Chapter 240 The doorman was replaced, and he vomited strangely
"Doctor Zhou just mentioned that he recommended that the family of the female patient also get a Helicobacter pylori test. The suggestion is good, but in the actual diagnosis and treatment process, you must pay attention to the method and approach. It is best to wait until the female patient has completed the examination and confirmed the Helicobacter pylori infection, and then diagnose the female patient, give the treatment plan, and both the family and the female patient agree to it. Then find an opportunity to remind the family."
"If the family members are disgusted after hearing what you said, don't say anything more. As doctors, we must first learn to protect ourselves. Some family members have bad tempers and may not appreciate your kindness. Cursing is the best thing they can do. There are also cases of throwing things at doctors."
As a veteran himself, Director Shang shared his experience of being beaten with these young doctors.
If you pay close attention when you go to see a doctor, you will find that the doctor's chair is a stable black leather chair, but the patients and their families sit on plastic round stools.
Many people think that this is discrimination against patients, but it is not.
In the past, some hospitals also provided patients with high-quality foreskin iron round stools. As a result, family members used these iron stools to beat the doctors who were attending the consultation, causing fractures.
The young nurse was so scared that she hid under the table.
This kind of infuriating thing has happened more than once.
Afterwards, the family members will definitely be punished by law.
But when doctors are beaten, it is a huge loss to the hospital, especially when some well-known doctors in a certain field are injured, and it is a work-related injury and they cannot work.
Not only does this mean that the doctor's medical work will have to be stopped, but all the patients he is caring for, whether they require surgery or medication, will have to be handed over to other doctors.
If a new doctor takes over those patients and is not familiar with their conditions, it would be good if he doesn't make mistakes.
This can lead to a decrease in the quality of treatment.
During the period of recovery, the hospital had to pay the injured doctor a salary and provide him with certain work injury compensation and consolation.
This shows how much loss the hospital suffered.
The key point is that today this doctor was beaten and his arm was broken, and tomorrow that doctor was beaten and his eyebrow bone was broken, and he was seriously injured. Other doctors were also afraid when they were sitting in the clinic!
This will definitely affect the quality of doctors' diagnosis.
Finally, the hospital leaders came up with a solution: All the chairs for patients in the outpatient department were replaced with plastic stools.
In this way, even if the doctor encounters a family member suffering from bloating, the doctor will only suffer minor injuries.
Later, this good idea swept the country and has become standard in outpatient clinics.
"Xiao Qiu, go open the door and call the next patient in! Dr. Zhou's diagnostic thinking is very flexible, and he has extensive basic medical knowledge. He can also flexibly apply it in clinical practice. You should learn from him."
Director Shang was full of praise for Zhou Can's performance.
What’s even more interesting is that Zhou Can was no longer allowed to be a “doorman” who greeted and saw off guests.
"Ah... OK!"
Qiu Chengyu was stunned for a moment, and then a gloomy look appeared on his face.
Everyone competes fairly based on their abilities.
In the first round of competition, he was defeated by Zhou Can and suffered a complete defeat.
If Director Shang doesn’t ask him to pick up and drop off patients, who should he ask?
After the door of the clinic opened, a thin woman in her thirties came in, carrying a middle-aged man who was much taller than her.
The middle-aged man looked sickly and thin.
You can tell at a glance that he is malnourished.
Generally speaking, there are three types of malnutrition. One is caused by starvation. If you usually eat a single food with little nutrition and little oil, your body will naturally become thinner over time.
The second type is malignant diseases such as tumors and leukemia occurring in the body, causing the patient to lose weight rapidly.
The crazy growth of cancer cells consumes a lot of body nutrients, which is an important reason for the rapid weight loss of the body. At the same time, it will also cause the patient to lose appetite, not feel hungry, and not want to eat.
The third is indigestion. Some patients have problems with their digestive tract and will experience indigestion. Either they will be full for the whole day after eating one meal, or their intestinal absorption capacity will be weakened, so they can only absorb a small part of the nutrients from the food they eat.
The rest is excreted.
This excretion does not only refer to excretion through feces, urine can also excrete a large amount of nutrients.
For example, the most common symptom is proteinuria.
"Can he sit?"
When Zhou Can saw this "female warrior" gritting her teeth and carrying the patient forward with great difficulty, he hurried forward to help.
It was just a small act of kindness.
Director Shang didn't say anything after reading it, but when he looked at Zhou Can, his eyes showed obvious appreciation. On the contrary, when he looked at Qiu Chengyu who opened the door for the patient, his eyes were a little colder.
A compassionate heart is the most basic quality of all doctors.
A doctor without a compassionate heart cannot become a qualified doctor.
"I can sit, but I can't walk because I'm too weak."
The woman smiled at Zhou Can gratefully.
“Slow down, slow down!”
Zhou Can helped catch the patient and helped him sit on a chair.
The patient was at least 1.85 meters tall, and the woman was no taller than 1.6 meters. It must have been very difficult for her to carry the patient all the way.
Although the man is very thin, he has such a strong frame and must weigh more than 100 pounds.
"thank you!"
The woman thanked Zhou Can.
"You're welcome. What's the matter with him?"
Zhou Can found that the patient's eyes were lifeless, and his hair was probably shaved for hygiene. The cheekbones on his face, the collarbones on his neck, and the wrist joints of his hands were all high and protruding.
Dull and yellowish skin.
This is a typical case of pale and thin complexion.
The patient's heavy breathing could still be heard faintly.
It was like a donkey pulling a mill and was extremely tired.
The patient was carried in by the woman and had not walked a single step. He felt so tired just by sitting, which meant that his body was on the verge of complete collapse.
Zhou Can couldn't help but feel a little worried when he saw the patient's condition was so bad.
"I don't know what the disease is. He keeps vomiting and his appetite keeps decreasing. I've taken my husband to many hospitals, both large and small, and have seen both Chinese and Western doctors. He's taken a lot of medicine, and his weight has dropped from over 170 kilograms to over 100 kilograms now. We've done a lot of tests, but we can't find the cause of the disease."
The woman handed the two large white plastic bags in her hand to Zhou Can.
There were various examination reports and films inside.
"This is Director Shang, my instructor. Please ask him for help!"
After Zhou Can took it, he naturally introduced Director Shang's identity and placed the information bag on Director Shang's desk.
It may seem like a simple response, but it actually tests a person's emotional intelligence.
Zhou Can's performance is undoubtedly excellent.
This introduction not only reflects his respect for Director Shang, but also avoids embarrassment for all parties.
Director Shang picked up a bag and checked the inspection report inside.
"Oh, you did a lot of tests! I saw a lot of repeated tests."
"There's nothing we can do! Many hospitals don't recognize the test results from other hospitals and insist that we do it again in their hospital. As the number of hospitals we go to increases, the number of tests we have done increases. I've had MRIs done three times alone."
When the woman mentioned this matter, she was also full of grievances.
All these inspections not only require a lot of time in line and waiting, but also cost a lot of money.
An MRI scan, even the worst 0.5T one, costs three or four hundred yuan. Some hospitals charge more than five hundred yuan. A more advanced MRI scan is even more expensive, costing one thousand or two thousand yuan.
Some doctors in hospitals are dogmatic in their approach to things.
In order to generate revenue for the department and meet performance targets, they often ask patients to repeat these tests even though they know that MRI and CT scans have very high radiation and that doing them too often is harmful to the body.
It's really immoral.
"How long has he been ill?"
Director Shang checked various examination reports while asking about the patient's medical history.
"It's probably been more than a year since the onset of the disease . One time, my husband got drunk at a work event and was driven home by a colleague from his company. He got drunk like this before, but nothing happened after he sobered up. But that time, after he sobered up, he vomited all over the floor during breakfast the next day. At the time, I thought it was a normal reaction after being drunk, so I didn't pay much attention to it..."
The woman gave a brief account of the patient's medical history.
According to her, the patient got drunk at a work-related social event a year ago . After sobering up, she started vomiting after eating.
And the vomiting process is particularly strange.
At the beginning, I didn't vomit every time I ate.
Sometimes I vomit, sometimes nothing happens, it's normal.
At first, they thought it was caused by the food being too greasy and heavy in taste.
However, after many experiments and observations, it was found that vomiting was not significantly related to the type of food eaten.
When I feel like vomiting, I will vomit no matter what I eat.
Normally, it's okay to eat anything.
There is no regularity to the onset of the disease. At the beginning, I would vomit only once every ten days or half a month. Now, I vomit almost every day. I vomit even when I drink water.
“Have you ever had a gastroscopy?”
The attending physician Huang Xinggui asked the family members.
The patient’s current condition makes it difficult for him to even breathe, and he is obviously unable to communicate normally.
"Yes! I have done both ordinary gastroscopy and capsule gastroscopy. The results are in the bag. Do you want me to take them out and show them to you?" The woman seemed very humble when she spoke.
In her heart, as long as her husband's illness could be cured and she could crawl on the ground, she would be willing to do so.
It has to be said that it is the greatest luck in this patient's life that he has met such a good wife.
It also made several young doctors believe in love.
"No, no, just hold him. Don't let him fall to the ground, the stool has no armrests." Huang Xinggui waved his hands repeatedly. He took out all the examination reports, payment slips, and photocopied medical records from the bag.
Inpatient medical records generally need to be kept in the hospital for archiving.
When patients are discharged from the hospital, they can choose to make their own copies.
Some hospitals even do this with test results. If patients need test results, they need to actively ask the hospital for them and make copies.
As for some patients saying online that a certain hospital does not provide medical records or test results, this is basically impossible if they go to a regular hospital. It must be that the patients themselves did not understand clearly or did not apply for a copy.
Zhou Can did not take the inspection materials to check.
I am a trainee student and have just received initial recognition and appreciation from Director Shang, so I can only do what a student should do.
After the senior doctor finished checking it, I took it and took a look, and it turned out to be fine.
He stood behind Huang Xinggui and Director Shang, and was able to follow them as they reviewed the inspection report.
Luo Jingyi also came over and stood with Zhou Can, watching the patient's examination report.
This kind of difficult and complicated disease is also the most likely to arouse the interest of medical students.
Everyone wants to know what exactly is the cause of the patient’s illness?
After learning medical knowledge for so many years, there is no doctor who doesn't want to apply it in practice.
Using the knowledge they have learned to successfully diagnose a patient's disease can make them feel a sense of accomplishment and particularly proud.
"The gastroscopy looks quite normal, Dr. Zhou, don't you think so?"
Luo Jingyi gathered her messy hair on the left side with her hand and tucked it behind her ear, revealing her pretty and fair face.
Zhou Can didn't expect that she, who was shy and quiet, would take the initiative to talk.
After a pause, he said, "Doctor Luo checked it and said it's normal, so he must be right!"
"This is because I lack confidence and practical experience. I need to ask you for advice so that I can be sure whether my judgment is correct." She explained in a low voice.
"Hey, I'm only half-baked, let me hear what the teachers have to say later!"
After Zhou Can showed his skills, his status in the graduate student's heart rose sharply.
Although he was able to accurately determine the test results, he had to seek Zhou Can's confirmation before he could be sure.
"Jingyi, you are very accurate. The gastroscopy did not find any abnormalities."
Qiu Chengyu also came over.
However, Zhou Can noticed a small detail. When Qiu Chengyu moved closer to Luo Jingyi, she subconsciously dodged towards Zhou Can.
Girls' thoughts are usually not written on their faces.
It is reflected in their actions.
This small action shows that Luo Jingyi is not attracted to Qiu Chengyu.
"oh!"
She responded calmly.
Director Shang and attending physician Huang Xinggui reviewed the patient's examinations, various treatment records, and medication results one by one.
The patient had been hospitalized, and in more than one hospital.
But without exception, they all ended in failure.
Later, perhaps unable to bear the financial burden, he returned home for treatment.
When Director Shang picked up an MRI film to examine it, Qiu Chengyu moved a little closer and leaned his head towards Luo Jingyi.
Her body was almost touching Zhou Can, and there was no way to avoid it.
Her beautiful eyebrows were slightly wrinkled, because she was shy and introverted. She obviously didn't want to be so close to Qiu Chengyu, but she was too embarrassed to resist.
Zhou Can hates men who are shameless and try to get close to girls.
If the girl agrees, then it is consensual.
What kind of thing is this?
Isn't it just workplace harassment?
"Doctor Qiu, I think your eyesight isn't very good. If you can't see clearly, please stand next to me!" Zhou Can took the initiative to help her out.
When Qiu Chengyu heard that he could stand to Luo Jingyi's right, he was happy and agreed immediately.
He came over immediately.
"Doctor Luo, please come over a little bit."
Zhou Can gestured to Luo Jingyi to move towards where Xie Lin was sitting.
Then, he stood between Qiu Chengyu and Luo Jingyi, separating the two.
At first, Qiu Chengyu felt quite happy, but when he saw Zhou Can doing this, his face immediately turned a little ugly.
Luo Jingyi smiled shyly at Zhou Can.
Girls are generally very delicate and sensitive. She must know that Zhou Can is helping her resolve the invisible harassment brought by Qiu Chengyu.
In the workplace, whether it is a male colleague or a male leader, harassment of female colleagues often starts with this kind of tentative and "inadvertent" behavior.
Many times, women can only endure in silence.
Because they didn't do anything excessive overtly, and we're all colleagues, and considering the impact and work, we had to just put up with it.
It took nearly twenty minutes for the two senior doctors to review the patient's examination records and treatment history.
Huang Xinggui frowned, secretly diagnosing the cause of the patient's illness.
Director Shang's face was somewhat serious, and his eyes showed that he was thinking deeply.
"Doctor Zhou, your diagnostic ability is so great, can you tell what disease this is?"
Luo Jingyi asked in a low voice.
She seemed to trust Zhou Can very much and had a slight inexplicable liking for him.
"I'm not that great. The first two times I just happened to run into them. I was just cheating, you know?"
The two senior doctors haven't expressed their opinions yet.
How could Zhou Can dare to make a diagnosis easily!
Besides, the cause of this patient's illness was extremely strange, and Zhou Can was not a miracle doctor. At least he was far from that level at the moment, so how could he diagnose the disease so easily?
Even when he followed Dr. Liu in diagnosing difficult and complicated diseases in the general surgery department, there were many that he failed to diagnose.
