Chapter 228: The Director Directly Booked, Internal Medicine that Subverts Cognition
Gao Jian should pay closer attention to him.
Having met twice, Gao Jian could accurately describe Zhou Can's recent glorious deeds.
In the past, Zhou Can regarded Gao Jian as a strong competitor.
Now that his strength is growing, his shortcomings in basic medical knowledge are being rapidly made up, so he no longer takes Gao Jiantai seriously.
Life is all about surpassing your opponents one by one and leaving them far behind through continuous efforts.
While I was filling out the form, Dr. Xia Ping came in after finishing his work.
"Doctor Chi, has Zhou Can's admission procedures been completed?"
Doctor Xia Ping was indeed still planning on targeting Zhou Can.
Otherwise, he wouldn't be so eager to inquire.
"Just wait for him to finish filling out the form. I heard that the patient in bed 51, which you are in charge of, had a problem. Is he okay now?" They were all doctors in the same department and were quite familiar with each other.
"Don't mention it. Thanks to this young man Zhou Can, something bad almost happened today."
After Xia Ping sat down in his seat, he picked up the cup and took a sip of water to moisten his throat.
"Tell me quickly! You look so relieved, the matter must have been resolved."
Dr. Chi immediately became interested.
He also knew something about the patient in bed 51. This patient had undergone multiple examinations but none of them could find out where the bleeding was.
All we know is that the patient has bloody stools, which must be gastrointestinal bleeding.
There is no way to lock down a specific part.
As soon as he arrived at the hospital this morning, he heard that the patient in bed 51 suddenly went into shock and was sent to the interventional room for emergency treatment. He was still worried about the patient.
He was particularly curious about where the patient was bleeding and how the problem was solved.
"You would never imagine that the patient's bleeding was caused by a small intestinal stromal tumor. No wonder we checked colonoscopy and even used capsule gastroscopy, but still couldn't find the bleeding point. How do you think they found it?"
Xia Ping was still a little emotional when talking about this.
"Then how did you find out later? I heard that the patient was in shock at the time. I guess you must have been in a panic, right?"
When Dr. Chi heard that it was this disease, an expression of sudden enlightenment appeared on his face.
Small intestinal stromal tumor is known as the ghost killer among digestive tract diseases and it is very difficult to detect.
"Thanks to Dr. Zhou, you reminded me to do a gastrointestinal angiography on the patient. Hey, it's really accurate." Xia Ping looked at Zhou Can gratefully when he talked about this. "By the way, Dr. Zhou has been helping to rescue that patient. Did the department record him for being late?"
"No, no, Dr. Luo has already told me about this."
Dr. Chi quickly clarified that he would not be the bad guy.
"Um... Who did Doctor Zhou assign to take care of the patient?" Xia Ping asked with a sly smile.
"Haha, it turns out I'm not the only one who has set my sights on Dr. Zhou! Unfortunately, he has already been reserved by Director Shang, so you and I can forget about it!" Dr. Chi laughed happily.
I have regained some mental balance.
He was not the only one who failed to snatch Zhou Can.
"Director Shang is well-informed. He must have known that Dr. Zhou is an excellent doctor, so he made the move ahead of time. I really envy him for finding a good assistant! I had one vacant position for a tutor, and I was thinking of asking Zhou Can to come over, but that's all!"
Xia Ping sighed and shook his head.
After being promoted to attending physician, you will be qualified to teach.
Interns are free helpers.
A good attending physician always has several interns helping him with his work.
Regular trainees are slightly more advanced and can do more advanced work.
Therefore, even though the attending physicians and chief physicians have stern faces all day long and scold and teach their interns and trainees in various ways, these free labor forces are very important to them.
When the hospital evaluates teaching teachers, if any violations are found, one of the interns under this doctor will be transferred.
For those who violate the rules multiple times or fail the assessment, the process will continue until all of them have been adjusted.
Those who perform well in the assessment will usually have more places for tutors.
From this point, we can also see that the number of interns and residents under a doctor is equivalent to part of his work capacity.
"Old Xia, are you saying bad things about me again?"
A cheerful middle-aged man's voice sounded, and then a middle-aged male doctor of medium height and slightly fat walked into the office. He had a round face and a friendly smile, but at the same time he was dignified.
This person must be Director Shang of the Department of Gastroenterology.
A department may have multiple chief physicians but only one department director.
The department director is just an administrative position and does not represent the level of medical skills.
In some departments, the attending physician even serves as the department head.
Management level and coordination ability are the key factors for being a department director. Of course, under normal circumstances, if one can be a department director, his medical skills are not bad.
"How dare I say anything bad about you! I mean you are wise and far-sighted. You booked Zhou Can in advance. You don't know how good his performance was today..."
Doctor Xia Ping seemed very arrogant in front of the junior doctors, but he was unexpectedly a completely different person in front of Director Shang.
It's not exactly flattery, but there's plenty of flattery.
This is the rule of survival in the workplace.
No matter how rebellious a person is, he will gradually learn how to survive.
"Oh, it seems that the rumors are true! I heard that Doctor Zhou has a routine. When he enters a new department, he always tries to make great achievements as a gift for entering. It seems that our Department of Gastroenterology is no exception!"
Director Shang obviously knew something about Zhou Can's deeds.
No wonder Zhou Can was booked in advance.
"Haha, the rumors are not to be believed! I just happened to meet him and lent a hand, so I can't say I made a great contribution. The rescue of the patient with gastrointestinal bleeding today was also completed under the guidance of Doctor Xia and Director Jia of the General Surgery Department."
Zhou Can didn't dare to take all the credit.
Being low-key and modest is his usual style.
He really doesn't care about fame or gain.
Saving patients' lives and earning medical experience points are what he values most.
"Young man, you are neither arrogant nor impatient, which is really good." Director Shang praised him and turned to look at Xia Ping. "Old Xia, it is fortunate that the patient was rescued today. You must take this incident as a warning and learn a lesson. Never let similar safety accidents happen again."
Director Shang uttered two words seriously.
The faint pressure frightened Xia Ping so much that he didn't even dare to raise his head.
"I will reflect deeply on this and learn from it to prevent such incidents from happening again. I just finished the operation and after returning, I immediately checked the patients in the group I was responsible for."
If you do something wrong, you must have a correct attitude to admit your mistake.
Xia Ping accepted the criticism very sincerely, and immediately conducted self-correction and self-examination after returning from the operation.
This attitude of admitting mistakes is worthy of recognition.
Director Shang's expression relaxed a lot.
"This incident is also a profound lesson for our department. We will notify all doctors in the department to hold a morning meeting tomorrow morning. Vice President Ye has been emphasizing medical safety recently. We can't go against the wind and commit crimes."
It is not easy to be a good department director.
We must implement the policies given by the higher authorities, and at the same time, we must seize some opportunities to carry out warning education work within the department. We must also consider the performance of the department.
There are so many things to worry about.
Therefore, many chief physicians are reluctant to serve as department heads because it will take up a lot of their time and energy.
Director Shang handled the safety accident and looked at Zhou Can again.
"Doctor Zhou, is this your first rotation to the Internal Medicine Department?"
"Yes!"
Zhou Can stood up and answered.
"Sit down, sit down. Once you enter our department, you are like a family. There is no need to be too restrained. We don't have so many cumbersome rules here." Director Shang quickly raised his hand and pressed down, indicating that Zhou Can did not need to stand to talk.
Most internal medicine doctors have a gentle personality.
This may be related to the content of their work.
"Do you know what internal medicine is important?"
Director Shang stared at him and asked calmly.
"Emphasis on pharmacology and pathology." Zhou Can replied.
"To be precise, internal medicine focuses on the stable operation of the body's systems. The respiratory and digestive systems are the primary support for human life. Many people compare blood to gasoline in a car, which is actually inappropriate. Because it is oxygen and food that really provide energy for the human body to survive. They are the real 'gasoline'."
Every doctor has a different understanding of the human body and life.
The Department of Gastroenterology focuses on research in its own field.
I am also more willing to emphasize the importance of the digestive system.
Director Shang’s theory is quite unique.
At least Zhou Can had never heard it before.
"To be more precise, when a car's engine burns, oxygen is present in the air alone, not in the gasoline. So, food is the real 'gasoline' that keeps the human body running."
After listening to this, Zhou Can thought for a moment and then nodded in agreement.
What is medical theory?
What makes sense and has a basis in fact is medical theory.
Director Shang told Zhou Can that food is the "gasoline" that keeps the human body running, and there is really no way to refute it.
Because what they say makes sense.
"What we really need to learn in internal medicine is not pharmacology and pathology, but the human operating mechanism. When we find problems with the operating mechanism, we use drugs or interventional surgery to help a system in the body resume operation, while ensuring that it does not affect the operation of other systems. This is the highest realm of medication."
An expert can tell whether something is good or not with just one look.
After listening to Director Shang's remarks, Zhou Can agreed with them deeply.
It seems that this decision was very wise to give up the recruitment of multiple surgical departments and insist on coming to the internal medicine department to complete the regular training.
Even more fortunately, as soon as I entered the Department of Gastroenterology, I met a very talented teacher.
Director Shang's theories gave him a new understanding of the human body's life mechanisms and the effects of drugs.
In the past, he thought that medicine was used to cure diseases.
I have never really thought deeply about the positioning and real role of drugs in treatment.
"How do you understand the phrase symptomatic treatment?"
The first lesson Director Shang taught him must have left an extremely deep impression on him.
"It's about treating the patient according to his symptoms!"
Zhou Can thought to himself, is there a more profound explanation?
It is said that internal medicine is the origin of medicine, and that internal medicine doctors are all experts in medical theory and medication. After a brief conversation with Director Shang, he initially recognized this statement.
What I learned most in surgery was how to perform surgery and how to locate the lesion based on the examination results.
Internal medicine seemed to be very different from what he thought.
"If it's a stomachache, use painkillers to relieve the pain. If it's respiratory failure, use a ventilator to help the patient breathe. If it's constipation or hard stool, use a suppository to help the patient pass the stool?"
Director Shang asked calmly.
"Yes, that's it. Treat the patient according to his symptoms."
Zhou Can nodded.
"Then let me tell you, symptomatic treatment in internal medicine is wrong. Can you accept it?" Director Shang was ready to completely overturn Zhou Can's understanding of medicine.
In other words, the medical definitions that Zhou Can had previously understood should be broken down so that he could understand them again.
In the past, he only knew the external aspects of medicine, but now he needs to understand the inner aspects of medicine.
"Haha, this is a little hard to accept. When I was in school, my teachers often taught us to treat symptoms. During my internship and training in clinical departments, my teachers and senior doctors also taught us to treat symptoms. Now you tell me that this is wrong, it is really a little hard for me to accept it."
Zhou Can smiled and shook his head.
He also wanted to see how Director Shang was going to overturn his medical knowledge today.
Instead, a trace of excitement welled up in my heart.
It turns out there is more than one temple of medicine.
In addition to the outer hall, there is also an inner hall.
"Symptomatic treatment is actually treating the symptoms but not the root cause, which is what Western medicine advocates. Our Chinese internal medicine has benefited from traditional Chinese medicine, especially the Yellow Emperor's Canon of Internal Medicine, which makes our country's internal medicine somewhat different from foreign internal medicine. What I want to teach you today is that symptomatic treatment is both correct and incorrect."
Director Shang ignored Zhou Can's horrified expression and continued.
"Internal medicine advocates treating symptoms based on their causes. First, we need to identify the pathological mechanism and find out the real cause of the disease. Then we can correct the body system that has problems and help it return to normal operation. Symptomatic treatment is to treat the symptoms instead of the cause. Treating symptoms based on the cause may only treat the symptoms instead of the cause, and go straight to the root of the pathology. Internal medicine emphasizes treating the root cause. Or treating both the symptoms and the root cause."
This new treatment theory made Zhou Can feel as if a new door to medicine had been opened.
The medical world you see has become different.
To be more precise, he used to be like standing at a low point and looking out, only seeing part of the scenery. Now that he has come into contact with internal medicine, it is like climbing to the top of a mountain and being able to see the entire scenery.
Able to see farther and more comprehensively.
"What you said clearly overturned my understanding of medicine, but it also made sense to me. My God, internal medicine is amazing."
What Zhou Can said was somewhat exaggerated.
He also intended to liven up the atmosphere.
"Haha, there are many amazing things about internal medicine! Gastroenterology is only one of the many departments of internal medicine. The really amazing ones are the important departments such as neurology and cardiovascular medicine. You can learn more when you go there."
Director Shang laughed happily.
The other doctors in the office also smiled.
