Chapter 276: The patient who drinks water crazily, the embarrassment of flattering the horse's leg
After listening to Director Zhang Bihua's evaluation of Zhou Can, Dean Tian's eyes showed understanding.
She was also a smart person and knew Zhou Can's position as soon as she heard it.
From what Director Zhang said, Zhou Can's status in Tuya Hospital seemed to be no lower than Du Leng's. The hospital would even put more effort into training Zhou Can, and his expectations would be higher.
"Doctor Zhou, please forgive me if I have been disrespectful to you before. You saved Xinxiang Women's and Children's Hospital today. We will definitely remember your contribution. We can visit each other often in the future!"
Dean Tian took the initiative to shake hands with Zhou Can again and suggested that they interact more.
"Sure, sure."
Zhou Can would naturally not refuse to expand his network of contacts.
Although Xinxiang Women's and Children's Hospital has suffered a disaster and is now deserted, as long as it stands up again, it will still be a heavyweight in the medical community in the province.
There are many times when it will be useful.
"Director Zhang, Director Dai, Doctor Zhou, it was not easy to successfully rescue this sick child. It can be said that he narrowly escaped death, which fully proves the superb medical skills of the three of you. What I mean is that Tuya has just come to our hospital to start an expert clinic, and she has made a great start by saving a sick child who was almost dying. I want to organize the publicity department of the hospital to publicize this matter. What do you think?"
Dean Tian wanted to use these three people for advertising, so naturally he had to ask for their opinions.
"I think so! This is a good thing in itself, and it does have certain medical clinical significance."
Director Zhang Bihua nodded and agreed, and Director Zhou Can and Director Dai naturally had no objections.
Everyone came here to support and endorse Xinxiang Maternity and Child Health Hospital.
Everyone can understand the difficulties faced by Xinxiang Maternity and Child Health Hospital, as well as its extreme desire to quickly change the unfavorable situation.
"Oh, it's already noon. Of all things, eating is the most important thing. Why don't you go eat first and take a break so that you can have plenty of energy to see new patients in the afternoon."
Dean Tian raised his wrist, glanced at his watch and said.
The sick child recovered, everyone was happy, and they got along very well.
Dean Tian personally accompanied and led a few people to have lunch in the hospital cafeteria.
Zhou Can was a very loyal person. He called Deputy Director Shi to come over for dinner. He was attending the specialist clinic this time, representing the Department of Gastroenterology. Deputy Director Shi was his nominal superior doctor.
This display of respect for his superiors invisibly earned him extra points in the hearts of Dean Tian, Zhang Bihua and others.
No parent doesn't like filial children.
By the same token, no leader doesn't like people who know how to respect their superiors.
After the meal, Director Tian thoughtfully arranged a medium-sized conference room for the 27 medical staff from Tuya Hospital as a temporary rest area at noon.
Everyone sitting in the conference room was either checking their phones, resting their eyes, or chatting about this morning's work.
Some people saw five or six patients in the morning, while others encountered the embarrassment of no one paying attention to them.
Du Leng's diagnosis and treatment volume was quite outstanding, and he saw eight patients. His total number of patients ranked first, surpassing many chief physicians and becoming the reception champion in the morning.
If Director Zhang Bihua had not left the scene temporarily and gone to the operating room to rescue the child, Director Zhang would definitely have been ranked first in the total number of patients he received.
Deputy Director Shi was the most miserable one, because he was not well-known himself, and the number of outpatients at Xinxiang Women and Children's Hospital was frighteningly small, so Deputy Director Shi got nothing.
Another deputy chief physician and an attending physician had the same experience as him.
From this phenomenon, we can see that except for a few top doctors with particularly great fame, other doctors are nothing if they leave their original big platforms.
Many patients come to the hospital for treatment because of its reputation.
It doesn't seem to matter who the doctor is who treats them.
According to incomplete statistics, less than 4% of patients come to the hospital for the famous doctors. These patients have a strong purpose and must make an appointment with that expert, and will not consider seeing other doctors.
The remaining 96% of patients register randomly based on their needs.
For example, when making an appointment, they will give priority to the chief physician who is good at treating their own diseases. If the professor's and expert's appointments are no longer available, they can even make an ordinary appointment.
Du Leng was only an attending physician, and he went to an unfamiliar environment, and eight patients came to see him in the morning , which was indeed a bit beyond everyone's expectations. It also showed everyone how popular a doctorate degree from a prestigious overseas university is.
Even Gao Jian, a talented student from the Imperial Capital Medical University with a master's degree, still pales in comparison to Du Leng.
Gao Jian followed a chief physician from the neurology department for the entire morning, and they only saw two patients in total.
This experience made the experts who had some status in Tuya Hospital very embarrassed.
In fact, this is normal.
The types of patients served by Xinxiang Women's and Children's Hospital are mainly gynecologists, obstetricians, and pediatricians. It is normal that no one is interested in ordinary chief physicians and deputy chief physicians in neurology and gastroenterology.
Du Leng felt an unprecedented sense of superiority because he had the highest number of patients and his overseas returnee doctoral degree was in high demand.
Two young female doctors approached him one after another.
There was also a beautiful and young female nurse who came forward and chatted with Du Leng for a long time under the pretext of asking for nursing knowledge. This phenomenon of beautiful nurses and female doctors chasing after each other was really enviable.
Despite having so many young female doctors and nurses chasing after him, Du Lengleng was not satisfied.
It is just like the emperor who got used to sleeping with the concubines and maids in the palace and gradually got bored of it, and always wanted to go outside the palace to look for beauties among the people.
With Du Leng's excellent conditions, his success rate is very high if he wants to pursue an ordinary female doctor or nurse.
But there was one woman whom he wanted but could not get.
That's Yang Chan.
She is almost as beautiful as Su Qianqian, and she is self-reliant. She has also received special training from Director Zhang Bihua, which has made her more confident and her temperament has become more and more outstanding.
The unique charm she exuded made Du Leng feel like a cat's claws were scratching his heart.
It’s a pity that Yang Chan is a flower that grows on the top of a snowy mountain and has thorns, so it’s not easy to pick it.
Du Leng tried to pursue Yang Chan many times, both openly and covertly, using every possible means, but nothing came of it.
This time, coming to Xinxiang Women's and Children's Hospital with Yang Chan to attend the expert clinic is a very good opportunity.
Especially since he achieved the outstanding result of first place in the total number of patients seen in the morning, he had more confidence.
Du Leng stood up and walked towards Zhang Bihua and Yang Chan with an elegant and confident smile on his face.
"Director Zhang, there are two patients I saw this morning who have concerns. Could you please spare some of your precious time to give me some advice?"
He asked very politely.
"Doctor Du, you are too polite! If you have any questions, please tell us and we can discuss them together. You are a top student from a prestigious overseas university, and I am not worthy of your guidance!"
Zhang Bihua responded with a smile.
It can be seen that her attitude towards Du Leng is quite friendly.
"The first difficult case is the overweight female patient who had sleep apnea. If it is not caused by obesity, what do you think is the possible cause?"
The female patient took medicine and had surgery, but her sleep apnea could not be cured.
Du Leng sent the female patient to do enhanced CT and bronchoscopy, and estimated that it should be completed in the afternoon. She would definitely come back to him with the results.
Let's ask Director Zhang for advice now, so that we can have a clear idea when the time comes and avoid making a fool of ourselves.
"There are many factors that can cause SAS, such as genetics, drinking, smoking, increased tension in the pharyngeal muscles, etc. I think it would be better to wait until the patient has undergone further examinations and then make a specific diagnosis after looking at the results."
Director Zhang Bihua was obviously not particularly good at this area, and she could not give Du Leng better advice.
Sleep apnea syndrome is medically referred to as SAS.
It is a relatively rare disease.
The biggest danger of this disease is that it can cause the patient to suffocate and die during sleep.
Since he couldn't get an answer to this case, Du Leng continued to ask about the second case.
"There is another very strange case. The patient was 32 years old and had uterine bleeding a year ago. She was hospitalized for curettage. After pathological examination, the scraped material was endometrial tissue. About two months ago, the female patient suddenly liked to drink a lot of cold water, at least 10,000 ml a day. She also had impaired consciousness. The patient was treated in many hospitals, but the cause was not found. The family heard from others that it was likely a neuropathy. This time, they heard that the experts from our Tuya Hospital had opened an expert clinic at Xinxiang Women and Children's Hospital, so they rushed here to try their luck and see if the cause could be found."
Du Leng's personal introduction states that he specializes in neurosurgery and thyroid and breast surgery.
Coupled with his outstanding academic qualifications, he hit the jackpot and got this extremely difficult-to-diagnose patient to come to him.
If you don't have the skills, but insist on taking on a job that requires you to do it, you will end up getting slapped in the face.
Especially this kind of large-scale public expert clinic activities.
Smart doctors are as low-key as possible.
Du Leng seemed to have treated eight patients, but it is difficult to say how many of them he was able to cure.
"Do you have the patient's specific information? It is difficult to link the uterine bleeding and curettage described by Dr. Du with the patient's polydipsia and impaired consciousness."
Director Zhang is not a god. She just has rich clinical experience in the field of obstetrics and gynecology, and has also achieved considerable success in academic research in this field. That's all.
Of course, her gynecological and obstetric surgery skills are also second to none, at least ranked among the top ten in the province.
"The specific examination data has been taken away by the family. I asked the patient to do a urine and blood routine test first. I estimate that the results will be available in the afternoon. The patient was examined in another hospital, which showed that the pituitary stalk was thickened and the blood prolactin was elevated. He was diagnosed with type 2 diabetes."
Du Leng was unable to provide too much detailed information about the patient and could only give a general description of the patient's main condition.
"It's right to check the urine and blood routine. If the patient drinks more than 10,000 milliliters of water a day, he will definitely have frequent urination, and may even have diabetes insipidus. The specific cause of the disease requires a comprehensive analysis of all the test data and the patient's physical condition and other actual conditions. Let's talk about it after the patient has finished the basic biochemistry test!"
Director Zhang is very careful in his words and actions when diagnosing patients and never jumps to conclusions.
Almost all famous doctors diagnose diseases in this way. They try to be as detailed and pragmatic as possible to avoid missed diagnosis or misdiagnosis.
Du Leng consulted on two difficult cases and did not get the answers he wanted, but he was not too disappointed.
Originally, the drunkard's real intention was not to drink.
His eyes naturally turned to Yang Chan, "Doctor Yang, I heard that you went to rescue the child with a severe cold this morning. I'm sure the process must have been thrilling!"
This is pure conversation.
How could the process not be thrilling, as it was enough to alarm two chief physicians from the pediatrics and obstetrics and gynecology departments to put aside their outpatient clinics and participate in the rescue for more than two hours?
Yang Chan didn't seem to have the desire to talk to Du Leng for too long.
He just said "hmm" lightly.
Director Zhang does not interfere in such affairs between children.
There is no way to interfere.
Even though Yang Chan was her apprentice and had to be led by Director Zhang in the hospital, it was limited to work. As for personal feelings, even the king of heaven could not force her.
"Just now when I was eating in the cafeteria, I heard the nurses from Xinxiang Women's and Children's Hospital talking about the patient who was almost dead. It was Director Zhang who brought a young doctor to rescue him. After I heard this, I admired that young doctor very much. I know that young doctor must be you."
Du Leng tried his best to praise her.
Pursuing girls, praising them for their beauty, praising them for their gentleness, kindness, intelligence, etc., are all easy ways to get closer to them.
When it comes to picking up girls, Du Leng is definitely an expert.
"It's not me!"
She glanced dimly at Zhou Can who was studying on his mobile phone not far away.
Compared with Du Leng's high profile and ostentation, Zhou Can is particularly pragmatic in all aspects.
People are most afraid of comparison.
Compared to this, she had a worse impression of Du Leng, but a better impression of Zhou Can.
"It wasn't you? That's impossible! Director Zhang only took you, a young doctor, with him at that time... Ah, could it be him?"
Du Leng suddenly realized that Zhang Bihua had specially asked Deputy Director Shi to second Zhou Can.
If the young doctor who helped rescue the sick child was not Yang Chan, then it was most likely Zhou Can.
He had originally intended to come here to praise Yang Chan and get closer to her, but he ended up praising a potential rival. Du Leng was probably so desperate that he wanted to die.
"Doctor Du guessed correctly. The young doctor who made such a great contribution is Zhou Can."
Yang Chan showed a bit of mischief on her face and shouted at Zhou Can.
"Zhou Can!"
"What's up?"
Zhou Can raised his head and looked towards Yang Chan when he heard the voice.
"Doctor Du Leng heard about your great contribution in rescuing sick children. He said he admires you very much and wants to communicate with you."
This beautiful woman Yang Chan is so bad.
Knowing clearly what Du Leng was planning, and calling Zhou Can over now, Du Leng must have felt like he had eaten a dead fly.
The key point is that he opened his mouth to eat the dead fly.
"Doctor Du, you're too polite. I'm just a junior intern. My skills and knowledge are not even one ten-thousandth of yours. Of course, you're always welcome to communicate if you want to."
Zhou Can didn't have a very good impression of Du Leng. He always felt that this person was somewhat sinister and hypocritical.
But to say that there is any deep hatred between him and Du Leng, there really isn't.
Anyway, promotion and competition for hospital training resources all depend on one's ability.
As for Du Leng being jealous of him, that was Du Leng's own business.
It will not cause any substantial losses to Zhou Can.
"Ahem... I have to continue seeing patients this afternoon. I still have a few patients I saw this morning whose causes have not been determined yet, so I need to look up information. I'm afraid I don't have time to talk to Dr. Zhou today. I'll talk to you next time."
Du Leng ran over to Zhou Can to communicate at this time, which was undoubtedly an attempt to flatter Zhou Can.
He would never do such a thing as serving as a stepping stone for a potential rival.
"OK!"
Zhou Can was too lazy to waste time with him and continued reading with his head down.
It is quite convenient to read online medical books on mobile phones. However, it feels better to hold the physical book in your hand, especially for some large anatomical pictures. The screen of the mobile phone is too small and you need to zoom in to see the details clearly.
This greatly affects the reading experience.
Gao Jian heard that Zhou Can had made great contributions in the operation to save the sick child in the morning, and he could not help but look at Zhou Can deeply. The two began to compete since they passed the regular training examination.
However, the gap between him and Zhou Can seems to be getting bigger and bigger.
Zhou Can's reputation in Tuya General Hospital is now comparable to that of Du Leng. In the eyes of many chief physicians, his status is even higher than that of Du Leng.
Gao Jian has also been working hard silently to catch up.
Unfortunately, Zhou Can was too powerful and rode away from him, leaving him far behind.
This made him somewhat frustrated.
They are all human beings . Zhou Can's starting point was not as good as his, but now he is so outstanding, which is really enviable.
They rested in the conference room for about half an hour, and returned to the outpatient hall on time at one o'clock in the afternoon to continue their consultation.
Since it was our first day to open this large specialist clinic in another hospital, we lacked experience in many areas.
Director Zhang needs to constantly summarize and call everyone to meetings in the evening to make improvements.
Take the case of the patient who had an accident this morning and needed emergency treatment. After the expert on duty was transferred over, there was no way to treat the patients in the outpatient clinic.
The patient's medical experience will definitely be particularly poor.
As soon as they sat down in the outpatient hall, a patient came in with his examination documents.
"Dr. Du, please help my wife take another look. Here are the urine and blood test results."
A middle-aged man pulled a middle-aged woman with a dull look in her eyes to Du Leng's examination table.
Zhou Can's heart moved slightly. It seemed that this woman was the female patient who drank more than 10,000 milliliters of cold water a day and had impaired consciousness.
Diagnosing this kind of difficult and complicated disease is Zhou Can's favorite.
Not only can you earn 100 experience points as a high reward, but you can also actually relieve the patient's suffering. It's a two-pronged approach, so why not do it?
