Chapter 230: The members of the group are hot and cold, and the hidden worries of Jinyu Interactive
First, we should thoroughly understand the patient's condition, medical history, symptoms, etc., and then find a way to plan the operation, which will be more targeted.
This was also Zhou Can’s first battle after entering the Department of Gastroenterology.
Rescuing the patient with gastrointestinal bleeding in the morning was just a token of my loyalty.
Now is the time to truly become famous and establish your status.
However, the difficulty of treating this patient is simply hellish.
Not to mention Zhou Can, even Director Shang may not be sure.
While the woman was getting other information, Zhou Can measured the patient's basic vital signs and recorded them.
Handing the patient over to him for individual management means that he has to do everything himself.
The patient's condition looked quite bad.
For months, he could not eat and could only rely on intravenous drips for nutritional injections, which was not only expensive but also a great torture for the patient. He was so thin that he was just skin and bones, and the joints of his ribs, hands and feet were particularly obvious.
If the animal is only kept alive by nutrient solution for a long time without being able to eat orally, the gastrointestinal mucosa will atrophy and the intestinal villi will become shorter.
Even if the surgery opens the passage between the patient's esophagus and jejunum, it will take a long time for the patient to adapt to the way of eating through the mouth.
"Make way, please make way!"
At this time, another patient walked into the ward under the guidance of the nurse and doctor.
Zhou Can glanced at the empty bed number 72 next to him.
It seems that the patient in bed 71 has a neighbor.
"Hey, this doctor looks unfamiliar! Is he the new doctor, Dr. Zhou Can?"
The young doctor instructed the family to settle the patient in bed 72, then he looked up and greeted Zhou Can.
"My name is Zhou Can. May I ask your name?"
Zhou Can responded with a smile.
"Duan Zifu! We are also a resident trainee in Dr. Shang's group. Nice to meet you!"
The other person should have a cheerful personality and take the initiative to smile and shake hands with Zhou Can.
Director Shang should have quite a few doctors under him.
A stronger medical team, including interns, regular trainees, and postgraduate students, often has more than a dozen or twenty people.
The most powerful chief physician Zhou Can had ever seen had eleven interns under him at most. Together with the trainees, residents, and attending physicians, the total number of people was nearly twenty.
Such a medical team has very strong execution capabilities.
Normally, a smaller medical team would only have three or four doctors.
There is even the possibility of a fault.
For example, there are only one or two residents working under the chief physician, but no attending physicians.
It is not easy to build a strong medical team.
Private hospitals, needless to say, put profit first. Public hospitals also value performance, and hospitals cannot afford to keep idle people.
Therefore, being able to lead a strong medical team often requires a key element, which is to have an exceptionally outstanding "leader".
Director Shang is a famous doctor in Tuya Hospital. He has his own traffic and can basically handle the number of patients he sees.
This is the key to ensuring the survival of a large team.
Zhou Can shook hands with Duan Zifu. This guy was very enthusiastic.
"Nice to meet you!"
He felt that the other person's hand was very soft, and he shook it vigorously, but the force was not strong enough. Generally speaking, people who shake hands too softly are more indecisive.
Of course, this is just Zhou Can’s personal experience.
The other person should be close to thirty years old.
To be able to get regular training at this age, one must either be a graduate student or a social doctor, like Jin Mingxi, who passed the regular training recruitment exam.
Whatever it is, it's amazing.
"What disease does this patient, Dr. Duan, have?"
"Gallstones. Let's admit him to the hospital today and prepare for interventional surgery."
Doctor Duan directly showed Zhou Can the patient's examination information, medical records, etc.
"There are only three interns in our group, and one of them is named Yu, a beautiful doctor. Doctor Zhou, please take care of me in the future! Of course, there is a competition mechanism in the group, and normal competition must exist."
Zhou Can was amused by this guy's words.
Competition does not mean that we have to be enemies, but we can help each other.
Duan Zifu's ideological level is quite high.
"Haha, you are absolutely right."
Zhou Can quickly looked through the patient's information in bed 72. It was just a common gallstone, which could be completely cured by interventional surgery.
After all, it's not the patient you are responsible for, so just get a general understanding of it.
This patient does not have much learning value.
It's a very common case.
"The patient in bed 74 is also under my care. She suffers from achalasia, has difficulty swallowing, and often regurgitates food. She has been seen in two tertiary hospitals, but neither dared to perform surgery on her. Director Shang heard that the patient had come all the way from a remote area and it was very difficult. After a careful examination, he decided to admit her to the hospital."
Dr. Duan introduced the condition of another patient to Zhou Can.
There are four beds in this ward. I wonder who is in charge of the patient in bed 73?
Doctor Duan skipped this bed when introducing it, so it's definitely not his responsibility.
Achalasia is a relatively difficult disease to treat, and its causes are varied.
Zhou Can had undergone such an operation.
I have a relatively deep understanding of this disease.
There is currently no way to completely cure this disease. Generally speaking, surgical treatment can achieve relatively satisfactory results.
This is the Department of Gastroenterology. Director Shang has admitted the patient. Is he planning to ask a general surgeon to perform surgery? Or is he planning to use medication?
The specific circumstances are unknown.
However, patients with this disease usually choose to see the gastroenterology department first.
"If there is any problem with the patients in these two beds while I am away, please take care of them, Dr. Zhou."
"Sure, sure!"
Zhou Can agreed readily.
We are all doctors in the same group, and we do have this obligation.
As we were chatting, a young female doctor about 1.6 meters tall walked into the ward quickly with a stethoscope in hand. She had long hair, delicate features, and was pretty.
Her brows were slightly wrinkled, her face was a little cold and lacking in warmth, very much like the legendary aloof female doctor.
"She is Doctor Yu Xin. We are in the same team. Bed 73 is under her care."
Duan Zifu quietly introduced him to Zhou Can.
When the female doctor passed by, Duan Zifu forced a bright smile and took the initiative to greet her, "Doctor Yu, are you taking the patient's measurements? If you are busy, you can ask me to do it. I will make sure to record the patient's basic vital signs clearly on time."
Internal medicine mainly relies on drug treatment.
The management of hospitalized patients should be more stringent.
In particular, changes in physical signs after taking the medication and whether any discomfort symptoms occur need to be recorded in a timely manner.
The use of some dangerous prescription drugs requires the attending physician to visit the ward frequently to provide monitoring.
"No, thank you!"
Her tone was icy.
Zhou Can originally thought that since they were all doctors in the same group, and there were only three interns in total, he might as well say hello to her and get to know her.
Seeing how aloof she was, I decided to just forget it.
It's not worth it to put your warm face in front of someone else's cold butt.
"Doctor Yu, did you know that we have a new resident intern in our group?" No matter how cold her attitude was, it did not affect Duan Zifu's enthusiasm at all.
Zhou Can was an experienced person and he understood at a glance that Duan Zifu had feelings for Dr. Yu.
At the age of thirty, you are already considered an older young person.
If I don't have a wife, I'll feel a little anxious.
"Um!"
She just hummed coldly.
"Look, it's him. His name is Zhou Can, and I heard he's quite capable. He just reported for duty this morning and successfully rescued a patient with gastrointestinal bleeding." Duan Zifu displayed his shameless spirit.
Find something to say.
Anyway, I should talk to her more.
"oh!"
She still responded in a cold tone, then lowered her head to take the patient's temperature, pulse and other basic signs, check the infusion speed, and the remaining amount.
"I told Dr. Zhou that the three of us should take care of each other in the future, while also maintaining our competition. Dr. Zhou agreed."
Duan Zifu continued to stick to him shamelessly.
"Um!"
Even a fool could see from her attitude that she didn't want to chat any more with Duan Zifu.
But Duan Zifu was like a piece of taffy, sticking to her and wouldn't let go.
Zhou Can couldn't bear to watch it anymore.
Just at this time, the daughter of the patient in bed 71 came back with information. After Zhou Can took it, he walked out of the ward directly.
A beautiful lady is a gentleman's dream.
Let Duan Zifu, the single guy, go and beg for a wife. Anyway, Zhou Can already has a top girlfriend, so he doesn't need to bother looking for a wife anymore.
Back in the office, he began to carefully review the patient's examination reports and treatment records from other hospitals.
For patients who have undergone multiple failed surgeries, tracing back their pre-operative examinations and understanding in detail what surgeries they had and what changes they experienced after surgery will be of great help to the patients' subsequent treatment.
At least it can help Zhou Can have a clear idea and avoid pitfalls.
…
No new patients were assigned to him until the end of the shift.
Director Shang is very sensible in his arrangements for his doctors.
The intention is also very obvious.
He deliberately arranged a difficult patient for Zhou Can to take care of, hoping to take this opportunity to test Zhou Can's abilities.
If he could make some achievements in such difficult cases, it would mean that Zhou Can's ability was even stronger than the rumors said. In the next two months of regular training, Zhou Can could be used directly as the attending physician.
Even if Zhou Can continues to perform well, it is possible that Director Shang will directly hire him as an associate chief physician.
When Zhou Can was doing his resident training in general surgery, he was hired by Dr. Liu as chief physician.
Various level tertiary surgeries are directly delegated.
When it comes to managing patients and diagnosing difficult cases, he also attaches great importance to Zhou Can's opinions.
After get off work, Zhou Can went to the ward and saw that the patient's vital signs were stable, so he completed the handover with confidence. The patient will be managed by the doctor on duty at night.
Interns are not usually assigned to work night shifts alone.
To be honest, if something really happens, an intern can’t handle it alone.
For a department as large as gastroenterology, there will be at least one attending physician on night shift.
Because the chief and deputy chief physicians are older and have very high status, they usually rarely participate in night shifts.
This is also an unspoken rule of the hospital.
However, when the doctor on duty encounters an emergency that he cannot handle, or when the patient's condition deteriorates rapidly, he will basically call the chief physician or deputy chief physician for help immediately.
At this time, the chief physicians, whose average age was over 50, could only crawl out of their warm beds and rush to the hospital as quickly as possible to participate in the rescue.
As soon as I walked downstairs to the apartment building, I saw a familiar BMW parked there.
His girlfriend Qianqian came to see him again.
Walking quickly forward, the female bodyguard Wei Fang was sitting in the driver's seat while Su Qianqian was sitting in the back seat.
"Honey, it's time to get off work!"
Su Qianqian no longer calls him Can, and more often calls him dear.
"Didn't you say you were going to have a concert tomorrow? You still have time to come and see me today!" Zhou Can naturally took her hand. "Wei Fang, would you like to go up and sit for a while?"
This is actually just a polite question.
Wei Fang was very tactful and never acted as a third wheel for either of them.
Sometimes, Su Qianqian was in a hurry, but wanted to see Zhou Can to relieve her longing for him, so she would park her car in the hospital parking lot or downstairs of the apartment building and wait for Zhou Can to come.
She would not go upstairs, but would stay in the car with Zhou Can for a while.
Wei Fang would also consciously stay outside the car.
In general, Zhou Can was quite satisfied with Wei Fang as a female bodyguard. A long time ago, when Li Lao knew that Wei Fang was the female bodyguard Zhou Can hired for Su Qianqian, he said that the company would pay Wei Fang's salary.
But Zhou Can refused.
Because only if he pays to hire Wei Fang can he guarantee her loyalty.
This trick was taught to him by his parents since he was a child.
They told Zhou Can that whoever paid the workers was the workers' bread and butter, and the workers would only listen to the one who paid them.
If Jinyu Interactive pays Wei Fang a salary and the company arranges Wei Fang to do other things, Wei Fang will not be able to refuse.
This makes it difficult to protect Su Qianqian's safety at all times.
Many times, accidents happen in just a moment, and because of a small loophole, it is possible to be caught by those criminals.
Especially since Su Qianqian is very famous now, there are too many people who are targeting her.
"I won't go. I'll wait for Miss Su in the car!"
Wei Fang smiled and refused.
Since she received professional security training and self-fighting training, she has become more cruel.
She only showed this kind of smile when facing Zhou Can, Su Qianqian and her grandmother.
He usually has a blank expression on his face, appearing unusually cold.
Zhou Can took Su Qianqian upstairs, but Jin Mingxi had not returned yet.
Recently, Jin Mingxi was either on duty at night or came home very late. Sometimes, he would keep sending messages to others while sitting or lying on the bed.
And seeing his rosy face and proud look, Zhou Can secretly guessed that Jin Mingxi might have crossed the line with the female classmate named Ye Zi and something that shouldn't have happened happened.
However, this is just Zhou Can's guess and there is no real evidence.
Besides, he would not interfere in other people's private lives.
Even if Jin Mingxi wanted to divorce his wife, Zhou Can would not interfere too much.
Jin Mingxi has been in the provincial capital for training for almost two years, but his wife and children have never come here.
He only went back home once during the Chinese New Year last year.
I can only say that my sister-in-law has a really big heart.
Men are all cats that like fish. If they stay alone for a long time, their resistance to temptation will drop sharply.
After entering the apartment, Su Qianqian took the initiative to close the door.
Zhou Can thought she wanted something to happen and felt excited.
Unexpectedly, after Su Qianqian sat in his arms, she said with a worried tone, "Chan, there is something I don't know whether I should tell you!"
"Need I say more? Of course you have to tell me! You said that we should be honest with each other so that we can trust each other." Zhou Can hugged her and turned her over, and they looked into each other's eyes.
In fact, this posture is quite ambiguous.
They were already in the process of discussing marriage, so it wasn't a big deal.
She looks even more beautiful now than before .
In particular, the strong self-confidence that radiates from the inside out makes her temperament even more outstanding.
Compared with her, the cold female doctor Yu Xin in the department is really not that different.
Big stars also do more to maintain their appearance.
Coupled with the professional makeup and image design team, Su Qianqian, who is already a great beauty, naturally becomes even more stunning and charming.
Every frown and smile is very charming.
"This matter concerns your friendship with Mr. Li. I only heard some rumors, which may not be true. I also don't know what Mr. Li will do."
Her tone was extremely serious, and her pretty face was full of worry.
