Chapter 275: Turning danger into safety, and rising in status
Dean Tian, who was standing nearby and was about to speak out to stop Zhou Can from operating, suddenly felt as if an invisible hand had grabbed his neck. He swallowed back the words that were about to come out of his mouth.
"This resident trainee is awesome!"
After she swallowed back her words, she couldn't help but utter a word in dialect.
The main reason is that Zhou Can’s performance was so shocking.
The doctors at Xinxiang Women's and Children's Hospital didn't dare to start the rescue. The two chief physicians of Tuya tried to rescue her but both failed. This was enough to prove how difficult the rescue was.
It is absolutely hell-level rescue difficulty.
However, after Zhou Can took control, he changed the situation in just eleven seconds, turning the tide and pulling the sick child back from the brink of death.
This miraculous skill made Dean Tian believe that the meat in the buns really isn't in the folds.
It turns out that residents can be better than chief physicians.
Although it was a bit subversive, she had to accept this fact after witnessing it with her own eyes.
After the shock, Dean Tian was replaced by ecstasy.
Although the patient's airway has not been completely cleared, the removal of the largest scab blocking the airway has helped the patient regain some of his breathing function. As long as oxygen can be transported into the lungs and the waste gas inside can be discharged, completing the blood-oxygen exchange, the patient's life will be guaranteed.
When doctors save lives, they usually try to stabilize the situation first, save the patient's life, and then try to resolve the cause of the disease.
"It turns out that Dr. Zhou's advanced surgical skills are so strong! He is truly a role model for us." Chen Jiaojiao looked at Zhou Can, who was like a savior hero, and admiration flashed in her narrow and bright eyes.
"Actually, there's no need to be too surprised. We have many young doctors in Tuya Hospital who are good at surgery." Yang Chan was obviously talking to Chen Jiaojiao.
She didn't know why, but when she saw Chen Jiaojiao worshipping Zhou Can, she felt an inexplicable sense of crisis.
She didn't want to see this phenomenon.
"There are indeed many outstanding young doctors in Tuya, but young doctors who are good at advanced surgery are very rare! Doctor Yang should also know that people with traditional surgical talents do not necessarily have advanced surgical talents. People with advanced surgical talents are useless if they do not have traditional surgical talents. This is because advanced surgery must be based on traditional surgery."
Chen Jiaojiao did not agree with Yang Chan's point of view.
"Dr. Zhou was able to pick out the scab in the bronchus so easily, which shows that his grasping skills are at least at the attending physician level. You know, he has only been in residency training for more than a year, not even two years. This is a very scary achievement. At least I can't even hold beans steadily now. If I want to reach Dr. Zhou's grasping level, I may not be able to achieve it even if I practice hard for another five years."
She is telling the truth.
The training period for a surgeon is much longer than one might imagine.
Many surgical procedures are easy to learn but difficult to master.
Even for a seemingly simple skin suture, many doctors can only reach an above-average level after ten years of hard practice.
If you want to reach a very high level in suturing, it is difficult to succeed without twenty to thirty years of hard work.
"Don't deify him!" Yang Chan muttered and didn't discuss the matter any further.
After Zhou Can successfully removed the first scab, he unexpectedly gained 101 points of grasping experience, 100 of which were awarded to him by the system.
He did not become proud of this, but continued to make persistent efforts to clear the bronchi of the sick children by using both suction and clamps.
The blockage inside is actually quite severe, with purulent secretions accumulated deep in the trachea, and can only be cleared out bit by bit with patience.
…
After nearly two hours, the patient's surgery was completed.
The airway was completely cleared, and the respiratory function was restored to about 90%. The cyanotic complexion slowly returned to normal, but it looked a little flushed. The nails and fingertips also returned to normal color. Blood pressure, heart rate, breathing and other vital signs were restored to a relatively safe threshold.
The patient still has a high fever of 41 degrees.
Zhou Can wanted to give the child postoperative instructions. His condition was complicated and he needed to take enough antibiotics to prevent the bronchitis from getting worse. By then, the purulent secretions could easily block the child's bronchi again.
We also need to find ways to reduce the fever of the sick children to avoid burning their brains.
When a child has a fever of 40 degrees, they will basically become mentally confused. A fever of 41 degrees is already very scary. It is easy to burn the brain and leave serious sequelae.
Giving this sick child postoperative medical instructions can help him practice the application of pharmacology and pathology in practice.
It means a lot to him.
"Director Zhang, can you let me give the patient postoperative instructions and then check on them for me?"
Zhou Can has always been thick-skinned when it comes to grabbing surgical tasks.
Those new doctors who are too thin-skinned may still be in the "giant baby" state after three years of regular training.
In other words, they do not have the ability to practice medicine independently.
As long as the senior doctor is away, the phenomenon of a giant baby who can't do this or that will appear.
"Of course! It's a pleasure to see you being so diligent and motivated. Yang Chan, you need to learn more from Dr. Zhou."
Director Zhang Bihua readily agreed.
Even such a dangerous operation as endobronchial scab removal was performed by Zhou Can, so how could she refuse the opportunity to prescribe a medical order that did not carry any risk?
Unexpectedly, Yang Chan was involved in this matter.
Squad leader Yang has always been arrogant, so it would be difficult for her to accept learning from Zhou Can psychologically.
However, Zhou Can's performance today was indeed outstanding.
It also allowed her to see Zhou Can's true strength.
These demonstrated strengths are just the tip of the iceberg. Zhou Can has surpassed other competitors in many fields during the past two years of regular training. As he rotated to the Department of Internal Medicine and made up for his shortcomings in pharmacology, he has begun to show a trend of flourishing.
Traditional surgery, endoscopic surgery, pathological diagnosis, pharmacological differentiation, and critical care rescue have all reached a very high level.
After Zhang Bihua agreed, Zhou Can gave the child a series of postoperative medical instructions on the spot.
Generally speaking, postoperative medical instructions are much more difficult than admission instructions and general hospitalization instructions.
Especially for patients who have just undergone a tracheotomy and have undergone life-threatening rescue, there are more factors to consider in postoperative medical advice. This patient is only one and a half years old, so the difficulty is even higher.
So, it is also a challenge for Zhou Can.
"Bronchitis must be controlled with antibiotics. Common bronchitis antibiotics include penicillins, cephalosporins, erythromycin, and quinolones. Different drugs target different pathogens. For example, cephalosporins, which are very familiar to people, are used in almost all antibacterial and anti-inflammatory drugs. Chronic bronchitis in the elderly is prone to repeated infections, and it is more effective to use it. However, cephalosporins are quite dangerous..."
After Zhou Can got the opportunity to prescribe postoperative medical instructions, he found that there were countless factors to consider just for the child's bronchitis medication.
But he was prepared for this.
Carefully diagnose the condition step by step, and then prescribe the most suitable medication.
Twenty minutes later, he finally finished writing the postoperative instructions for the patient.
[Pharmacological differentiation experience points +1, you successfully wrote postoperative medical instructions for a young child for the first time, rewarded with pharmacological differentiation experience points +100. ]
Looking at the 101 pharmacological differentiation experience points that had been credited to his account, Zhou Can smiled knowingly.
As the saying goes, hard work brings rewards. His various medical skills were improved through accumulation bit by bit in this way.
He was able to improve so many medical skills to the level of chief physician in less than two years, and the effort he put in was several times more than that of others. Only he himself knew the hardships involved.
Zhang Bihua took Zhou Cankai's medical instructions and read them carefully, with admiration on her face.
"Dr. Zhou has been in residency for less than two years, but he can independently issue postoperative medical instructions, and his considerations are quite comprehensive. The medication is properly matched, the dosage is cautious, and the method is appropriate . It is really amazing. However, there are still some places in this medical order that can be slightly modified. It may be because you lack clinical experience in pediatrics, so some medications and details refer to adult dosages."
Zhang Bihua pointed out the shortcomings to him.
After hearing this, Zhou Can accepted it all with an open mind.
For example, when it comes to drug dosage, for drugs with higher safety, he did refer to the adult dosage method of halving it.
In addition, this patient is strictly speaking between an infant and a toddler, so the medication should be more gentle and the patient's tolerance should be taken into consideration.
Once the doctor's order has been modified, just give it to the nurse for execution.
Although the rescue was extremely dangerous, fortunately Zhou Can cleared part of the child's airway at the critical moment and finally saved the child successfully.
According to the hospital's rules, the child could not be saved, and the medical staff did their best, so they can only express regret. There was no fault, but the patient died, which is definitely shameful for the hospital.
Now that the person has been saved, it’s a great thing.
Especially for a half-dead hospital like Xinxiang Maternity and Child Health Hospital, which is in urgent need of using a few typical critical and difficult cases to re-establish the hospital's authority, it must be hyped and publicized to death.
Good times will come after bad times, and the haze will dissipate.
Dean Tian has now recovered from his previous despair.
An adverse event that could have made Xinxiang Women's and Children's Hospital even worse has now turned into a great thing. It really is a matter of one thought to hell and one thought to heaven.
The transformation happens in a moment.
"Director Zhang, Doctor Zhou, Director Dai, you all worked so hard to save this patient. I won't say much to thank you. When this seven-day expert clinic is over, our Xinxiang Women's and Children's Hospital will definitely express its gratitude."
Dean Tian is a very down-to-earth person and doesn't play those empty tricks.
If there is any expression of gratitude, it is likely that the three people will be given financial thanks after the specialist clinic is over.
Giving a red envelope is the most normal thing to do.
It must be said that this kind of red envelope sealed by Xinxiang Women's and Children's Hospital is used to reward the contributions of the attending doctors, and it is completely legitimate to accept it. It is reasonable and legal , and there is no risk.
Doctors are not allowed to accept red envelopes from patients and their families, especially in disguised form to ask for benefits, which is simply a challenge to the high-voltage line of medical ethics and medical style.
Doctors nowadays are smarter.
The stupid act of accepting red envelopes from family members and patients rarely happens anymore. However, secretly transferring benefits to medical representatives is much safer than accepting red envelopes, as long as it is done secretly.
Before there were clear regulations, it was not a big deal even if it was discovered.
Because this is a common phenomenon in the medical industry.
Everyone works hard to get into a medical university, studies hard for five or eight years, spends huge amounts of money on their studies, and finally after going through the two stages of labor exploitation of internship and regular training, they get their jobs and can officially earn money.
Isn't it normal to take a little scoop?
If after deducting five social insurances and one housing fund, you only get two to three thousand yuan every month, which is not enough to support your family, who would still be a doctor?
At least that's what everyone did before the policy was clearly stated.
Prescribing medicines, using consumables, and taking kickbacks can also bring in a considerable amount of income.
After being promoted to chief physician, I became a little famous. I could see patients in other hospitals a few times a month, or cooperate with some small clinics to earn some extra money. With the regular salary, I could live a comfortable life.
In addition to the above-mentioned methods of earning gray income and extra money, doctors have many other ways to increase their income.
It varies from person to person.
In short, as long as they don't blatantly harm patients and exploit their families, it's fine.
When Dean Tian thanked the three of them, he put Zhou Can before Director Dai, which was a very interesting hint.
Director Dai made the least contribution to the rescue of this sick child, while Zhou Can made the greatest contribution.
But Director Zhang has the highest status and has made some contributions. After comprehensive consideration, Dean Tian made a simple ranking of the thanks to the smooth progress, with Zhou Can ranked second, which is really nothing wrong.
If Director Dai is a bit petty, he might feel a little uncomfortable.
This is the reality of society. It is impossible to make everyone comfortable.
It is very important to put yourself in the right position.
Don't overestimate yourself, nor underestimate others.
"Director Zhang, let me ask you, isn't the best young doctor in your Tuya Hospital the overseas returnee Dr. Du Leng who was recently promoted to attending physician? I think this Dr. Zhou is even better than Du Leng. Forgive my ignorance, could you please introduce Dr. Zhou's background so that I can get to know the young and promising Dr. Zhou again!"
Dean Tian was able to hold on to his position as dean, and his ability to curry favor with the powerful must be quite remarkable.
Seeing Zhou Can's outstanding performance, she immediately wanted to get to know Zhou Can and build some friendship with him. If Zhou Can became famous in the future, it would be of great benefit to Xinxiang Women's and Children's Hospital and Director Tian himself.
"Du Leng graduated from a prestigious overseas university and obtained a doctorate degree. He is indeed very outstanding. However, in terms of diagnostic and surgical skills, as far as I know, Dr. Zhou should have the potential to become a leader of the younger generation of our Tuya Hospital. That's all I have to say. Dean Tian can experience it for himself."
Director Zhang Bihua's evaluation of Zhou Can was so high that Zhou Can's eyelids twitched wildly.
Wouldn't this definitely bring hatred to Zhou Can?
He was made the leader of the younger generation, and the Tuya General Hospital was full of strong people, including a large number of graduate students with master's and doctoral degrees. This also praised Zhou Can too much.
At least Zhou Can doesn’t have that confidence now.
If we can maintain the current rate of improvement in medical skills, it will not be a problem for us to become the leading figures of the new generation in five to eight years.
Compared with highly educated special talents like Du Leng, he actually has certain disadvantages. For example, he must complete three years of regular training, while Du Leng was promoted to chief physician directly after only one year of regular training.
If Zhou Can wants to be promoted to chief physician, he needs to complete his regular training and work formally for at least four years.
After completing their internship, undergraduate students successfully obtain the qualification for regular training. At this time, they are called medical assistants, or medical bachelors. After obtaining a medical license, they are promoted to physicians.
Zhou Can is now at the doctor level.
After completing the training, you will be promoted to resident physician. After working for four years, you will take the examination for attending physician, and if you pass, you will be promoted to attending physician.
Du Leng is a doctor of medicine and was automatically promoted to attending physician after one year .
And the gap will widen later.
After a doctoral student is promoted to an intermediate professional title, that is, to an attending physician, it only takes three years to be evaluated for an associate senior professional title. At that time, Zhou Can was still working as a resident physician, a junior professional title.
How do the two compare?
Those who tout the uselessness of academic qualifications and believe that ability is above all else are all white folks who have never experienced the harsh treatment of society.
The starting points are different, and the two are simply not comparable.
Even if Zhou Can is as talented as he is, if he wants to surpass Du Leng, he must work hard on his academic qualifications. He must find a way to improve his academic qualifications as soon as possible.
The most common path for in-service postgraduate students is one.
Study for postgraduate study while working.
Most undergraduates do this.
Whether you can pass the exam or not is another matter, but at least a postgraduate degree sounds better than a bachelor's degree.
The cards should also be bigger.
It is not difficult for Zhou Can to get a master's degree. As long as he asks, the senior management of Tuya Hospital will probably find a way to help him solve it.
Director Yin Hua, Director Tan and others from the Department of Internal Medicine had already contacted Zhou Can and said that as long as Zhou Can was willing to switch to the Department of Internal Medicine, they would help Zhou Can solve the academic qualification problem.
However, Zhou Can has his own plans. He will take another path to improve his academic qualifications.
