can didn't think there was anything wrong.
Jin Mingxi next to him was extremely envious.
Jin Mingxi was about to be promoted to associate senior professional title in the county people's hospital, but now he is admitted to Tuya as a regular trainee. Does this mean that the more he works, the lower his position will be?
Let’s look at Zhou Can, who is also a trainee and whose hidden status has already caught up with that of a chief physician.
In addition to being envious, Jin Mingxi was also secretly happy.
After what happened just now, Dr. Dai already knew Zhou Can’s strength, and his attitude towards Zhou Can became very respectful.
With Zhou Can's support, Jin Mingxi believes that his life will be better in the future.
When Dai Wei exploited him, he certainly wouldn't dare to be as unscrupulous as before.
Chen Hao ran to the nurse station with sweat all over his face and borrowed a new blood pressure monitor.
Measure again.
"What's going on? The systolic blood pressure is only 98 mmHg."
Chen Hao couldn't believe the result.
"Idiot, you can't even measure blood pressure properly. How can the patient's blood pressure be so low? Let me take it."
Dai Wei took to the battlefield personally.
The result was the same, the systolic blood pressure was only 98 mmHg.
At this moment, both Dr. Ou and Dai Wei realized the seriousness of the problem .
Experienced doctors usually consider systolic blood pressure below 90 mmHg as a threshold for shock blood pressure.
The patient's low blood pressure was almost close to the shock level, which scared them immediately.
"Fortunately, Dr. Zhou gave the advice to measure blood pressure, otherwise it would have been a disaster."
Dai Wei wiped the cold sweat from his forehead and felt a little scared.
He also had his first personal experience of Zhou Can's strength.
No wonder he was able to gain Director Wen's appreciation directly by virtue of his status as a trainee. His abilities are indeed amazing.
At this time, the patient had begun to talk incoherently.
Obviously mentally disturbed.
His family's calls didn't do much either.
The disease progresses very quickly.
In other words, they had not noticed the patient's abnormal condition at all before.
After all, it is normal to talk nonsense when you have a high fever.
"Doctor Zhou, the patient is already like this, please tell me the rest of your diagnosis! Although I am an attending physician, pathological diagnosis has always been my weak point. You were able to diagnose that the patient had low blood pressure and was very dangerous just by looking at the patient's information and the patient's high fever symptoms, which means you must have a diagnosis in mind."
Dr. Ou became extremely nervous when he saw that the patient under his care was in danger.
If he were to diagnose the problem slowly, perhaps he could find out the cause.
Now that there are people who are more capable than him, there is no need for him to bother himself.
Moreover, the patient's condition is taking a turn for the worse. The longer it is delayed, the more dangerous it will be.
The family members only now realized that this young doctor who was so interesting to talk to actually possessed extremely advanced medical skills.
Their eyes were also looking at Zhou Can, full of pleading.
"First of all, I'm only making a preliminary diagnosis based on some clues, and the result may not be accurate. I suggest taking a blood test immediately. The patient may be suffering from septic shock."
Zhou Can spoke modestly, not sure of the outcome.
In fact, diagnostic experience points have already been earned.
He was very sure of the diagnosis.
"The patient is clearly not in shock! And isn't shock defined as blood pressure below 90 mmHg?"
Dr. Dai Wei was very puzzled.
"Pedant! Who said that shock must be diagnosed when the systolic blood pressure is below 90 mmHg? Your dogmatism is unacceptable. Blood pressure cannot be used as the only criterion for toxic shock."
Dr. Ou should have treated Dai Wei as a student.
Otherwise, people would not have criticized Dr. Dai for being pedantic and dogmatic.
"Doctor Zhou, please tell him the reference basis for infectious toxic shock." Doctor Ou left this opportunity to show off to Zhou Can.
Of course, it is also possible that they want to create more opportunities for the two to repair their relationship.
"Low blood pressure, high fever, confusion, and then you look at the patient's neck, which is extremely unnatural. This indicates neck stiffness. These four factors combined can basically confirm that it is toxic shock. But for safety, wait until the blood test results come out, which is basically foolproof."
As soon as Zhou Can entered the ward, he noticed that the patient's face and lips were extremely pale.
The fingertips are slightly cyanotic.
Later, it was discovered that the patient had neck stiffness, and rotation and extension were extremely unnatural.
Based on a variety of symptoms, he boldly concluded that the patient was actually in a state of shock.
Using indomethacin suppositories for rectal pain is a typical case of treating the head for a headache and the foot for a foot pain.
Blind, superficial, and only treating the symptoms but not the root cause.
It can even be said to be going in opposite directions.
When we humans have a fever, as long as it does not reach above 39 degrees, there is basically no need to rush to reduce the temperature.
Because this is the body activating the immune mechanism to eliminate invading viruses, bacteria, etc.
The most common fever is caused by inflammation and cold.
Some people give their children a large amount of antipyretic medicine as soon as they catch a cold and have a fever. The fever is gone, but the opportunity to rely on the body's own immune mechanism to kill the virus is missed.
To put it in a more vivid way, when our body starts to have a fever, it means the body is preparing to fight the virus that invades the body.
It continuously burns the body's stored energy, raises body temperature, and begins to destroy the virus.
At this time, people who do not know medical knowledge and directly take a large amount of antipyretic drugs are basically equivalent to a foolish emperor. The general in front is leading the army to charge and kill the enemy, and it seems that victory is possible.
As a result, the emperor directly ordered the troops to retreat.
Finally, he ordered the general leading the army to be beheaded.
Then the viruses were happy. When they met such a stupid emperor, who else should they kill if not him?
The viruses began to frantically attack more organs and tissues of the body.
A minor cold may eventually turn into a severe cold or even be fatal.
Many people think that drinking large amounts of warm water after catching a cold is nonsense.
Can water cure diseases?
The answer is that it can cure diseases.
Drinking plenty of water can keep the body's metabolism running efficiently and excrete a large number of viruses and harmful substances from the body through urine and other means.
This is actually very beneficial to the body's recovery.
Speaking of body temperature, there is one thing that actually deserves the attention of all mankind.
Human body temperature has been decreasing.
We have no way of knowing what our ancestors' body temperature was thousands or even tens of thousands of years ago because technology was very backward at that time.
Since humans were able to measure body temperature, in the past two hundred years, the average human body temperature has dropped from 37 degrees to 36.6 degrees. 37 degrees has become the normal temperature of humans.
Some people may think that a drop in body temperature of only 0.4 degrees is nothing .
In fact, for every 1 degree drop in body temperature, immunity will drop by more than 30%.
On the contrary, if the body temperature rises by 1 degree, the immunity will increase by 5-6 times.
So, in the future, when our body has a fever, don't rush to reduce the fever! As long as it is below 39 degrees, you can observe it, pay attention to replenishing water and keeping warm.
Help our bodies defeat diseases and eliminate viruses.
…
After Zhou Can diagnosed the cause of the patient's illness, there was no need for him to stay here any longer.
"Doctor Ou, Doctor Dai, I'm leaving now! If this patient is diagnosed with toxic shock, we must not delay. Especially if this symptom occurs after surgery, it is very dangerous."
Zhou Can gave the two some instructions before leaving.
"I understand! I will report this to Director Wu right now." Doctor Ou's face was serious. "Thank you very much for helping us rule out a hidden accident today. In the future, when Doctor Zhou has time, I really want you to come to the ward every day and help check it together."
Dr. Ou was full of gratitude to him.
However, he also knew that it was unrealistic to ask Zhou Can to help with ward rounds every day.
If he could come and help check things occasionally, it would be considered as special care.
"Sure, sure! Doctor Jin is my good brother. After work, I will definitely come to see him often as long as I have time."
Before leaving, Zhou Can once again emphasized the relationship between Jin Mingxi and him, and his intention could not be more obvious.
Basically, I'm telling Dr. Ou and Dai Wei, please take good care of my good brother.
"Now that I know that Dr. Jin is Dr. Zhou's friend, I will definitely focus on training him." Jie Wei stated in person.
"When you walk with tigers and wolves, you are all ferocious beasts. Doctor Zhou is so good, I believe Doctor Jin must be not much worse. If you don't tell me, you might really bury a talent. If Doctor Jin's surgical skills are good enough, I will teach you how to operate in the future."
In order to curry favor with Zhou Can, Dr. Ou directly did a huge favor.
A big pie fell from the sky and hit him on the head, which made Jin Mingxi very happy.
"Thank you, Dr. Dai! Thank you, Dr. Ou! I have performed many surgeries in the emergency department. I hope Dr. Ou can give me more advice in the future."
Jin Mingxi is also a very capable guy.
Hit the snake with the stick.
He just hugged Dr. Ou’s thigh.
"Okay, I have two operations tomorrow. You can just follow me into the operating room then." Dr. Ou did not refuse.
After saying this, he looked at Dai Wei.
"Doctor Dai, assign less work to Doctor Jin tomorrow and let him come with me into the operating room and try."
Dr. Ou is a very straightforward person.
Say hello to Dr. Dai in person.
"No problem. Xiao Chen doesn't have much work anyway, so I can just ask him to do more."
Dai Wei's words almost made Chen Hao faint in the toilet.
Who could have thought that disaster would come from the sky? They were all flattering each other, but suddenly a very tough regular trainee appeared. Just one sentence made Jin Mingxi, the "serf", stand up and sing.
He, a man who rose to power by flattering others, was simply treated as a discarded pawn.
Sure enough, strength is the real king.
All other twists and turns are nothing but clouds in the face of absolute strength.
"goodbye!"
Zhou Can waved and left with satisfaction.
…
Before seven o'clock, Jin Mingxi came back.
As soon as he entered the dormitory, his face was full of joy.
Put two hot chicken legs directly in front of Zhou Can.
"Zhou Can, you are such a good brother. If you hadn't stood up for me today, I would have been bullied to death by Dr. Dai and Chen Hao. Let's not do those empty words, just give me two big chicken legs to express my gratitude."
Jin Mingxi's face was full of smiles.
Helping him so much, two chicken legs are not worth mentioning. But the two are good friends, that's different.
Just express your intention.
If Zhou Can needs help in the future, Jin Mingxi will spare no effort to provide help for free.
"Haha, two big chicken legs. I won't be polite then!" Zhou Can went to wash his hands, picked up the chicken legs while they were still hot, and enjoyed them happily.
"Originally, I should treat you to a nice meal. But you know, the salary of a trainee is so little every month. I live frugally every day, and after deducting expenses, I'm lucky if I don't owe any money on my credit card at the end of the month. I don't have the face to ask my wife for money."
Jin Mingxi has been attending regular training in the provincial capital for more than half a year.
When he first came, he was quite generous.
Life is very tight now.
This is also the reason why most medical students complain about the regular training system.
It's simply being exploited by the hospital for one to three years.
The money and energy a family spends to train a medical student is enormous.
After graduating from school, the one to three years of regular training basically require additional subsidies from family members.
If you are majoring in finance, after working for three years, you can basically earn a high annual salary.
Therefore, doctors should not have the idea of becoming a doctor just to make money.
"No wonder, my master said that you have rarely seen your secret meeting with that classmate named Ye Zi recently. It turns out that your pockets are empty. I think this is a good thing. I was really worried about your wife a while ago!"
Zhou Can dared to say this because he had a very close relationship with Jin Mingxi.
"Don't talk nonsense! Am I that kind of person? Besides, Ye Zi invited me out not for my money. She has already achieved financial freedom."
Jin Mingxi's old face turned red, but he still did not forget to defend his female classmate.
Zhou Can just smiled and didn't mention it anymore.
We are all adults and have the right to choose our own lifestyle.
After Zhou Can finished eating the chicken leg, he continued to practice his quick knife skills.
After experiencing the power of the quick knife technique in the operating room today, he became like a possessed man, madly pursuing a higher realm.
