Chapter 238: Starting from the lowest position as a doorman, the idea coincides with the director's
Luo Shengsheng from the Department of Gastroenterology basically meets Zhou Can's every request.
Only Zhou Can, a trainee, can enjoy this special treatment.
Don’t underestimate the convenience brought by the invisible status, which can be of great help in many cases. Needless to say, when on night shift, there are other doctors and nurses to help keep an eye on the patients, and you can sleep in the duty room at night without any worries.
Some trainees need to work 36 hours a day. This kind of extremely intensive and long-term continuous work is so stressful that even an iron man cannot withstand it if he does not take a few naps in the middle.
You can sleep for a few hours while on duty so that you can be fully recovered the next day.
It can also prevent sudden death.
…
He went directly to the Specialist Clinic Room No. 1. Although it was not yet 1 p.m., the corridor outside and the waiting hall outside were already crowded with patients seeking treatment.
The living standards of modern people have improved, but digestive tract diseases caused by excessive eating and drinking have also increased.
Also, because of busy work, I often miss meal times and have to eat in a hurry.
Over time, various problems will arise in the digestive tract.
The most common ones are gastric ulcer, enteritis, etc.
Little do people know that gastric ulcers can significantly increase the risk of gastric cancer.
Not to mention eating and drinking excessively, which will increase the burden on the body and greatly increase the risk of liver, kidney, cardiovascular and other diseases.
Zhou Can arrived at the right time.
Director Shang also came with an outpatient nurse, an assistant doctor , and three graduate students.
The chief physicians of the hospital, as long as they are academically strong, are basically at the level of associate professors or professors. While practicing medicine in the hospital, they also teach and educate students at Tuya Medical College.
Generally speaking, the assistant doctors that the chief physician brings with him are usually the key training targets.
It can be understood as teaching as a direct disciple.
There is a saying in medicine that if you want to cure an illness, you must first see a doctor.
All diagnostic and treatment procedures involve first diagnosing the patient, finding out the cause of the disease, and then providing appropriate treatment.
If we don't even know what disease the patient has or where the lesion is, it is very likely that one will die if we treat one, or both will die if we treat two.
The hospital has its own mechanism for training new personnel.
Under normal circumstances, patients will first intern in the ward for one year and undergo one to three years of regular training. After accumulating a certain amount of experience in various consultation procedures and the treatment of various diseases, they can gradually follow the teacher to study in the outpatient clinic.
It must be mentioned here that doctors in the inpatient department usually only have the opportunity to see patients in the outpatient department once a week.
That means one day of consultation.
The hospital would like the chief physician, the attending physician or the deputy chief physician with a greater reputation to be available to see patients 24 hours a day.
In fact, they are so busy with various tasks, meetings, and scientific research that they are overwhelmed with time and often need the hospital to force them to limit their consultation hours to a certain number of days a week.
For example, Director Shang is required to see patients at least two days a week, but Director Shang is very busy. If the attending physicians or resident doctors cannot handle the patients, he must handle them personally.
I also have to do scientific research, go to college to attend classes, teach students, perform interventional surgery on patients, attend various meetings, go to other departments or even outside hospitals to see patients, etc.
He is really too busy.
So I can only make arrangements for the week. If I have time on Monday morning, I will see patients for half a day. If I can squeeze out time on Tuesday afternoon, I will see patients for half a day on Tuesday afternoon.
Therefore, when patients register for an appointment, they often find that experts and professors are like fighting a guerrilla war, seeing patients at irregular intervals.
In fact, these national treasure-level chief physicians are trying their best to squeeze out time to complete their outpatient tasks.
Zhou Can, a trainee, is able to follow the chief physician to see patients. This is a reward given to him by Director Shang.
It is also a recognition of his work attitude and strength.
"Dr. Zhou, have you been waiting for a long time?"
Director Shang greeted him with a kind smile.
"I just got here too. Walking along the way, the corridors and waiting halls were packed with people. I never thought the volume of outpatient visits in the Department of Gastroenterology would be so horrific!"
The purpose of Zhou Can's chatting was to liven up the atmosphere.
Don't talk to death.
"Haha! The afternoon is still good. The number of outpatient visits in the morning is even higher. The development of a department can actually be reflected in the number of outpatient visits. Since our Tuya Gastroenterology Department established independent endoscopy and interventional surgery, the overall satisfaction of patients with us is quite good. Word of mouth has led to the current situation."
Director Shang is the leader of the Department of Gastroenterology.
When talking about the department's outpatient volume, his face and eyes were full of pride.
This is the prosperity he achieved after years of hard work.
It is also a satisfactory answer he has given in leading the Department of Gastroenterology over the years.
"Oh, by the way, let me introduce you. This is Zhou Can, a resident trainee who has been assigned to our department. This is Huang Xinggui, the attending physician in the anorectal field of the Department of Gastroenterology. The three of them are my graduate students, Qiu Chengyu, Xie Lin, and Luo Jingyi."
It is said that there are quite a number of female doctors in internal medicine.
Two of the three graduate students supervised by Director Shang are women, so it seems that the rumors are true.
"Hello, nice to meet you, please take care of me in the future!"
Zhou Can kept a low profile and was polite even to the three graduate students.
"Hello!"
"Doctor Zhou is quite handsome!"
"If you have any difficult questions in the anorectal field in the future, you are welcome to discuss them with me at any time!"
Three of the four were warm and friendly to Zhou Can.
Only the male graduate student with a horse face was rather cold towards Zhou Can.
Some people are naturally introverted and silent, but Zhou Can doesn't care.
Several people followed Director Shang into the clinic.
The patients and their families who were waiting in line outside the door all showed joy on their faces when they saw the experts coming to work.
The area inside the clinic is not very large, only about 20 square meters.
There is a simple bed against the wall, which can be used by patients when they need to lie down for examination.
There is a circular curtain above the bed.
Just draw the curtains together to create a private space.
If the doctor needs to examine the patient's private parts, he or she will usually draw the curtain.
However, when undergoing examinations in the hospital, patients are sometimes required to cooperate bravely.
Try to see a doctor whenever possible.
For example, when Zhou Can was seeing patients with breast diseases, he needed to examine and even press the lesions on the patients. In this case, there is generally not much privacy protection.
Anyway, there are only family members, patients, doctors and assistant doctors in the clinic.
In special circumstances, an outpatient nurse will be assigned to assist.
"Doctor Huang will assist me in the diagnosis. The four of you will study on the sidelines. Xie Lin will take notes and input the examination application and other data into the computer. Zhou Can will pick up and drop off the patients for the time being."
After sitting down, Director Shang made clear division of labor arrangements.
Now even township health centers can basically connect data such as prescription drugs and examination applications to the Internet.
Each department can directly view the corresponding information.
Entering this information into the computer is mostly done by young doctors.
This is also the reason why older doctors like to teach students.
These young doctors are needed to help with various chores, and the teachers can also get real benefits and convenience from it.
Picking up and dropping off patients is a relatively poor job.
Asking Zhou Can to do it also implicitly indicates that Zhou Can's status in Director Shang's mind is not high. At least lower than that of the attending physician Huang Xinggui and the three graduate students.
That's okay.
What Zhou Can is best at is to quickly stand out in adversity, rise step by step, and gain the respect of senior doctors.
He has every confidence that he can surpass these opponents.
“Boom boom boom!”
There was a knock on the door. Without Director Shang's instruction, Zhou Can took the initiative to walk over and open the door.
The patient and his family walked into the clinic.
Zhou Can closed the door.
The process of a doctor consulting a patient is generally a one-on-one service.
It is impossible to fill a small consulting room with patients.
The patients waiting outside the door all understood the protocol and did not force their way in. They all waited outside the clinic politely.
"Doctor, please help my daughter! She has been complaining of bloating lately and eating less than before. Sometimes she even complains of stomach pain."
The family member was a middle-aged woman in her forties who came to seek medical treatment with her daughter who was about eighteen or nineteen years old.
Generally speaking, young people are in good health.
Her abnormal symptoms indicated that something might be wrong with her body.
"Have you had any checkups at other hospitals?"
"No! We came here just for your fame. Grandma Wang from the same community kept praising your medical skills. My colleague also said that he had cured his stomachache that had lasted for years with you. This is the only child in my family. I am particularly afraid that something bad will happen to her. Please take care of her."
The family members came here because of its reputation.
Famous doctors basically accumulate their fame bit by bit, and the reputation is spread by word of mouth from the patients they cure.
Coupled with the hospital's publicity and his own strong skills in this field, he was able to erect a plaque of famous doctor.
The whole process was full of hardships.
"Girl, when does your stomach bloat? For example , do you only feel bloated after eating, or is it irregular?"
Director Shang asked the patient in a friendly manner.
The girl, who was about eighteen or nineteen years old, seemed quite shy.
"Well... sometimes I feel bloated, and it lasts forever. Sometimes it can even last from morning to afternoon, or from afternoon to evening."
Director Shang continued to ask while taking notes.
"Your mother said that you eat less than before. Do you have no appetite or are you eating snacks secretly?"
"No, no, I don't eat snacks much now. I used to eat a lot. Now when it's time for dinner, I feel very hungry, but I feel full after a few bites of food. By the way, bloating seems to occur most of the time after eating. Sometimes I feel nauseous and belching for no reason. It's so uncomfortable."
She described some of her symptoms.
Director Shang nodded.
"Luo Jingyi, take her blood pressure, temperature, pulse and other vital signs."
The more doctors you have, the better.
Multiple people can be assigned to work at the same time, which will increase efficiency.
"Girl, are you feeling bloated now?"
Director Shang continued to examine the patient.
"Yeah, a little."
"Which part?"
"Here, this is it."
Soon, the physical signs were measured and the basic physical examination and medical interview were completed.
Zhou Can saw the physical examination column and Director Shang gave the diagnosis of malnutrition.
This girl is really thin.
I believe that those middle-aged women whose average weight is over 130 kilograms would be very envious of the girl's slim figure.
"Okay, we have basically collected the patient's symptoms, basic signs, medical history and other information. Can you four tell me what tests should be done on the patient next?"
Director Shang's words were obviously directed at the three researchers and Zhou Can.
As for the attending physician Huang Xinggui, he had a faint smile on his face, looking confident and confident. He must have already thought about what tests the patient should undergo.
"I think we should do a gastroscopy!"
Qiu Chengyu was the first to express his opinion.
I thought he was a silent man, but it seems that is not the case.
"I think it would be better to do a stomach CT scan first. It can be used to see if there is a tumor in the stomach. The duodenum should also be checked."
Xie Lin's imagination was a bit too wild, and even the duodenum was pulled in.
This is also the most common mistake made by most medical students who lack practical experience. As long as one or two symptoms match, they will just apply them to those diseases without paying attention to the others.
The more experienced the doctor is, the fewer tests he needs to perform.
Based on the patient's comprehensive information and symptoms, they will directly rule out some diseases that have similar symptoms but a lower probability of occurrence.
After diagnosing more patients, for the same abdominal distension and abdominal pain, the doctor only needs to press the patient's abdomen, and then ask the patient about the symptoms and duration. He can screen out the most likely diseases based on the patient's age, gender, job, daily living habits and other information.
Then prescribe targeted inspections.
This allows the lesion to be found successfully in the shortest possible time with the least amount of examinations required.
"I think we should do a blood test first, and then do further tests based on the results."
Luo Jingyi is a very quiet and talented woman. The first test she ordered was a blood test. This is also the most common test performed on patients in the hospital. Almost all inpatients must have a blood test.
Some hospitals are worried about accidents and require more inpatient examinations.
It even often causes dissatisfaction among patients and their families, who feel that the hospital is making money from the examination fees in disguise.
Director Shang listened to the opinions of the three researchers and smiled without saying anything.
He looked up at Zhou Can, who had been silent.
"What's Dr. Zhou's opinion?"
Compared with the three graduate students who lacked practical experience, Zhou Can seemed much calmer.
"Well... if it is from the perspective of saving time for patients and allowing them to receive effective treatment in the shortest possible time, I will prescribe three tests for the patient: routine blood tests, Helicobacter pylori tests, and gastroscopy."
Zhou Can gave his own opinion.
There are as many as three inspection items prescribed.
Compared with the trivial tests performed by the three graduate students, the examinations he prescribed were more in line with those of a mature attending physician.
"Haha, it seems that Dr. Zhou has not only developed strong skills in surgery and patient management, but his consultation level is also far beyond that of ordinary residents."
Director Shang smiled and praised Chan.
The attending physician Huang Xinggui also looked at Zhou Can again.
This extremely young intern seems to have abilities far beyond those of ordinary doctors.
Not to mention these three graduate students, even among Director Shang's senior residents, I'm afraid none of them could defeat Zhou Can.
"Xie Lin, write an application according to the tests prescribed by Dr. Zhou and prescribe these three tests for the patient."
Director Shang instructed Xie Lin.
When the family members heard this, they showed hesitation on their faces.
Finally, he couldn't help but said, "Director Shang, we came here specifically for your reputation, and we also registered for a special expert appointment that cost several hundred yuan. You can't let these novice doctors treat my daughter! They have no experience, and I understand that they are learning to treat diseases from you. But you can't let them do it!"
She only has this one daughter and she is worried that these young doctors won't be able to cure her.
If the disease is delayed, who can she turn to?
She was not willing to take that risk.
I spent hundreds of dollars and a lot of effort to get an appointment with a special expert. In the end, I bought the diagnosis and treatment services of an intern, which no one would agree to.
"It's not that I follow the diagnosis and treatment ideas of these young doctors, but the three examination items prescribed by Dr. Zhou coincide with the examination items I have prescribed. That's why I praised his considerable accomplishments in diagnosis and treatment."
Director Shang smiled and patiently explained to the family members.
"Haha, so that's how it is! Sorry, sorry, I misunderstood you."
After listening to Director Shang’s explanation, the worries on the family members’ faces disappeared and they immediately smiled apologetically.
She couldn't help but look at Zhou Can.
Her daughter was also secretly observing Dr. Zhou, who was more capable than other young doctors.
Zhou Can had a calm expression.
He has received too much praise. The vice president and the president have all praised him highly.
After hearing so much praise, he is now almost immune to it.
But it's still fun to listen to.
