My Medical Skills Give Me Experiences

【My medical skills can add experience points】【】

Zhou Can, Yu Xin, and Duan Zifu are actually in a competitive relationship. Logically speaking, there is no obligation to help her solve the problem. If people are not for themselves, heaven and earth will perish. Helping a competitor is tantamount to harming oneself. "It doesn't matter if Dr. Zhou can't help. The patient suddenly developed abdominal pain, and the condition itself is very complicated. We, Gui Peisheng, can't analyze the cause. This is a very normal thing." not bad. Maybe in her opinion, Zhou Can was just unwilling to help, but she didn't expose it. Instead, he spoke to Zhou Can to step down. "After the morning meeting is over, I'll go to the ward to help you see the patient's condition. Now I just listen to a few simple symptoms from you, and I really can't make an analysis and judgment. A hasty diagnosis is also a disservice to the patient. Responsible." Zhou Can said with a straight face. "Well, thank you!" She said nothing, and the three of them entered the meeting room together. Attending the morning meeting of the department, basically the chief physician sits at the front, the attending doctor and the resident doctor sit in the middle, and the regular trainees, advanced students and interns sit at the end. In terms of status, it must be that Gui Peisheng of this hospital has the highest status. The advanced students are next, and the interns are the worst. Many people think that advanced students are awesome. Because most of the trainees are excellent doctors at the county and city level, carrying the high expectations of the elders in their hometown and the original hospital, they come to big hospitals to increase their knowledge, learn more advanced medical skills and go back to improve the diagnosis and treatment level of their hometown hospitals. In fact, the status of intern students in a large hospital like Tuya is very low. I can learn some knowledge and technology, but it is difficult to learn the core medical technology. Soon, the meeting room was full of people. There are doctors and there are nurses. Everyone consciously sat apart. The nurse sits on the right and the doctor sits on the left. I don't know whether it is based on the tradition of men left and women right, or the left is honored since ancient times. Doctors have a higher status than nurses, so they sit on the left. Director Shang gave a speech with a serious face, "I called everyone for this morning meeting today because a major medical accident almost happened in the department yesterday. A patient with gastrointestinal bleeding began to have abdominal pain and blood in the stool since four o'clock in the morning. The bed doctor was careless, and only did the most basic physical sign measurement and monitoring for the patient, and did not take effective measures in time..." The audience was quiet, and no one dared to touch the mold at this time. Because Director Shang's words are very harsh. It was obvious that this matter made him very angry. "During this safety accident, we must seriously criticize Dr. Zhang Hou, who manages the bed." Dr. Zhang sat among many residents, with his head down, not even daring to lift his head. This is considered a name-calling criticism in the department. The degree of severity is second only to the whole court's notification of criticism. Speaking of it, he really wasn't wronged at all. Zhou Candu had already suggested that he quickly perform an angiography of the digestive tract for the patient, but he refused to listen. Maybe it was a fluke, thinking to wait until the superior doctor came before making a decision. Unexpectedly, this procrastination directly dragged out a big event. "Dr. Zhang Hou found that the patient had abdominal pain, blood in the stool, etc., and did not report it to the superior doctor in time. Dr. Zhou Can happened to pass by. After seeing the situation, he suggested that the patient should be given an angiographic examination of the digestive tract immediately. Instead of obeying, he sent Zhou Can criticized for a while. This kind of official who is not a big official and powerful, as well as the fluke and careless work attitude towards the patient's condition, must be taken as a warning. Regarding this, I myself I hate it." Doctor Zhang's face became pale and gloomy. If there is a crack in the ground, he can't wait to get in. It's embarrassing to criticize seriously in front of all the doctors and nurses in the department. "For this safety accident, we must praise the new training doctor Zhou Can. It is his seriousness and responsibility, urgency for patients, and pressure to give advice to Dr. Zhang who is in charge of the bed before the accident. After the accident, he actively participated in the rescue and played his best. The doctor loves the spirit and finally helps the patient out of danger. It not only saves the life of the patient, but also preserves the reputation that the department has accumulated so hard. His behavior is worth learning for every medical staff." After Director Shang finished speaking, he looked at Zhou Can sitting in the back row. "Doctor Zhou, please stand up and let everyone get to know you, by the way." Zhou Can wanted to keep a low profile, but Director Shang refused to let him. It was a deliberate attempt to make him famous. There was no other way, Zhou Can could only stand up and bow to his surroundings. "Little brother Zhou Can, I'm new here, please take care of me seniors. I'm done, thank you all." The short and short speech made everyone covered their mouths and laughed. They also had a good impression of Zhou Can. Next, Director Shang put forward requirements for the medical safety and nursing safety of the department. Let each group in the department check the patients they manage to ensure that no one is missed. Doctor Zhang, who was in charge of the bed, was definitely not as simple as deducting the bonus for the month. This incident will have a considerable impact on the future. It takes twice as much effort to remedy. After the meeting ended, the worry on Yu Xin's brows deepened. "Doctor Zhou, can you please go to the ward and help me see that patient? If I can't find out the reason, I will report to Director Shang immediately." She was obviously very frightened by what happened to Dr. Zhang. The lessons learned from the past are in front of her eyes, so she can't help but not be afraid. "Go! Take a look! It is said that three cobblers can beat Zhuge Liang. The three of us consulted that patient together. There is no reason why we can't find out the cause of the disease." Zhou Can's words made Yu Xin, who has always been aloof, rare Showing a smile. The metaphor of the cobbler is really vivid. The three came to the ward, and the 73-bed patient was lying on the bed with a weak face. The whole person's condition is very bad. "Excuse me, did you have diarrhea just now?" Zhou Can's inspection ability is not comparable to that of Yu Xin and Duan Zifu. The actual combat experience he has accumulated through a lot of practice on the front line far exceeds that of ordinary regular trainees. The patient's complexion, state, expression, gaze, etc., can all become the basis for his diagnosis. "How do you know? Did you smell a bad smell?" The family members next to him asked a little embarrassed. "We didn't smell the bad smell, but we could tell by observing his face and mental state." Zhou Can explained to the family. Some patients and families are very sensitive. Especially afraid of affecting other patients. Especially for some patients who can't take care of themselves, sometimes they can only lift up the curtain of the hospital bed and solve it in the ward. "You can see this just by looking at your face! Your Tuya doctor is really good!" After hearing this, the family members were no longer so embarrassed. Zhou Can saw the patient's body trembling from time to time, and the quilt was covering his body tightly. "Are you cold?" Zhou Can touched the patient's forehead with the back of his hand. The temperature is indeed a little high, but it is not a high fever. Instead, it was the patient's shivering behavior that aroused his vigilance. Fever accompanied by chills, nausea, abdominal pain, and diarrhea are also present. The combination of so many symptoms is a disaster for a patient who has just undergone surgery. "I, I feel cold, and my stomach is very uncomfortable. I can't say it, it's like a bad cold, with a little difference. Doctor... Will I die?" The patient's mental state seemed very tense. He even asked the doctor without hesitation, would he die? It shows that the patient is very uncomfortable at the moment. "Don't worry, it's just some minor symptoms. Our hospital has done countless operations to remove pancreatic duct stones, and the technology is very mature. Under normal circumstances, you can leave the hospital in a few days." Zhou Can didn't dare to say too much about the time die. The length of a patient's hospital stay varies from person to person. Even if it is the same disease, with the same treatment, some people will be discharged from the hospital two or three times, and some will need more than a week. It is closely related to the patient's constitution, whether there is postoperative infection, and whether there is postoperative complication. Zhou Can saw the patient's hand pressing on the upper left abdomen. This position is slightly lower than the pericardium, which should be the area where the stomach is. Reminiscent of the patient's symptoms of nausea and diarrhea, Zhou Can secretly speculated that the patient seemed to have a problem with the digestive system. "Does your stomach hurt?" he asks patients. "It's just a little bloated, and it's especially uncomfortable when you feel nauseous." Just as he was speaking, the patient suddenly became painful. "Basin, get the basin quickly." Zhou Can hurriedly said to the family. The family members didn't know why, but were worried about the patient's pain. Zhou Can caught a glimpse of the red basin under the bed, bent down and took it out, and held it. The patient raised his body sideways with difficulty and stuck his head out of the bed. "Vo...wow!" Some liquid filth spit out from the patient's mouth. Almost spray-like. The family members reacted at this time and quickly took the basin from Zhou Can. At the same time, he secretly admired Zhou Can's medical skills. Whether it was by observing the patient's face and mental state before, it was accurately inferred that the patient had diarrhea not long ago. At this moment, it is the first time to see that the patient wants to vomit. The time in between was so short that the patient vomited out before he even had time to speak. Not to mention the family members of bed 73, even the family members of the other three beds looked at Zhou Can with admiration. The same three Gui Peisheng, Zhou Can performed exceptionally well. The level of medical skills varies, and this is the only thing that cannot be faked. Whether there is real ability, you can see whether it is true or false when facing the patient's condition. Zhou Can patted the patient's back to help the patient relax. After the patient finishes vomiting, pick up water and rinse the patient's mouth. These are just small things, but these details deeply warm the hearts of patients. The family is very grateful to him. Most of the doctors are cold and condescending towards patients and their families. There are not many doctors who can truly treat patients like family members. Doctors who speak beautiful words are the most. "When did the patient have the operation yesterday?" Zhou Can turned to ask Dr. Yu Xin. "It was about 10:30 yesterday morning." She could immediately answer the time when the patient left the operating room, showing that she was working hard. Zhou Can thought for a moment, and his eyes became brighter. After the patient vomited at this moment, the state of the whole person became better. After vomiting, the patient will feel much more comfortable. "When did the patient eat after returning to the ward after the operation?" Under normal circumstances, fasting for more than twelve hours is required before the operation. The patient vomited quite a lot and had diarrhea, indicating that he must have eaten after the operation. "It was about four o'clock in the afternoon! I saw that my husband's operation was going very well. The condition after the operation was also very good, so I hurried to a restaurant outside and asked the chef to make chicken soup for him. This way Nourish the body, and the disease will be cured quickly." The family members recalled and told the situation at that time. When expressing what she thinks is the correct nourishing point of view, there is also a little pride that I am very smart. Zhou Can nodded, the time was very consistent with the disease he suspected. From 4:00 pm to 7:00 am this morning, about 15 hours. At around seven o'clock in the morning, he came to the ward to check the condition of the patients in bed 71, and found the patient in bed 73 humming. It shows that more serious symptoms have already appeared at that time. "Is the restaurant where you bought chicken soup a small restaurant?" Zhou Can asked the family again. "Yes, it's a small restaurant that specializes in fast food." "He's undergoing a pancreatic duct stone removal operation, which is already considered a major operation. According to the doctor's order, you can't eat for three to five days. Didn't the nurse tell you?" Zhou Can said to this The family members are really speechless. Don't take the doctor's orders seriously. Many family members thought that the patient had just finished the operation and was weak and needed a lot of nutrition to recover quickly. As everyone knows, there is a saying in Chinese medicine that the deficiency cannot be supplemented. It is very wrong to take a large amount of supplements immediately after recovering from a serious illness. Just after the operation, the patient needs to eat mild and easily digestible food. Avoid spicy, tobacco and alcohol and other irritating food. This patient has just had a pancreatic stone removal operation, and he can drink water for five or six hours after the operation, but cannot eat. The doctor will also give the patient some necessary nutritional support. In fact, the family does not need to worry at all. "Didn't you say that you can drink water? I just thought, there is no difference between drinking chicken soup and drinking water... Is it because my husband drank chicken soup that he had these serious adverse reactions?" When the family members heard Zhou Can's slightly reproachful words, they immediately Full of remorse and regret. It was a good intention, but I didn't expect to hurt my husband instead. "Drinking chicken soup itself will not cause so many problems, but the chicken soup you gave him may be problematic." Zhou Can looked serious. Yu Xin next to him could only watch and listen in the whole process. During the entire diagnosis process, she was not capable of leading the questioning like Zhou Can. Based on the clues, she asked all the things the patient did behind the back of the doctors and nurses. To be honest, even she, the bed doctor, didn't know that the patient secretly drank chicken soup yesterday. She has been emphasizing to her family members that she should not eat for a week after the operation. Deliberately prolonging the fast by two or three days is just in case. Unexpectedly, the family members pretended to be clever and secretly ordered chicken soup for the patients outside. Some young women demand this and that from their boyfriends or husbands after watching the video clips on the Internet. I can't wait for my husband to be as good as the male **** in the video. Then the family couldn't rest in peace. Netizens refer to this phenomenon as drinking the "poisonous chicken soup" on the Internet. Now, the chicken soup that family members give patients is really poisonous chicken soup. "Is there something wrong with the chicken soup? It should be impossible! The live chickens I personally selected, let them kill them and make them now!" The family retorted. "Judging from the patient's various symptoms, it should not be postoperative complications, but food poisoning. You must strictly follow the doctor's orders in the future. If you have any ideas, you can ask the doctor or nurse in time. You have to believe that doctors and nurses are not the patient's Enemy. We have worked hard, and the purpose of the family members is the same, we all hope that the patient will recover soon. The reason why the patient is not allowed to eat is because the patient's physical condition does not allow him to eat, not because the doctor abused the patient." Zhou Canyu thought earnestly about the family members Work ~www.wuxiax.com~ I hope she can learn her lesson in the future. "To give an inappropriate example, when your child eats junk food, you don't let him eat it. In your opinion, this is for the sake of his health. Many leukemias and tumors are caused by eating junk food. But your child won’t think so, he will only think that his mother doesn’t let him eat delicious spicy sticks, which makes him unable to enjoy his tongue.” Zhou Can even gave an example to educate his family members. As soon as the words fell, the patients in other beds spontaneously applauded Zhou Can. "Dr. Zhou's words are great! Doctors are parents, we will definitely try our best to understand the doctor's good intentions in the future." The daughter of the 71-bed patient stayed in the ward to take care of the patient. She has always had a good impression of Zhou Can and has a high degree of trust. At this moment, he was the first to speak for Zhou Can. "Thank you for your recognition. Our doctors are by no means the enemy of patients and their families. We are all comrades in arms. We fight together to eliminate the patient's disease. The family members give our doctors the greatest trust and understanding. Seeing the patient recover and leave the hospital, these are the most gratifying things for us matters." Zhou Can said to the family members and patients in the ward. Through this incident, family members and patients can have a better understanding of doctors, which is a good thing. "Doctor Zhou, what type of food poisoning does this patient have?" Yu Xin looked at Zhou Can with sincere admiration in her eyes. Regardless of medical skills or medical ethics, she was deeply infected. All her previous pride, compared with Zhou Can, is like the light of fireflies competing with the bright moon. The two are too far apart. "If I'm not mistaken, it's probably salmonella. Salmonella is most likely to lurk in the chicken body. When cooking, if the salmonella inside the chicken is not killed by high temperature, infection will occur after eating." Zhou Can said own diagnosis. Whether this is the result or not needs to be checked to be sure.