Chapter 37 Fainting Pregnant Woman
"I don't know much about Dr. Xu's past. I've only been in Tuya for five years. I only know that Dr. Xu seems to be very influential in the surgery department . Many attending doctors in the surgery department respect him very much. Some deputy directors and chief physicians in the surgery department are very polite when talking to him. Even Director Lou and Deputy Director Han in our emergency department don't have that much face."
This means that Dr. Xu might have been a great surgeon in the past.
Maybe because they offended a powerful person or made a mistake, they were sent to the "cold palace" of the emergency department.
Zhou Can guessed secretly.
"There is another very interesting thing. One time, the emergency department admitted a seriously injured patient who needed emergency surgery. Several chief physicians from the specialist department came, and in the end, it seemed that Dr. Xu was asked to perform the most critical part of the operation."
This is another shocking piece of news.
Any chief physician of a specialist department can become the trump card of a prefecture-level city hospital.
The part of this condition that could not undergo surgery was unexpectedly handled by Dr. Xu.
What kind of abilities does Xu Yidao, who created a legend, have ?
Zhou Can is now becoming more and more curious about him.
"Although Dr. Xu is a bit strict, he is actually very nice to people, and his level in many areas of surgery is also very high. I wanted to become his apprentice two years ago, but he said that I was not very talented, and it was not a bad thing to stay in the emergency department. Occasionally, he would teach me some surgical tricks. Unfortunately, my comprehension is limited, my surgical thinking is not flexible enough, and my level of improvement is slow. However, I can still feel that after two years in the emergency department, my surgical and diagnostic abilities have improved a lot under the guidance of Dr. Xu."
When Dr. Lin said this, a satisfied smile appeared on his face.
For someone like him who has less talent, being able to make such great progress is already very satisfying.
"Doctor Zhou, please don't mind me saying something that may be a little too intimate. I think Doctor Xu thinks highly of you. You should seize this good opportunity and study with Doctor Xu. You are much more talented than me. I believe that after studying with Doctor Xu for a few years, you will definitely achieve great success."
Dr. Lin said to him sincerely.
"Thank you, Dr. Lin, for your kind advice. Don't worry, I'm not the kind of person who is too ambitious. From the moment I entered the emergency department, I was determined to work hard in the emergency department. It is my greatest luck to have such a good teacher as Dr. Xu. I will cherish him."
Zhou Can turned a disaster into a blessing and entered the emergency department, which was known as a "cold government office", but was able to be carefully cultivated by a senior doctor who was at the same level as the chief surgeon.
He is already content.
Even if he entered a prestigious department, with his academic qualifications, it was impossible for him to be taken seriously by the chief physician.
…
Back in the emergency department, only Dr. Lu, Jin Mingxi and Tang Ling were performing surgery on the patient in the operating room.
The patient's palm was scratched by a sharp object, and they are doing cleaning and suturing.
Without the attending physician present, Dr. Lu can only perform level one surgery at best.
"Doctor Zhou is back! Your master asked you to go to the emergency room first. It seems that there is an unconscious pregnant woman who needs rescue." Tang Ling said to him.
"Doctor Xu is only his superior doctor. He didn't say he would take him as his apprentice. Don't make false accusations." Doctor Lu was obviously jealous of this, but he couldn't say it out loud, so he took the opportunity to criticize Tang Ling.
In the operating room, the surgeon has absolute authority.
In the absence of the tiger, the monkey becomes king.
In the absence of Dr. Xu, Dr. Lu has the highest status.
He is the lead surgeon.
Although he could only perform level one surgery, he was still very impressive.
Zhou Can was too lazy to listen to this guy's nagging and just turned around and left the operating room.
All the way to the emergency room.
There was an old lady who was dressed very elegantly and looked very noble standing outside the door, looking inside anxiously.
After Zhou Can entered the emergency room, he found Director Lou and Doctor Xu were both there, as well as two senior doctors who looked familiar.
I've seen it a few times before when I was interning in the emergency department.
The thin, tall, and slightly hunched middle-aged male doctor is the deputy director of the emergency department, Han Changqing. Although he doesn't look good, he is the chief physician of the emergency department.
Of course, maybe this chief physician of internal medicine is not sincere.
But if he was able to get the title of chief physician in Tuya, no matter how watery he is, he can’t be too bad.
Another middle-aged female doctor with a medium build and slightly plump body and brown curly hair is the general practitioner attending physician in the emergency department.
What is a general practitioner? It means that all diseases in the four departments of internal medicine, surgery, gynecology and pediatrics can be diagnosed and treated.
However, a person's energy and time are limited, and there are almost no doctors who are proficient in all diseases.
She is likely to be broad-minded but not specialized.
It is very rare to see so many emergency department directors and attending doctors gathered in the emergency room, which means the patient's condition is particularly critical.
"Hello, Director Lou! Hello, teachers!"
Zhou Can took the initiative to greet several people.
Deputy Director Han Changqing glanced at him and frowned, "How come even the trainee students are here?" There was a hint of displeasure in his tone.
The pregnant woman's condition was critical, but there was no substantial progress in treatment, and he was getting very upset.
Isn't it just adding to the chaos if a trainee comes in?
"I asked him to come." Doctor Xu said calmly.
Even when facing the deputy director of the department, Dr. Xu remained as firm as a mountain, unmoved.
Zhou Can suddenly felt that as long as he had real skills, he could be very awesome even if he was just an attending physician.
Whether Dr. Xu was calling Deputy Director Liu directly in a tone of peer , or the attending physician of the orthopedics department admired and respected him, or at this moment he was confronting the deputy director of the department in an extremely indifferent tone.
They are all very attractive.
"His name is Zhou Can, and I picked him up yesterday. He ranked first in the overall score of the regular training, and his performance was also outstanding after he arrived at the emergency department. Letting him participate in the diagnosis is also a kind of training for newcomers!"
Director Lou also spoke up for Zhou Can.
Han Changqing, who had not even glanced at Zhou Can, turned around and took a serious look at this intern for the first time who was appreciated by two important figures in the emergency department.
"Are you Zhou Can?"
Han Changqing's question was...very stupid.
Director Lou has already introduced them.
He also asked this.
It was nothing more than a manifestation of arrogance. He wanted to establish his position as deputy director of the department, chief physician of the internal medicine department, and teacher in front of Zhou Can through this half-demonstration and half-beating method.
"You can just call me Xiao Zhou."
Zhou Can had just joined the emergency department and was still in the learning stage. Naturally, he would not offend the deputy director of the department for such a small matter.
Keeping a low profile is definitely a sign of high emotional intelligence.
When Zhou Can grows up in the future, it will be Deputy Director Han's turn to look up to him, the younger generation.
"I heard yesterday that you performed well. You are indeed a talented person! Since Director Lou and Doctor Xu are optimistic about you, we will give you an opportunity to observe and learn our diagnosis up close. Cherish it. Ordinary residents don't get this treatment!"
Han Changqing's words were full of the condescending style of a senior.
He gives people the impression of being a particularly arrogant and conceited person.
Zhou Can didn't want to talk to this kind of person, so he just nodded and stood behind Dr. Xu.
"Take a look at the information first."
Dr. Xu took the information without hesitation and stuffed it into Zhou Can's hands.
This action caused Deputy Director Han and the general practitioner to look at Zhou Can again.
"Haha, Doctor Xu seems to be very concerned about this new intern!"
"The main reason is that this kid is timid. If you don't give it to him, he will definitely not dare to take the initiative to come to you to get the information." Doctor Xu's explanation is amazing.
Zhou Can began to quickly check the patient's information and X-rays.
With so many senior doctors present, it was impossible for him to monopolize the information all the time.
He doesn't have much time left.
"The patient, a 36-year-old female, was 24 and a half weeks pregnant and had a history of hypertension. On the way from home to her parents' residence by taxi, she suddenly cried out that she was uncomfortable, her consciousness gradually became unclear, and then she fainted. After being sent to the hospital, the patient's heart rate was as high as 180, blood pressure was 192/120mmHg, and the fetal heart rate monitoring was weak..."
Hypertensive patients are already a high-risk group.
It is even more terrifying for patients with hypertension during pregnancy.
In addition, the patient was over 35 years old, making her an elderly pregnant woman.
All these data are enough to terrify medical professionals.
If the systolic blood pressure is higher than 180, it is considered stage 3 hypertension, which is also the most serious level.
The patient's systolic blood pressure was as high as 192.
I couldn't believe she could make it to the hospital alive.
We have already done a preliminary chest and abdominal ultrasound and a head CT scan. Blood tests are routine examination items, especially for critically ill patients like this. But the test results are not out yet.
The catheter has not been inserted yet, so the urine sample cannot be obtained, and the urine test should not have been done yet.
After Zhou Can finished reading all the information, he put it back on the table in the emergency room.
This kind of behavior of knowing the limits and the current situation has won a little favor from the senior doctors. If he, a resident trainee, had been studying the data all the time, it would most likely have annoyed the senior doctors.
After all, Zhou Can participated in this diagnosis as a student.
To put it bluntly, he is just a supporting role.
No one expected him to contribute to the diagnosis.
Deputy Director Han is the only chief physician of internal medicine in the emergency department and is the absolute main force in this diagnosis.
At this moment, he had already circled the emergency bed three times, and seemed to have no intention of stopping his 'confusing' behavior.
Director Lou was the first to lose his temper.
"Old Han, you are the only one in our emergency department who has a deep knowledge of internal medicine. Can you tell what's going on?"
