Chapter 225 Tuya's Secret Guardianship, the Newcomer Teaches the Senior Doctor How to Do Things
It seems that before Mr. Liu chose to pass on all his life's medical notes to Zhou Can, he must have evaluated Zhou Can's character.
Because I thought Zhou Can was trustworthy and had good character, I passed it to him.
"Some people may have poor moral character, but they are very talented in medicine. With the layers of supervision from the law and hospitals, are we still afraid that they will do something wrong?"
Zhou Can asked with some confusion.
No one is perfect. Some people may not have good character, but they are very talented in studying medicine.
Such people have great potential for growth if they are nurtured.
Zhou Can always felt that it was a waste of talent by excluding them from core medical skills.
"It is indeed difficult for one or two people with bad morals to do evil under the current system. But when such people climb to a certain high position, they will find ways to win over people who can be corrupted. After gathering a group of people like them, they will have the ability to do evil at all levels of the hospital. We can't control other hospitals, but it is not easy for Tuya Hospital to achieve what it has today. We must not let those bad apples ruin it."
Elder Liu's tone and expression were extremely serious.
"Prevention is better than cure. The best way is to not give those people opportunities and not let them climb to high positions. Their energy is limited, so naturally they can't cause much harm to Tuya. I can tell you clearly that I am not the only one who has this kind of precautionary awareness. The older generation of Tuya basically share the same view as me."
Hearing this, Zhou Can was secretly shocked.
This was the first time he had heard of such a secret matter.
I used to think that although morality is important, few people care about it.
Now I understand that in the dark, there are some Tuya seniors who are sniping at those doctors who are deemed to have poor moral character.
For people with good moral character, this is a good thing. For people with bad moral character, once they are exposed and labeled as having bad moral character, it will be difficult for them to achieve anything in Tuya Hospital.
The key point is that those people didn’t know until they died that there was a large group of senior veterans secretly preventing them from climbing up.
Tuya’s elder generation is probably at least at the deputy director level!
They hold important positions in various departments of the hospital and have extremely high say and decision-making power on many major matters.
The core medical skills are also in the hands of this group of people.
I really can’t imagine how miserable life would be in the hospital without the support of this group of people.
Or they feel their talents are not appreciated and leave on their own.
Or they doubt their lives and become frustrated until retirement.
"This matter is a hospital secret. No one will speak it out. Instead, we will tacitly protect this 'common home' together. Just keep it to yourself. Don't publicize it. In addition, I might as well tell you openly. The hospital's top management should have passed your preliminary assessment. As long as you keep your original intention, your future achievements will not be far behind."
There was also a warning in Mr. Liu 's words.
Some people perform well in the early stage and have good moral character, but then they gradually lose themselves in money and eventually become corrupt.
It was almost like a subtle reminder to Zhou Can not to go to that step, otherwise his future would be ruined.
"Finally, I would like to make one more request that is not really a request. If you become a core member of the hospital in the future, I hope you can work with others to protect Tuya Hospital. When you meet someone with bad morals, don't be soft-hearted. Just like a tree, when it grows crooked, even if you try hard to help it correct it, it will still be crooked in the end. Unless adults wake up themselves, no one can persuade them to wake up."
Mr. Liu made a special request to Zhou Can.
I hope that after Zhou Can is promoted to a senior position in the hospital in the future, he will join the positive energy camp and protect Tuya Hospital together with other doctors in the positive energy camp.
"Protecting justice and upholding public order and good customs, even if you don't ask me to do so, I will still try my best to fulfill it. After all, people's hearts are with me!"
Zhou Can agreed.
As for what Old Liu said about not being soft-hearted towards people with bad morals, Zhou Can seemed to have never been soft-hearted.
He would never try to wake up anyone who was pretending to be asleep.
…
When leaving General Surgery, Zhou Can left in an extremely low-key manner.
Apart from talking with Mr. Liu in the office for more than an hour, he quietly left the general surgery department with the notes that Mr. Liu had made throughout his life.
It is foreseeable that the eight sub-departments of general surgery will still mention him from time to time long after he leaves.
Because Zhou Can created a legend for trainee students.
With his own efforts, he helped Mr. Liu obtain the construction rights for the Department of Thyroid and Breast Surgery. He also helped the Department of Thyroid and Breast Surgery seize the initiative and develop new diagnosis and treatment services almost seamlessly.
These stories are bound to be hotly discussed in various sub-departments of general surgery.
As the person involved, he doesn't care what others think of him.
I was already carrying Mr. Liu's notes and was staying in the apartment, reading quietly.
These notes are so precious. The surgical errors, better surgical plans, omissions, and diagnoses of difficult and complicated diseases contained in them are of great help to Zhou Can.
This will help him avoid detours when performing these operations in the future.
It can even be used in other surgeries.
There are also some wonderful surgical ideas that make people applaud after reading them. After reading them, Zhou Can absorbed and digested these valuable experiences, which will come in handy when encountering similar surgeries in the future.
It also greatly benefits the expansion of his surgical ideas.
It's like a certain painter who has only heard about how luxurious and ancient the Forbidden City is. Now if he is asked to paint a Forbidden City, he actually has no idea where to start.
So he gathered some money and took a long-distance train to the Forbidden City. After the visit, he had a solid idea of what the Forbidden City looked like when he was asked to draw it. The golden nanmu wood that was as thick as two people hugging it, the eaves carved with dragons and phoenixes, the antique mahogany chairs, the six-page screen full of the fragrance of books...
Zhou Can is now reading Mr. Liu's lifelong medical notes, which is equivalent to absorbing the essence of Mr. Liu's lifelong medical knowledge in a very short period of time.
This growth rate is very terrifying.
The next day, he hurried to the internal medicine department that he had longed to attend.
The first stop was not the top-ranked cardiovascular department, nor the neurology department, but the less prominent gastroenterology department among internal medicine departments.
Director Tan from the Department of Internal Medicine has always maintained a good personal relationship with Zhou Can.
During every festival, Zhou Can would send a message or call Director Tan to say hello.
Director Tan had told him the truth a long time ago.
The regular training in internal medicine does not follow the normal process. Zhou Can can flexibly arrange the time for regular training in various internal medicine departments according to his own needs.
This delegation of power is actually quite significant.
It is estimated that Zhou Can is the only one in the entire Tuya Hospital who can enjoy such treatment.
Zhou Can arrived at the inpatient department of gastroenterology early.
Compared with surgery, the number of inpatients in internal medicine has increased. We rarely see surgical patients here, and most of them rely on medication.
Zhou Can did not rush to find the doctor or nurse to ask where to report.
Because he was quite familiar with gastroenterology and knew where the office was.
This isn't my first time here either.
A doctor was measuring the body of a thin middle-aged male patient in bed No. 51.
And ask the patient where he feels uncomfortable now?
The patient's condition looks very bad.
His lips were pale, his face was bloodless, and he looked weak as he lay on the bed with his eyes slightly closed.
The family members watched anxiously beside the bed.
Zhou Can determined at a single glance that the patient had internal bleeding.
This was an improvement after his hemostasis skills were promoted to level 5. He could vaguely judge whether the patient had internal bleeding by looking at the patient's complexion and some symptoms.
He has diagnosed many patients with gastrointestinal bleeding in the general surgery department.
The various external symptoms of this patient are so similar.
Just by observing with the naked eye, one can preliminarily infer what disease the patient has. This ability is similar to the ancient method of diagnosis by observation.
It’s just that most modern doctors learn the Western medical system, and their ability to diagnose by observation is far from comparable to that of ancient Chinese medicine.
Modern doctors can generally only diagnose patients when they encounter some patients with typical symptoms.
For example, palmar erythema, spider nevi , lower limb edema accompanied by dull skin color, etc.
Zhou Can saw that the patient had internal bleeding and his ability to diagnose by observation should be better than that of ordinary doctors. He relied on the rich experience he had just accumulated in general surgery, as well as the fifth-level hemostasis technique and the fourth-level pathological diagnosis.
It is worth mentioning that when he was reading Mr. Liu’s medical notes last night, every time he read a case, he could basically increase his pathology diagnosis experience point by 1.
The attending physician took the patient's temperature, measured his pulse, and gently pressed different parts of his abdomen.
Zhou Can was speechless after seeing this.
The family members have already told him that the patient had bloody stools not long ago, but he is still leisurely measuring the patient's basic vital signs. This attending physician is really not in a hurry.
Internal medicine doctors are basically like this. Even if the patient is about to die, they can still perform various operations slowly and calmly.
Only when the patient is in shock or coma will various rescue operations be quickly performed under the leadership of senior doctors.
Their behavior sometimes resembles the confusing behavior of animals.
"The patient's internal bleeding must be quite serious. If he has not had a colonoscopy, it is best to send him for one immediately." Zhou Can kindly reminded the 28- or 29-year-old attending physician.
Looking at his pair of panda eyes, I'm afraid a lot of dangerous situations happened last night and he must have been very busy.
Working the night shift, there is no time even for a nap.
"We've done colonoscopy, gastroscopy, and capsule gastroscopy, but no bleeding point was found! The patient has intermittent gastrointestinal bleeding... Hey, who are you?"
After the attending physician answered two sentences, he may have realized that the voice was unfamiliar and turned his head to check who was speaking behind him.
When I looked at it, it was an extremely young and unfamiliar face.
He was wearing a white coat, which meant he was a doctor.
"Hello, I'm Zhou Can, a new resident trainee. Please take care of me. The patient's condition is very bad. We've already done a colonoscopy but no problems were found. So we'll send him to the interventional department for gastrointestinal angiography. We recommend that you focus on checking the jejunum and ileum."
Zhou Can's "level" is obviously far superior to that of the attending physician.
Just by taking a few glances and based on some information provided by the family members and the attending physician, he was able to roughly infer the most likely site of bleeding.
He has performed so many gastrointestinal bleeding surgeries that he has seen almost every type of situation.
"Xiao Zhou, right? I'm asking you, a new intern, do you know the rules? You can't just do whatever you want when examining a patient. You must make a comprehensive assessment based on the patient's cause of illness, symptoms, medical history, age, and whether or not they have other underlying diseases. Newcomers should talk less, watch more, and do more, do you understand?"
The attending physician lectured him a little unhappily.
In front of the patients, a new intern taught him, a formal resident, what examinations he should perform on the patients. Who does this guy think he is?
It really makes a senior doctor angry to see a novice teaching him how to do things.
"Don't get me wrong. I'm just offering personal advice. The patient's condition is quite dangerous right now. If we delay for too long, I'm worried that something serious might happen."
Zhou Can has already said it very cryptically.
This patient's internal bleeding is quite severe, and coupled with intermittent gastrointestinal bleeding, he must be especially careful about thrombosis.
If things go wrong, the patient's life could be taken in minutes.
Zhou Can has seen too many patients who were fine one second ago, and then their heart and breathing stopped suddenly the next second. They died without any hesitation.
"Doctor, my dad's condition is indeed not very good. You have been measuring him for a while. The angiography that Doctor Zhou mentioned can find out the cause. We are willing to spend the money."
The patient's son is about twenty-five or twenty-six years old and looks very calm.
After hearing what Zhou Can said, he felt somewhat nervous.
It doesn't cost much to get a check-up, but seeing that my father was having bloody stools again and his condition was getting worse, the doctor in charge was taking his temperature, heart rate and so on, and he was really worried.
I just didn't dare say it out loud for fear of angering the attending physician.
Now the new doctor Zhou has given a check-up suggestion, which sounds quite reliable. Whether it is useful or not, it is better than not having a check-up.
"Don't worry. I took the temperature, heart rate, blood pressure and other basic signs in strict accordance with the doctor's protocol. This is also to better determine whether the patient is safe and what kind of examinations and treatments are needed next. I have considered all of these. The patient's current signs are relatively stable, and it is far from as dangerous as Doctor Xiao Zhou said."
The attending physician patiently explained the situation to the family, but became even more dissatisfied with Zhou Can.
This kid is here just to cause trouble, right?
It almost caused a medical dispute.
"That Xiao Zhou, that's enough, we don't need you here, go find your superior doctor! I will make arrangements for the tests that the patient should do. Tuya is a regular large hospital, and we will never prescribe unnecessary and ineffective tests to patients."
The attending physician was already a little annoyed when he saw the patient's condition.
This new intern has no tact at all. He was taught right away how to diagnose and treat patients. I have never seen such a tactless intern.
We speak without thinking. Can you do gastrointestinal angiography whenever you want?
Besides, the patient had just had a colonoscopy not long ago, and no obvious bleeding was found. In addition, the patient had been hospitalized for observation for three days, so if there was any danger, it would have happened long ago.
This guy is just exaggerating and speaking irresponsibly.
Zhou Can didn't say anything else and went straight to the office to report.
If I continue arguing with the attending physician, we will end up in a quarrel.
After you finish reporting, you can mention it to your superior doctor.
The ward is usually managed by at least one attending physician.
The attending physician's level is much higher than that of the resident doctor in charge of the patient, and he or she will most likely adopt Zhou Can's suggestions.
I walked all the way to the doctor's office. Since it was not yet eight o'clock, there were only two or three doctors in the office.
There should be dozens of doctors in the Department of Gastroenterology.
After all, there are quite a lot of patients with digestive tract diseases.
Especially in the Department of Gastroenterology, patients have a relatively long hospital stay and need to be matched with more doctors to manage the patients. In addition, the Department of Gastroenterology also has a special department, which is the Digestive Endoscopy Diagnosis and Treatment Center.
This specialty department can perform both endoscopic examinations and endoscopic surgical treatments for patients.
Several strong departments of internal medicine are currently developing their own interventional treatments and endoscopic diagnosis and treatments.
Zhou Can stood at the door and knocked.
Boom boom boom!
It's a courtesy.
"Who are you looking for?"
A young doctor sitting by the door turned and looked at him.
"I am new to the Department of Gastroenterology for regular training. Who should I report to?"
Zhou Can walked over and asked with a smile.
"It's the middle of the month now, and I haven't heard of any new interns being transferred in! Are you sure you want to come to our Department of Gastroenterology for internship?" The young doctor was a little confused.
For the convenience of management, the Department of Gastroenterology usually accepts trainees on the last day of the month or the first day of the month.
And it is received in batches, not one by one in a scattered manner.
"Yes, I'm going to the gastroenterology department for regular training. My name is Zhou Can. I was supposed to come here at the beginning of the month, but something happened during my rotation in general surgery, so I had to delay reporting in until now."
Zhou Can explained a few words.
"So you are Doctor Zhou Can! The department director has already told you to sit down for a while. I will talk to Doctor Chi, who is in charge of the training, when he comes over."
A doctor in his thirties who was sitting inside immediately put down his work when he heard Zhou Can's name, stood up with a smile on his face and greeted him.
Based on my intuition, this person might be a hospitalized general.
"Have a glass of water! Doctor Chi usually arrives at the office around eight o'clock, so it should be soon!"
The man very politely poured Zhou Can a glass of water and greeted him warmly.
"By the way, my name is Luo Shengsheng. I live in the hospital every day and am on duty day and night. You can always contact me if you have any questions."
It turned out to be the chief resident.
"Okay, thank you Mr. Luo!"
Zhou Can stood up, took the water with both hands, and nodded gratefully.
From Luo Shengsheng's enthusiastic attitude towards him, it was obvious that he knew something about him. He was thinking, should he talk about the patient with gastrointestinal bleeding?
