Chapter 159 It's not that the weaker one is right, you taught me a lesson

Sometimes we should not over-glorify famous doctors or experts.

They do know more than the average person and excel in the areas they specialize in. For some diseases, they can make a fairly accurate diagnosis just by listening to the symptoms.

Some people can tell whether a lump is malignant by just touching it.

But when faced with complex conditions, experts can easily become "experts".

They are also human beings and need to make a comprehensive and dialectical diagnosis based on the patient's symptoms, physical examination, various test reports, medical history, age, physical condition and other information, just like ordinary doctors.

There is no doubt that Wu Baihe’s level is excellent. He is the best in the field of neurosurgery in the province.

However, the cause of this patient's illness was extremely complicated. After ruling out pulmonary embolism, he did not dare to jump to any conclusions since Wu Baihe was not at the scene.

Although Zhou Can was only an intern, he was able to determine that the patient did not have pulmonary embolism before doing angiography, which showed that a major discovery had been made.

The diagnostic ideas are clearer than others.

At this time, it would be a very wise choice to let Kuang Shenfeng follow Zhou Can's diagnosis.

"Shenfeng, did you hear me talking to you?" Wu Baihe hadn't heard Kuang Shenfeng speak for a long time, so he couldn't help but ask again.

"I can hear you, I can hear you! Do you really think it's safe to let a trainee take charge of this?"

Kuang Shenfeng didn't understand why Wu Baihe made such a decision.

The patient was in critical condition. There were so many attending physicians, deputy chief physicians, and director-level physicians on the scene, including Du Leng, a returned overseas doctor, but they insisted that he listen to Zhou Can's advice.

He found it particularly puzzling.

"Don't look down on anyone. He is not an ordinary resident. Eight months ago, a pregnant woman went into shock in the emergency department, and Tuya mobilized almost all the top doctors from the internal medicine, surgery, and obstetrics and gynecology departments for a joint consultation. Director Xie and I went, as did Director Tan and Director Yin from the internal medicine department. Director Zhang from the obstetrics and gynecology department also went there in person."

"So many heavyweight chief physicians were helpless, and finally Zhou Can successfully diagnosed the cause of the disease. It was that time that I remembered that kid deeply. Eight months later, I am still shocked when I think back to that scene. If you believe me, don't hesitate and ask him humbly right away."

Wu Baihe would never tell anyone about this.

It is not glorious that so many chief physicians are not as good as a resident intern.

"Is he... really that powerful?"

Kuang Shenfeng glanced at Zhou Can secretly.

"Haven't you already experienced this?"

After Wu Baihe asked back, he hung up the phone.

Kuang Shenfeng's expression changed. He really couldn't bring himself to ask a trainee for advice!

However, before the CT angiography was performed, Zhou Can directly asserted that the patient did not have pulmonary embolism, and Zhou Can was right. This incident made Kuang Shenfeng look up to him.

I also put away my contempt.

On one side is a patient who may die at any time, and on the other side is an old man who cannot be saved.

He clenched his teeth again and again.

Finally, he made up his mind, stood up and walked in front of Zhou Can.

"Doctor Zhou, I was too stubborn before and did not follow your diagnosis. I apologize to you." He knew very well that only by apologizing to Zhou Can and obtaining forgiveness first could he get Zhou Can to help him save this patient with all his strength.

"Director Kuang, you are too kind. I am just a junior intern. It is normal that my diagnosis is not taken seriously. I don't take it seriously at all."

Zhou Canzhen had no intention of embarrassing Kuang Shenfeng on purpose.

He really didn't care that his diagnosis was not accepted.

If something happened to the patient, it was Kuang Shenfeng who was responsible and it had nothing to do with Zhou Can.

"Ahem... that... the patient's condition is not pulmonary embolism. Doctor Zhou was right. Can you tell me your diagnosis? If we can't find the cause, we can't save him. The patient's life is hanging by a thread. It's actually quite urgent."

When Kuang Shenfeng said these words, he wished he could bury his head in the sand like a camel crow.

Because it's so embarrassing.

His status is roughly equivalent to the chief disciple of Director Wu's group.

Now he has to lower his proud head and ask for advice from a resident intern from another group. How can he keep his dignity as an associate chief physician?

Who has the highest status in the hospital?

Not the director, not the patient, not the family members or the doctor.

But life comes first.

Whoever can save the patient's life and restore the patient to health is the boss.

Zhou Can felt very happy when he saw Kuang Shenfeng, who was talking incoherently and looking anxious .

Make this guy arrogant and look down on others.

Aren’t you coming to me begging for mercy now?

"Let me first talk about my diagnostic thinking. The patient had been in a coma for a long time, had been bedridden for a long time, and had a tracheotomy, which made him very prone to lung infection, atelectasis and other problems. Any experienced doctor would suspect that there was something wrong with the lungs because of wheezing and shortness of breath. But based on some of the patient's subtle symptoms and the patient's family situation, I first ruled out the possibility of pulmonary embolism."

"Because long-term bedridden patients with pulmonary embolism will have symptoms of leg vein thrombosis. But this patient's legs look quite normal."

After Zhou Can said this, the other doctors suddenly understood.

"Oh, I was wondering, the patient's legs looked fine, both in terms of blood color and veins. How could he have pulmonary venous embolism? I was skeptical at the time."

"Dr. Zhou Can is really good!"

"Don't say anything. Let Dr. Zhou continue to share his diagnostic ideas."

Kuang Shenfeng turned his head and glared at the doctors in the same group who were speaking after the fact.

The most common people are those who are wise after the event and pigs before the event.

When it comes to talking, everyone is a good hand.

When something really happens, no one can be trusted.

"I mentioned before that when a terminally ill patient who has been bedridden for a long time goes to the hospital for treatment, what he may be looking forward to is not a medical miracle, but a medical accident. This may sound a bit dark, but this kind of thing can really happen. For example, this patient who is on the verge of death, I think he may have been looking forward to this medical accident. So, Director Kuang had better not be too optimistic."

When Zhou Can mentioned this sentence again, it gave everyone a completely different feeling .

Before the test results came out, everyone really thought he was farting.

Listening to it again now, I feel that Zhou Can’s words are true. He must have a basis for saying so.

Director Kuang couldn't help but show a hint of worry between his brows.

It’s not that he is timid or can’t stand being scared, but Zhou Can used facts to shatter the luck in his heart.

"From the perspective of the treatment options for patients in the ICU, it can be described as austerity."

Zhou Can pointed at one of the billing lists and didn't see any particularly expensive treatment options. Basically, they tried to save as much as possible.

Only the most basic life-saving treatment measures are used.

"This means that the patient's family is likely to be heavily in debt and very short of money. Also, even though the patient is in a coma, he still has a barely perceptible smile on his face. He can smile happily from the bottom of his heart despite enduring great physical pain, which means that the medical accident he has been waiting for has finally happened, so he is happy. That's why he is smiling with relief."

Zhou Can’s analysis made Kuang Shenfeng feel horrified.

I never thought that a dying patient could be so calculating.

I'm afraid all the doctors present will remember this lesson and be vigilant for the rest of their lives.

Overall, it's a good thing.

They will definitely be more careful in their work in the future.

This is equivalent to urging them to correct their work attitude in disguise.

"I helped you save the patient from the brink of death, which will undoubtedly make the patient's wish come to nothing. In fact, even if he didn't die this time , he wouldn't live long. Using the little life left in exchange for a sum of compensation, so that his family can live a better life. This is a good deal."

Zhou Can has been slow to announce the diagnosis. Is he really considering whether it is right or wrong to rescue the patient?

Behind this patient is most likely a family that is heavily in debt.

Zhou Can was almost certain that the patient just wanted to exchange his remaining life for compensation.

Cutting off someone's financial resources is like killing his parents.

"Doctor Zhou, you must not only think about the patients! I am also very pitiful. My future is basically ruined by such a medical accident. The hospital will bear part of the compensation, and I will definitely bear a lot of it personally. I work hard to treat patients and serve them, but I still have to be calculated by them. I am more pitiful than the patients."

Kuang Shenfeng became anxious.

If Zhou Can doesn't help him, who else can help him at the scene?

Du Leng, who is only good at talking on paper? Or Director Wen, whose diagnostic skills are average?

None of them could help.

Only Zhou Can has the possibility to change the ending.

"Doctor Zhou, I also think we can't stand on the patient's side in this matter. It's not that the weaker one is right. First help rescue the patient, and then find a way to help the patient raise donations afterwards, which can also alleviate the heavy financial burden on the patient's family."

The solution proposed by Director Wen is the best of both worlds.

I have to say that Director Wen’s ideological realm is really high.

"Okay, I'll listen to you."

Zhou Can respected Director Wen very much, and after listening to Director Wen's suggestion, he gladly accepted it.

"We have already agreed that after the patient is rescued, we need Dr. Kuang to take the trouble to help with the donation."

Zhou Can looked towards Kuang Shenfeng.

Human nature is inherently good.

When we see disadvantaged groups, we can't help but sympathize with them from the bottom of our hearts and want to do our best to help them.

"No problem. This is easy to do. One of my high school classmates is a media reporter. I can ask him to help write a soft article to promote it. It should be able to raise a lot of donations for this patient."

Kuang Shenfeng didn't think much about it and agreed directly.

He didn't dare to think about it too long as the patient was still waiting for emergency treatment.

The longer you delay, the more disadvantageous it will be.

"Wheezing, shortness of breath, plus lung infection, so the diagnosis only focuses on the lungs and ignores the heart. For this patient, I seriously suspect heart failure. And it is very likely right heart failure."

Zhou Can revealed the real cause of the disease.

As for the diagnostic ideas, in fact, as long as the lungs do not block your thinking vision, it is easy to think about heart failure.

"Yes, how could we have ignored the heart? Heart failure can indeed cause symptoms such as wheezing and shortness of breath." After hearing Zhou Can's diagnosis, Director Wen clapped his hands and praised him.

Diagnosing the cause of a disease is sometimes like guessing a riddle.

After the answer was revealed, everyone felt it was simple.

When I was guessing, I was scratching my head and couldn't figure it out.

"It's actually very simple to confirm whether it's right heart failure. Just do an echocardiogram and test the pulmonary artery pressure, and you can get a conclusion. But Dr. Kuang had better be accurate. This patient is likely to have cor pulmonale. As far as I know, the prognosis of this disease is often very poor."

Zhou Can said to Kuang Shenfeng.

Heart failure is a very difficult syndrome to correct.

Ancient doctors said that many diseases are difficult to cure, and heart failure is one of the incurable diseases.

"Never mind for now, send him for an echocardiogram immediately. Cor pulmonale is difficult to cure, but it should not be difficult to find a way to save the patient's life." After Kuang Shenfeng learned the real cause of the disease, the sadness between his brows faded a lot.

Now just waiting for the test results to come out.

He had a feeling that what Zhou Can said might be right again.

Sure enough, the test results came out quickly. The patient's pulmonary hypertension exceeded 50 mm.

Fortunately, the diagnosis was made in time and it had not broken 70 mm.

As long as the appropriate medication is given in time, the patient should be able to be brought back from the brink of death.

"Dr. Zhou showed me what strength is and taught me a good lesson. In the future, I will be modest and prudent, always keep an open mind, and listen carefully to every doctor's diagnosis."

What Kuang Shenfeng meant by saying this was basically admitting his mistake to Zhou Can in public.

And he said he would definitely correct it.

"I promised to help the patient raise money for charity, and I will definitely fulfill my promise. Dr. Zhou, thank you. Director Wen, and Dr. Zou and Dr. Tang, thank you for your help."

Kuang Shenfeng was really scared today.

But now it's good, the crisis has been successfully resolved.

He also relaxed a lot.

"We are in the same department, so don't be polite. Hurry up and prescribe medication for the patient! Next time you are on duty in the ICU, don't be careless again."

Director Wen waved his hand and urged Kuang Shenfeng to go and treat the patient quickly.

Otherwise, when the patient's pulmonary artery pressure rises further and reaches more than 70 mm, it will be extremely dangerous.

Before Du Leng followed Kuang Shenfeng away, he looked at Zhou Can deeply.

The two looked at each other, Zhou Can's eyes were very calm, while Du Leng Leng showed his edge.

Du Leng lost miserably in today's rescue.

Zhou Can made him understand what "false exaggeration" meant.

What's the point of having a high degree if you can't treat diseases? Do you just write papers all day?

But even if you write a thesis, it has to be based on practice!

A paper without practical support is just a castle in the air.

"Our competition has just begun, don't get too complacent."

Du Leng said to Zhou Can coldly.

"Am I complacent? Doctor Du should change his perspective. It's not good to always judge others by your own standards!"