Chapter 166: Dr. Hu regretted his actions after making great contributions
"I'll wait for you here!"
Zhou Can’s purpose of studying medicine is different from that of many people.
Many doctors study medicine in order to earn a good income and have a higher social status. He studied medicine purely out of interest and to save lives.
Every time he successfully cures a patient, relieves them of their pain, or saves a life, he feels a special sense of accomplishment.
This time, in order to save the patient in Bed 7, he has done a lot beyond his job duties.
He sat in the duty room quietly waiting for Dr. Shi to come out.
During this period, he repeatedly analyzed the patient's cause of illness, pathology, examination methods, and medication in his mind, so that Dr. Shi and others would be more confident in convincing him when they talked to him.
During this period, doctors and nurses came in and out of the duty room from time to time.
Many people are curious about why Zhou Can is sitting here?
After talking to each other, we learned that Zhou Can was working hard to save the patient in bed 7. Although some people thought his behavior was a bit childish, many medical staff felt that his courage and spirit to save lives were worthy of admiration.
Everyone is of high quality and tries not to disturb Zhou Can.
A young nurse even looked at him secretly, with curiosity and friendliness in her eyes.
…
More than an hour later, Dr. Shi finally walked out of the ward.
His face looked exhausted.
The care and rescue of some critically ill patients is particularly torturous.
It is tiring, stressful and mentally stressful.
"I'll write the doctor's orders first, and then I'll talk to you. The patient in bed 6 is in a very bad condition."
Doctor Shi explained, then sat in front of the computer to write medical orders.
The last patient in bed 6 had just passed away, and the new patient's condition was extremely grim. Who said the number 6 was necessarily auspicious? In the intensive care unit, bed 6 was almost becoming a death bed.
Car accidents, intracranial hemorrhage, deep coma, many patients cannot survive this.
Even if you survive, you can easily become a vegetable.
After Dr. Shi finished writing the medical instructions, Zhou Can quickly expressed his dialectical thinking.
After just a few words, Dr. Shi interrupted him.
"I am very short on time and cannot listen to every detail of your diagnosis. I will just tell you your main ideas and results."
So Zhou Can prepared his speech for more than an hour, and finally condensed it into a simplified version.
After he finished speaking quickly, Dr. Shi pondered for a few minutes, and his eyes gradually became brighter and firmer.
This is a good thing, saying that he has accepted Zhou Can's diagnostic ideas and results.
"I have instructed Xiao Zhang and the nurse to take stool samples from bed 7 and send them for testing. As long as the patient really has parasites in his body, I believe we will be able to find clues. This time I will ask the laboratory to focus on screening for eggs and possible parasitic larvae. At the same time, we will conduct a more detailed analysis of the composition of the stool. We will focus on testing whether the stool contains hormones or drugs that can dilate capillaries."
"Whichever one is true can serve as a basis for prescribing medication to patients. As for now, you must wait patiently. You still have to come to work tomorrow. The work intensity here is extremely high, and sometimes you even need to extend your working hours by several hours. You can go back to sleep first. I believe that when you come to work tomorrow, there will be a result for you."
Doctor Shi is a very honest person.
It makes people feel at ease just by listening to it.
Moreover, before he left the ward, he had already instructed his interns and assisting nurses to collect stool samples.
This means that when Zhou Can talked to him about this matter for the first time, he already took it seriously and thought about it deeply.
Compared with Dr. Hu's "courtesy", unwillingness to take risks and unwillingness to take more responsibilities, Zhou Can respects Dr. Shi more.
It must be mentioned here that Xiao Zhang, the intern under Dr. Shi, is not from the same class as Zhou Can. Instead, he has already obtained a practicing physician certificate and has been in intern training for almost three years.
And he is a specialist in critical care medicine.
Many trainees choose to return to their selected departments to complete the final three or four months of their training.
For example, if you choose the training direction of neurosurgery, you will usually return to work in neurosurgery in the last three months of your training.
It can also be regarded as an early adaptation to the work of this department.
Once you get your regular training certificate, you can immediately start working as a qualified resident doctor.
"Okay, I'll leave this matter to you!"
Zhou Can stood up and said goodbye.
Having said that, Zhou Can's wait of more than an hour was not in vain.
"Oh, by the way, what type of parasite do you suspect? It would be best to give some medication advice."
Doctor Shi called him.
"I personally think it is more likely to be a worm parasite. If it is indeed a worm, mebendazole is recommended. Considering the patient's tolerance and intestinal condition, it would be better if the patient could not take a small amount of raw tea oil at the same time."
Zhou Can determined that it was a worm parasite, not a protozoan, based on multiple grounds.
The most important thing is that he thinks this parasite is very cunning and has a strong sense of territory. It only resides in the patient's small intestine.
Then its excrement or secretions can cause capillary dilation. I have never heard of any common protozoan parasites having this ability.
As for the medication recommendations he made.
In fact, his pharmacological knowledge is not bad, but he does not have the right to prescribe because he has not yet obtained a practicing physician certificate.
Unable to prescribe medication.
The doctors also prescribe very few prescriptions.
Basically, I have been in an apprenticeship state.
"Use raw tea oil to protect the intestines. It also has a certain killing effect on parasites and weakens their vitality... This medication suggestion is as strange as your diagnostic thinking."
Dr. Shi actually easily understood Zhou Can's intention of using the medicine.
As expected, he is about to be promoted to associate chief physician. I feel that his ability is much stronger than that of Dr. Hu.
…
The next day, Zhou Can rushed to the hospital to work, thinking about the patient in bed 7.
I don’t know what the result will be?
"Good morning, Dr. Hu!"
When Zhou Can saw Dr. Hu hurriedly walk into the office, he greeted him with a smile.
"Morning! Follow me to the intensive care unit and get ready to work."
Dr. Hu didn't mention what happened last night at all.
The polite words of adults are basically to comfort the other person in person and then forget about them.
Fortunately, Zhou Can has found a breakthrough from Dr. Shi.
Following Dr. Hu, I entered the ICU ward to take over the shift.
Yesterday afternoon, Dr. Shi and Xiao Zhang, who was completing his third year of training, took over their shift. But this morning, a strange doctor took over.
Because of the high intensity of work in the ICU ward, doctors often work in three shifts.
The nurses work in two shifts.
It can be seen from the duty hours that nurses have an easier job than doctors.
There is no intention to discriminate against nurses here. In fact, when facing various dangerous situations of patients, the people who bear the most pressure are always doctors. As for nurses, whether they are assistant nurses or other nurses, the pressure is much less than that of doctors.
The work I do is basically nursing and administering medicine.
Even many ICU patients’ dressing changes are performed by doctors themselves.
"Doctor Hu is here!"
The young doctor in charge of these beds smiled and took the initiative to greet Dr. Hu.
In fact, from the greetings and hellos between doctors, we can roughly judge who has a higher title or status.
This young doctor is about thirty-one or thirty-two years old, quite young.
It is hard to say whether he was promoted to attending physician.
There are quite a few doctors who are promoted quickly, and are promoted to attending physician at the age of 31. For example, Dr. Shan from the Department of Orthopedics .
"How are the patients in these beds?"
Doctor Hu has begun to check the conditions of the patients in each bed and the data from vital monitoring instruments.
"The patient in bed 6 who was in a car accident had several dangerous situations, and Director Liu was asked to come and help several times. Then the patient in bed 7 who had gastrointestinal bleeding has been given medicine, and it seems to have a certain effect. The patient in bed 8 has a slight fever, but his overall condition is stable."
The young doctor introduced the condition of the patients in the three beds.
This is also a normal handover.
When Dr. Hu heard that the patient in bed 7 had taken the medicine, his face changed slightly. He did not look at the patient first, but looked at Zhou Can deeply.
There was a hint of dissatisfaction in his eyes.
Zhou Can pretended not to see it.
Damn it, I reported to him and asked for instructions as soon as possible yesterday. He was the one who didn't want to take responsibility, and hung up the phone after saying a bunch of clichés.
The patient's condition is so serious that if we delay treatment overnight, his physical condition will definitely be much worse.
Now people are blaming Zhou Can for having collusion with other doctors. It would be strange if Zhou Can didn't pretend to have facial paralysis.
"Doctor Zhou is quite impatient! Did he find another doctor yesterday evening?"
No matter how you listen to what Dr. Hu said, it sounds a bit weird.
"I was worried that delaying the treatment for too long would be harmful to the patient, so I came to see Doctor Shi again." Zhou Can couldn't play dumb anymore, so he had to accompany and explain carefully.
"Dr. Shi is really brave to use the medicine so quickly. The patient's condition is already bad. What if something goes wrong if the medicine is not used carefully?"
While scolding Zhou Can and Dr. Shi for their recklessness, Dr. Hu walked to the bedside to check on the patient's condition.
I saw that the patient's face looked paler, and I touched the patient's limbs, which were a little cold.
The breathing is relatively stable.
No other signs of improvement are visible for the time being.
At this time, a middle-aged doctor came from a distance. He looked to be about 47 or 48 years old.
"Hello, Director Liu!"
Dr. Hu forced a smile and greeted the other person.
The young doctor also looked respectful.
Director Liu nodded and looked at Zhou Can with a kind look.
"You are Zhou Can, right?"
"I am!"
Zhou Can would never dare to show any disrespect to a chief physician.
No matter the other person is the department director, or the chief or deputy chief physician, he or she is worthy of respect.
They also fought their way up based on their strength.
"Dr. Shi praised you highly when he took over yesterday. After reexamination, the patient in bed 7 did have parasite bodies and eggs in his feces. This is a worm parasite we have never seen before. Considering that the patient had lived in a tropical rainforest before he became ill, it is very likely that he was unfortunately infected with this parasite abroad."
Director Liu's words finally put Zhou Can's heart at ease.
It would be good if the cause of the disease is clear.
In fact, when the experience value system gave out experience value rewards yesterday, he already knew that the diagnosis result was correct.
However, that was just his dialectic and diagnosis and could not serve as a basis for medication.
Now that the parasites have been detected through special tests on the feces, follow-up matters will be easier to handle.
"It turns out to be a parasite from abroad, no wonder it's so strange."
The various parasites in the rainforest are very scary.
Some soldiers have responded that every time they go into the jungle to perform a mission, it feels like they are experiencing a battle between humans and insects.
In addition to the dense mosquitoes that penetrate every hole , sucking people's blood and biting people's exposed bodies to form dense bumps, there are also countless leeches that attach to the human body, their heads drill deep into people's flesh, and suck blood crazily.
In short, just hearing about various parasites is enough to make people's hair stand on end and their scalp tingle.
Doctor Hu, who was standing next to him, felt mixed emotions when he heard Director Liu praising Zhou Can.
He didn't expect to actually detect parasites in the patient's body.
"This parasite is really very strange. For example, it has been entrenched in the small intestine. It dare not enter the pyloric sphincter through the small intestine. It can be understood that stomach acid has a strong lethality to them and will kill them. But why they die after entering the large intestine is still a mystery. In addition, almost no larvae are found in the feces, only adult bodies and a few eggs are found."
Director Liu continued to introduce the characteristics of parasites to Zhou Can.
"I suspect there is something in the large intestine that prevents the parasites from entering, so they can only shrink in the small intestine and survive until they die of old age. They are then excreted with feces. This is because the patient's large intestine has been in a diseased state for a long time and its absorption capacity has weakened, so we can find some of the parasite's corpses, otherwise it would be difficult to find."
"Also, the eggs produced by this parasite should have strong adsorption ability. They can be firmly attached to the wall of the small intestine. Because the eggs found in feces are extremely rare. If the fecal sample taken is too small, it may not be found at all."
The capabilities that this parasite has evolved are truly terrifying.
It is almost completely tailor-made for humans and can easily escape detection such as routine stool tests.
Because the laboratory takes stool samples, they often only take a very small amount.
The laboratory's daily testing volume is huge.
If it is not found the first time, it is basically impossible to find it a second time.
This increases the chances of parasite carcasses and eggs escaping detection.
"If it were just the above characteristics, it would not be enough to be called strange. Because there are also many parasites with strong adaptability and can evolve similar abilities. The key is that we detected trace amounts of hormones in the feces that can stimulate the dilation of human capillaries. Whether this hormone is secreted by the patient himself or excreted by the parasite needs further research and testing."
Director Liu has been practicing medicine for many years, and this is probably the first time he has encountered such a strange parasite.
"After taking the medicine, the patient's vital signs are generally stable. Judging from his bowel movements this morning, his gastrointestinal bleeding has improved significantly. Dr. Shi and I are now full of confidence in the treatment of this patient. Of course, the biggest contributor is you."
When Director Liu looked at Zhou Can, his eyes were full of admiration.
"To be able to put yourself in the patient's shoes, to worry about the patient's concerns, and to run around to find out the cause of the patient's illness requires not only great enthusiasm but also great courage. Dr. Zhou, you are great."
Director Liu gave him a thumbs up and was generous in praising Zhou Can.
"You're too kind! I just did what a doctor should do."
Zhou Can felt a little embarrassed by his praise.
"People who know me well know that I usually scold people and rarely praise them. I have criticized Dr. Guan and even Dr. Hu."
When Director Liu said this, the young doctor and Doctor Hu both smiled awkwardly.
"You have a solid medical foundation, a unique diagnostic approach, and a compassionate heart that cares for the patients. To be honest, I really want to keep you in the Department of Critical Care Medicine. Our department really needs young and promising doctors like you."
sweat!
After praising Zhou Can profusely, he actually started to poach people.
"Thank you for your kindness. During my three months of training in the Department of Critical Care Medicine, I will definitely work harder and continue to maintain a serious and responsible work attitude."
There are too many department heads who want to poach Zhou Can.
Zhou Can refused them all.
"I knew I couldn't keep you here. I really envy Director Lou of the emergency department! Starting tomorrow, you don't have to follow Doctor Hu. I will take care of you directly."
With just one sentence, Director Liu deprived Dr. Hu of his teaching authority.
It was only at this moment that Dr. Hu realized how popular Zhou Can was.
He couldn't help but feel a little regretful. When his superiors assigned Zhou Can to him yesterday, he didn't take it very seriously.
It's just being decent on the surface.
How great it would have been if he had taken Zhou Can's diagnosis seriously when he called him to report yesterday evening!
Curing the patient in bed 7 is definitely a great achievement.
Even be able to write a good paper.
Now, this good opportunity has been handed over to Dr. Shi.
Who would believe me if I said I had no regrets?
This feeling is like buying a lottery ticket. You have already chosen the number, but you don't buy it. Instead, someone next to you sees that you didn't buy it and bets on that number.
The prize was drawn the next day and I won.
Dr. Hu is in almost the same mood now.
"Thank you Director Liu for your cultivation! When should I contact you tomorrow?"
Zhou Can couldn't help but be overjoyed. Being able to study under a director was more than ten times better than studying under Dr. Hu.
