Chapter 594: Not recognizing the great man, you are embarrassing yourself
Zhou Can sat below and listened to Director Tang Fei talk about the five diseases. He almost subconsciously ruled out most of them.
"Let's talk about typhoid fever. First of all, typhoid fever is self-limiting, and the course of the disease generally does not exceed one month. Lower gastrointestinal bleeding occurs about half a month after onset. Aixi's Widal and Weilphia reactions were both negative, and no pathogenic bacteria were found in blood and fecal cultures. Moreover, she did not have the typical clinical manifestations of typhoid fever. Typhoid fever can basically be ruled out."
Director Tang Fei is of extremely high level and is very familiar with various intestinal diseases.
She can explain in detail why each disease was eliminated.
"There are three more diseases left, and it will be more difficult to rule them out. Dr. Zhou Can is a top talent in our pediatrics department. He was once a key training target for gastroenterology and gastrointestinal surgery. He has unique insights into diagnosing various difficult cases. Next, please take over the analysis and try to diagnose the cause of Lin Aixi's illness, okay?"
After Director Tang Fei ruled out two diseases in a row, she actually carried Zhou Can out.
This is a blatant attempt to elevate Zhou Can's status.
It also helped Zhou Can eliminate the grievances he had suffered before.
It can be understood as a kind of care.
Lin Jinzhi thought Zhou Can was young, so he asked Zhou Can to ask fewer questions in public and leave time for the older experts. Director Tang Fei felt that Zhou Can was wronged by this incident. Other experts did not take Zhou Can's feelings into consideration at the time, but she remembered it deeply.
Because Lin Jinzhi's status is very honorable, he cannot be directly refuted like an ordinary family member.
She chose to maintain Zhou Can's status and authority at this critical moment.
"Okay, thank you for your trust."
Zhou Can didn't say it, but in his heart he was full of gratitude towards Director Tang Fei.
You can clearly know that she is showing kindness.
It was also because Director Tang Fei had always treated him well that he was like a brave general when working in pediatrics, constantly charging forward and making countless contributions.
Lin Jinzhi looked at Zhou Can with some surprise.
Then he looked at Director Tang Fei.
"So he is Dr. Zhou Can!"
It seems that he has heard of Zhou Can's name.
"Yes, he is Zhou Can. He looks very young, but in fact, his medical skills are very advanced."
Director Tang Fei nodded solemnly.
"When I was transferred to the Provincial Children's Hospital, Professor Wei Ruru also mentioned Dr. Zhou. Please don't blame me for being blind and looking down on Dr. Zhou just now!" Lin Jinzhi is also a boss who emerged from the crowd.
I have already understood the deep meaning of Director Tang Fei's words.
This kind of BOSS-level character can be humble.
He apologized to Zhou Can on the spot.
"Director Lin, you're too polite!"
Zhou Can waved his hand indifferently.
As his strength continued to improve, he cared less and less about all kinds of false fame.
In the past, he would still care if he was looked down upon or someone said something bad about him. Now, he is completely indifferent and doesn’t care at all.
"Professor Wei highly praised you and asked me to transfer my daughter to Tuya to see the results first. If there is no major diagnostic progress, I can ask you for help. Really, he even gave me your phone number. Now, you are directly involved in the consultation, and I don't need to ask you for additional help. I just didn't expect you to be so young."
Lin Jinzhi raised his cell phone and told Zhou Can that he had his phone number saved in it.
"Professor Wei really thinks highly of me. Actually, I am just a resident doctor at Tuya Hospital."
Zhou Can couldn't help but smile bitterly.
Sometimes, he didn't understand why these professors and directors thought so highly of him. Some wanted to take him in as their successor, some discussed medicine with him as an equal, and some even praised him as a better doctor than them.
This makes Zhou Can feel really helpless sometimes.
In fact, he just didn't know how good he was. There were almost no doctors who could improve so many medical skills to the director level at the same time.
And unlike other doctors, Zhou Can chose to develop into a general practitioner.
Other doctors are basically specialists and can choose two medical fields at most.
When Zhou Can first started his registrant training, he also thought that he would not be able to digest too much if he tried. Instead of knowing just a little bit about everything and not being good at anything, it would be better to specialize in two areas.
Later, he discovered that various medical fields were closely connected. Simply mastering one or two disciplines would lead to many shortcomings and obstacles in diagnosis.
Even with this realization, he still never thought of pursuing a general practice career.
Dr. Xu, Director Hu Kan, Director Tan and others have all advised him to identify one or two areas of expertise as early as possible and focus most of his time and energy on those main areas.
At the end of his residency, he seemed to have reached a very high level in many medical fields.
After several years of residency, he had more clinical experience and learned more knowledge. He found himself on the road to becoming a general practitioner.
He discovered this problem when he was promoted to level six in pathology diagnosis.
Later, when pharmacological differentiation was promoted to level 6, the chief physician at the general practitioner level was born. Maybe he still has some shortcomings and defects, but these shortcomings are getting smaller and smaller.
For example, in the field of orthopedics, he used to be powerless against joints and various difficult orthopedic diseases.
I am currently pursuing a postgraduate degree in orthopedics, and am working to make up for this shortcoming.
In addition, he had not been particularly prominent in pediatrics before.
Although he has gained some fame while practicing pediatrics, it still mainly depends on his excellent diagnostic skills and ability to rescue critical and emergency patients.
However, after working in pediatrics for a few years, he participated in more difficult cases, as well as various difficult pediatric surgeries and emergency rescue operations, which enabled him to accumulate rich experience and achieve a qualitative breakthrough.
So, unknowingly, his diagnosis and treatment level in the field of pediatrics gradually reached the same level as that of the chief physicians of pediatrics.
For example, Director Zhuang Sheng specializes in neonatology and he is an expert in this area.
Zhou Can is now also good at neonatology.
For example, Director Yan specializes in pediatric respiratory diseases, and Zhou Can is also good at this.
Therefore, one Zhou Can is equivalent to the integration of N pediatric directors.
This is just the field of pediatrics. Zhou Can is also excellent in many fields such as cardiothoracic surgery and emergency department. It is for this reason that professors and experts who have come into contact with him deeply admire and respect him.
"Before I transferred my daughter to Tuya, I had heard of Dr. Zhou's reputation. More than a year ago, I heard some friends and colleagues mention Dr. Zhou Can from Tuya among the new high-level doctors in the province. But what I learned is that you seem to be very strong in the two fields of emergency and cardiothoracic surgery."
Lin Jinzhi is the boss of the medical system, so he is naturally well-informed.
The information I got about famous doctors was far beyond my imagination.
He basically knows which truly high-level doctors there are in the province.
At least he should have such a list.
It is unrealistic to remember every doctor's name and area of expertise.
The more likely thing is that when the need arises, you take it out and look through it.
Zhou Can is so young, but he is fortunate enough to be mentioned by many people in charge and included in the list of high-level doctors. It must be said that this is a great honor.
"Dr. Zhou is a very low-key person. He is good at more than just emergency and critical care and cardiothoracic surgery. He has been working in pediatrics for several years. Director Lin, you may not know how popular Dr. Zhou's appointments are in our pediatrics department. Almost every time a new appointment is available, it will be sold out within ten seconds. And it is often necessary to add appointments to basically meet the patients' medical needs. For example, today, Dr. Zhou has added dozens of appointments. Not long ago, he successfully rescued a critically ill child transferred from another hospital!"
After Director Tang Fei finished her introduction, she looked at Zhou Can with a smile.
She tried her best to prevent Zhou Can from suffering any grievances for this hero in pediatrics.
We are never stingy with the honors, bonuses, and development opportunities that are deserved.
"It turns out that Dr. Zhou is so amazing. No wonder Professor Wei strongly recommended him to me." After hearing this, Lin Jinzhi looked at Zhou Can with a completely different look.
Full of respect and hope.
"I'm really not that good, I'm just being kind to you. Let's hurry up and diagnose the patient!"
Zhou Can felt a little embarrassed by being praised so many times.
The experts present here actually have their own little plans in mind.
Because of Lin Jinzhi's noble status, there are many experts who want to curry favor with him.
Zhou Can had just asked two questions when Lin Jinzhi gave him the cold shoulder. Then several experts immediately rushed to ask questions. These people were just trying to steal the credit.
Now that Director Tang Fei has praised them so much, their attempts to grab credit have become somewhat futile.
At least Lin Jinzhi already had a very deep impression of Zhou Can.
"The experts have just worked together to identify five diseases that are similar to Lin Yuxi's. Director Tang has ruled out two of them, and I will rule out three more. Crohn's disease, myeloma, and lymphoma can all be ruled out."
As soon as Zhou Can expressed his opinion, everyone's jaw dropped.
Lin Jinzhi was even more dumbfounded.
He didn't expect that Zhou Can would rule out the remaining three diseases in one go.
These are the five most likely diseases that many experts have come up with after discussing for a long time!
They were all rejected, which was somewhat smack of youthful arrogance.
"Doctor Zhou has ruled out the remaining three diseases. So what do you think it is?"
An elderly expert asked somewhat unhappily.
"The course of Crohn's disease is often extremely long, at least half a year. Moreover, Crohn's disease has an acute and severe onset, and there is no recurrence. It mainly manifests as intestinal diseases. So it can be ruled out directly."
Zhou Can calmly explained why the three diseases were ruled out.
"Myeloma was also ruled out. No myeloma cells were found in the bone marrow puncture. There was only one symptom of unexplained high fever, which was difficult to support the diagnosis of this disease."
"Lymphoma sounds like a tumor, but based on my personal clinical experience, it is rare to feel such a large cord-like mass in the ileocecal region. Moreover, the nature of the mass is far from the feel of a tumor. In addition, the symptoms and signs are inconsistent with lymphoma, so it can also be ruled out."
After explaining the reasons for eliminating the three diseases one by one, Zhou Can swept his eyes across the audience.
Finally it fell on Lin Jinzhi's face.
"I think the most likely cause is malignant histiocytosis, also known as intestinal malignant histiocytosis, which is extremely dangerous."
As soon as Zhou Can finished speaking, the old expert immediately denied it, "It is rare for the evil group to have a mass in the abdomen."
Those present are all highly qualified and experienced experts.
We have a deep understanding of various common and rare diseases.
"Yes, the bad group does have very few abdominal masses, but the patient's symptoms and the rapid progression of the disease are highly similar to those of the bad group. Although the experts at the Provincial Children's Hospital have basically ruled out this disease, I highly suspect it is this disease."
Zhou Can has always had unique insights into diagnosing difficult diseases.
"Director Tang, I think it would be better for you to preside over the discussion of the diagnosis results. Doctor Zhou has the adventurous spirit of a young man, he is too aggressive , has a big imagination, and is a bit paranoid. This patient is the daughter of Director Lin, we should be cautious and not take too many risks."
This senior expert, like Director Yan, is a re-employed senior pediatric expert.
When she participates in consultations, as long as Zhou Can participates with her, she will refute Zhou Can in a more targeted manner.
Sometimes, people become weirder as they get older, and Zhou Can was too lazy to pay attention to them.
At this moment, no one knew what was wrong with this old lady, she was obviously very aggressive towards Zhou Can.
The prejudice against Zhou Can was almost written on his face.
"Director Qu, have you heard that severe cases require strong medicine? I think no matter what, we should listen to Dr. Zhou's explanation first. It should be correct. Based on previous consultation experience, Dr. Zhou's diagnosis accuracy rate is close to 100%."
Director Tang Fei is extremely protective of Zhou Can.
But we must also respect these old experts.
Otherwise, these old experts would start to act like children, which would be quite troublesome.
"Is his diagnostic accuracy that high? Didn't he misdiagnose the little boy with a brain tumor that I consulted with him last time? At that time, he said the boy had cardiovascular disease, but I diagnosed it as a brain tumor. Later, didn't the cranioscopic exploration prove that it was a brain tumor?"
Director Qu was quite unconvinced.
He even went so far as to expose Zhou Can's embarrassing moments.
"Don't mention that little boy."
Director Zhuang shook his head and sighed repeatedly.
"I don't mean to bring this up. I just want to tell everyone that Zhou Can is indeed an excellent young man, but we can't make him too famous. Otherwise, we'll be overpraising him! This time, the life of the daughter of the Forest Bureau is at stake, so everyone should be even more cautious."
Director Qu said righteously.
I don’t know why this old lady is trying so hard to please Director Lin?
Adults often do things with a strong purpose.
She must have some purpose.
"Director Qu, I didn't want to talk about this anymore. In fact, it was later confirmed that the brain tumor in the little boy's head was a benign tumor, and it did not cause any adverse effects on the boy's body. After it was removed, the boy's symptoms remained. The boy was later transferred to the cardiothoracic surgery department and was cured by Dr. Zhou and Director Xueyan. We were worried that you were too old to accept it, so we didn't tell you the final result."
Director Zhuang said helplessly.
Suddenly, Director Qu's facial expression became stiff, and the atmosphere in the conference room became weird.
Everyone wants to laugh, but dares not.
I’m afraid that the old lady is too old and if she gets stimulated, something might happen on the spot, which would be troublesome.
