Chapter 41: Paper Talk
"The basis for diagnosis is very simple, which is this head CT scan and some subtle changes in the blood test results. When I was studying abroad, my doctoral supervisor taught us to diagnose whether there is a hemangioma by combining blood test data with examination images. Where is it located? For example, if troponin is elevated, we will immediately think of myocardial infarction. This involves very complex calculations, so I won't explain the details in detail."
Du Leng spoke freely and his diagnostic method was also different from that of ordinary people.
"If you want to quickly locate the hemangioma and determine its size and severity, I think it is necessary to do a head color Doppler ultrasound examination."
Color Doppler ultrasound has the ability to observe changes in blood flow and can diagnose arteriosclerosis, cerebral vasospasm, cerebral vascular stenosis, blood flow velocity, etc.
This proposal was immediately approved by all the directors.
Before they knew it, everyone discovered that in this joint consultation with so many directors and attending physicians, it was the intern Du Leng who took the dominant position.
The two directors of the surgery department were happy from the bottom of their hearts.
On the other hand, the directors of other departments, besides being envious, have mixed feelings in their hearts. They feel like they are being left behind by the times.
Zhou Can stood in front of the emergency bed and observed the pregnant woman carefully.
Observation is different from pulse diagnosis and is a diagnostic method recognized by both Western and Chinese medicine.
No matter which doctor you see, the first thing you must do is to observe the patient.
Now the patient was to be sent for a color Doppler ultrasound of the head, so Zhou Can stepped aside with a feeling of unsatisfied feeling.
The cause of the disease was basically determined, and the directors were relieved of their tense emotions.
Director Xie looked at Zhou Can again.
A slightly smug smile appeared on his face.
"Director Lou, I heard that the doctor you selected, Dr. Zhou Can, had just been brought back to the emergency department yesterday and had already made a great contribution. Is that true?"
"That's true."
Director Lou nodded in agreement, his expression showing a hint of nervousness, and subconsciously blocked Zhou Can behind him. This was because he was afraid that Director Xie would snatch away the good seedling that the emergency department had finally obtained.
Director Xie is really well-informed.
This means that he is also paying attention to Zhou Can.
After all, everyone has a competitive mentality.
He chose Du Leng, who had the highest academic qualifications, and gave up Zhou Can, who had the highest total score, because he was afraid of making a mistake.
However, Du Leng's performance just now was extremely outstanding, so Director Xie was very happy.
It means you didn’t choose the wrong person.
"Haha, don't worry. We have Du Leng, a returned overseas doctor, in our surgery department. It's impossible for us to poach an undergraduate talent! You don't need to be nervous."
Director Xie's words somewhat hurt Zhou Can's self-esteem.
Maybe he was too proud and spoke his mind without considering Zhou Can's feelings.
I found that Zhou Can looked gloomy and felt wronged.
Doctor Xu looked at Director Xie and said.
"Education is not everything. I don't agree with Director Xie's view that undergraduates are far inferior to PhD students."
Doctor Xu is really stubborn. He dares to refute even the chief surgeon.
Zhou Can was actually just a minor trainee, so it was normal for him to suffer some grievances. He could have kept himself out of it and ignored it. But he still stood up to speak for Zhou Can, which was a person's character.
He would not speak up for Zhou Can, and no one else would offend the director of a major department for Zhou Can.
Many people don’t know how powerful the director of a large department is.
Their administrative titles are basically on par with those of the hospital office leaders.
Because they hold important departments and have made great achievements in academics and medical skills, they are like "frontier officials".
Director Xie glanced at Dr. Xu and was a little surprised.
It seemed that he had not expected that Dr. Xu would defend Zhou Can in this way.
He sighed and said with a complicated expression, "Old Xu, the era of relying on medical skills to crush everything is long gone. Your demise that year was accidental, but also inevitable. Today's medical technology is changing with each passing day, and the importance of academics has surpassed medical skills. Wake up!"
It seems like earnest advice, but it makes people feel uncomfortable.
Zhou Can found that Dr. Xu's expression was lonely, and even revealed a hint of heartbreaking sadness.
The death of a hero is a heavy proposition.
Those who have experienced it personally need to endure the huge psychological gap of declining status, losing reputation and glory, as well as the double trauma brought by being ridiculed by everyone.
Dr. Xu would be attacked to protect Zhou Can from being humiliated.
At this moment, Zhou Can was filled with gratitude and wanted to use his meager strength to repay the most respectable person in his mind.
He was no longer silent.
So what if he is the chief surgeon?
Within ten years, Zhou Can was absolutely sure that Director Xie would be under his thumb. Of course, it was hard to say whether Director Xie would still be able to sit in the position of Director of General Surgery by then.
"Director Xie, I agree with what you said about keeping up with the times. But there is no need to worship foreign things! China's medical civilization has a long history, with at least more than 5,000 years of historical sedimentation and accumulation. Medical skills and medicine have always been recognized by the medical community as the two magic weapons to defeat diseases. Why does Director Xie look down on medical skills? Don't forget that surgery relies on medical skills to make a living. Without the scalpel, it is nothing."
Zhou Can's remarks were brilliant.
If it weren't for the wrong occasion, everyone would definitely applaud him.
Director Xie is obviously a doctor who makes a living with his scalpel, but now he has hired a PhD who studied abroad, and he is so proud of himself that he doesn't even know who his ancestors are.
“You, you…”
Director Xie had a rather bad temper to begin with, and was left speechless by the rebuttal by the junior Zhou Can. He couldn't help but blush and look angry.
"Okay, okay, Xiao Zhou is also straightforward and he is not targeting people but the matter. Director Xie, there is no need to take it too seriously." Director Lou acted as a peacemaker, but he had a smile on his face.
He felt particularly happy to see the usually strong Director Xie being humiliated.
Of course, we are all people of status and position, so we must show some mercy.
So he quickly stepped forward to give Director Xie a way out.
So as to avoid ruining the relationship.
Originally, the matter would have ended there. Du Leng might have seen that Director Xie was defeated by Zhou Can in the debate and felt that the prestige of the surgery department had weakened.
He stood up again.
"I don't agree that academic qualifications, academics and medical skills are equal. Take the diagnosis of this pregnant woman just now, for example. Wasn't the emergency department helpless?"
This guy Du Leng is indeed a man with high IQ and high education, and his words are really sharp.
It hit the nail on the head and directly exposed the shortcomings of the emergency department.
And it hit the vital point right away.
The doctors in the emergency department were all ashamed and embarrassed.
"Doctor Du, what you said is a bit too much! Our emergency department is not helpless, but human lives are at stake. Based on the principle of caution, we dare not jump to conclusions."
Deputy Director Han was annoyed when he heard this and quickly defended the emergency department.
Although his explanation was a bit far-fetched, this concerns the reputation of the emergency department, so we can't just let a junior slap us in the face, right?
It's also good to pull up a piece of fig leaf to cover it.
At least the face was not completely lost.
"Oh, Director Han, you may have misunderstood the word cautious. When treating patients and saving lives, you should be rigorous in diagnosis, but you cannot delay. Otherwise, the patient will die, and if you are still arguing, wouldn't you be a typical quack doctor?"
This time, Du Leng completely tore off Deputy Director Han's fig leaf.
But we are all civilized people, and we must not say swear words openly.
It is a common phenomenon in hospitals to make sarcastic remarks and ridicule the objects of contempt.
The doctors in the emergency department were all scolded and felt ashamed and angry.
I was called a quack, but I couldn't refute it.
One can imagine how several people felt.
I feel both aggrieved and helpless.
Zhou Can didn't know why, but he particularly disliked Du Leng.
I really don't envy others for their high education.
I just can't stand this guy's God-like attitude.
"When Dr. Du said this, I knew that you were a rookie who had never experienced the dangers of saving lives in the emergency department. It's easy to make mistakes in an emergency, and it's not necessarily a bad thing that several doctors in our emergency department draw conclusions cautiously. These are all valuable experiences that emergency doctors have learned from their bloody lessons, and newbies like you should especially learn from them."
Zhou Can never uses any swear words when he curses people.
He directly used Du Leng's lack of work experience as an excuse to criticize Du Leng severely.
I can't even get up.
"What does Doctor Zhou mean?" Du Leng's face turned pale.
However, he was well-mannered and managed to suppress the anger in his heart.
"Nothing, I just want to tell Dr. Du that there is a big difference between talking about it on paper and actually doing it. After all, one is just talking, while the other requires real action."
Zhou Can replied indifferently.
Ha ha!
Many doctors and nurses couldn't help laughing.
The doctors and nurses in the emergency department, in particular, felt refreshed from head to toe.
Zhou Can expressed vividly everything they wanted to say but were at a loss for words.
This Du Leng thinks he is so great just because he has studied for a few years and studied abroad for a few years.
He even dared to teach a lesson to all the doctors in the emergency department.
Zhou Can responded to him with the four words "paper talk", which was really insightful!
