My Medical Skills Give Me Experiences

【My medical skills can add experience points】【】

In fact, the vast majority of people are very responsible, kind-hearted and simple. This female patient has a strong self-esteem, and she would rather go hungry than eat the meal Zhou Can sent for nothing. How wonderful it would be if it weren't for the inhumane entrustment! She was tortured and abused at such a young age. If she could escape from that devilish man in time, maybe she wouldn't end up like this. In this era when there are more men than women, with her conditions, she can find a reliable and good man and live a happy life. Zhou Can comforted her a few words, but said nothing more. After going to the cafeteria to eat, I brought her back a packaged meal. "Chen Xiaohong, I don't know if these meals are to your liking. Before your mother comes, I can only make up for you." Zhou Can put the meals on her bedside table. Although her current state is very weak, she can take care of herself completely. This is why the inpatient department agreed to admit her to the ward without her companion. "You...why did you really buy food for me! I, I don't have any money with me now, can I give it to you later?" The female patient was so moved that she spoke incoherently. The duty of a doctor is to see and treat patients, and he has no obligation to take care of the patients at all. "How much it hurts to mention money! When your illness is cured, I will go to your hometown in the future if you have a chance. If you treat me to a good meal, won't it be even? Eat quickly! You are hungry Meal, do you know what will happen to the tumor in your stomach?" Zhou Can asked her seriously. "What will happen?" She would get up, open the food box, and see the hot food, her nose would burst into soreness, and tears would fill her eyes. But it felt very warm in my heart. It's been a long time since she was cared about so much. "Every time you starve, the tumor in your stomach will grow by one-tenth. You only need to starve ten meals, and it will double in size." Zhou Can made up a white lie in a serious manner. It is true that if you skip meals, your body will become weaker, your immunity will decrease, and cancer cells will spread faster. As for starving for ten meals, the tumor doubled in size, it was purely fabricated by Zhou Can. "It turns out that skipping meals will have such serious consequences!" She obviously believed it. "The actual consequences may be more serious than this. So, in the future, you must eat on time and match nutrition reasonably. Let me tell you, people live in this world, except for life and death, other things are trivial. Your stomach tumor is still there. It's only Phase 2, as long as you receive the correct treatment in time, the effect will definitely be very good. Come on!" Zhou Can encouraged her. "Yeah!" She bit her lip, trying not to cry. Zhou Can walked to bed 79. At this time, there was a middle-aged woman who was about the same age as the female lawyer in front of the bed. I don't know if it was an illusion, but Zhou Can actually sensed the breath of a doctor from this woman. Is she also a medical worker? "This is my good friend Cao Shan. She heard that I was hospitalized here, so she came here to see me." The female lawyer smiled and introduced the woman's identity to Zhou Can. "Hello, Ms. Cao!" Zhou Can politely greeted the middle-aged woman. Cao Shan stood up and offered her hand, "Hello! Nice to meet you, a warm-hearted young doctor!" After the two shook hands politely, Zhou Can was about to ask the female lawyer if she had diarrhea. Cao Shan lowered her voice and said, "I have never seen a statement in medical journals or scriptures that starving for ten meals will double the size of tumors! Doctors buy meals for patients themselves, and lie to lie She eats, you are the most caring doctor I have ever seen." Sure enough, it was a colleague. I just don't know which hospital she is a doctor from? It should not be a doctor from Tuya Hospital. Otherwise, she should wear the hospital uniform. "You are too much!" Zhou Can replied indifferently, then looked at the female lawyer again. "Ms. Gong, I would like to ask if you have had diarrhea recently?" Now that she has finished her meal, it should not be wrong to ask this matter. "Diarrhea occurs occasionally. Especially a while ago, I would have diarrhea almost every other time. Later, I bought antidiarrheal medicine and took it, and the situation was much better." She did not mention this in the medical history collection. Many patients ignore such problems. Only when you have diarrhea when you seek a doctor, will you take the initiative to respond to the doctor. And it must be persistent diarrhea that will arouse the patient's vigilance. Occasionally diarrhea once or twice, most patients will not pay attention to it. Zhou Can got the answer he wanted, so he didn't delay any longer, and hurried back to the ward to supplement the patient's information. At one o'clock in the afternoon, I have to go to the outpatient clinic with Director Shang, so I must hurry up. "There is another symptom of diarrhea. What is the real cause of this female lawyer?" Zhou Can racked his brains to speculate about her real cause. While thinking hard, a symptom that matched the cause of the disease suddenly flashed in his mind. Thrombosis in the portal vein. This is a relatively rare disease. Portal vein thrombosis can occur in any segment of the portal vein. The etiology is unknown in the vast majority of cases. From the current clinical experience, the disease may be associated with systemic or local infection of purulent portal phlebitis, cholecystitis, adjacent lymphadenitis, pancreatitis, and liver abscess. Portal vein thrombosis is also thought to be associated with varicose veins. Diagnosis of this disease is quite difficult. Many elderly doctors may ignore its existence. B-ultrasound and CT can detect the disease theoretically. At least some experienced doctors can see some clues. However, to confirm the diagnosis, angiography or MRI must be done. Angiography is generally preferred. Depending on the location, splenic portography or superior mesenteric artery angiography can be performed. Through the venous phase of contrast, it is possible to confirm whether the patient has portal vein thrombosis. Compared with common cardiovascular artery and cranial artery thrombosis, portal vein thrombosis is more like a silent silent killer. After it has a thrombus, some patients have a strong tolerance and can even wait a long time before arriving at the hospital for treatment. There are also acute and severe cases. After the thrombosis occurs, the patient is directly sent to the hospital for emergency treatment. Such patients will experience paroxysmal severe abdominal pain around the umbilicus, often accompanied by obvious nausea, vomiting, blood in the stool, vomiting blood, diarrhea and other emergencies. The female lawyer has been ill for at least a month, and she seems to have some mild symptoms that are not particularly serious. Zhou Can is not sure whether she has this disease. Later, I will be able to have a consultation with Director Shang, find an opportunity to discuss with him, and maybe we can get an answer. At least the patient can be advised to have an angiographic examination. When the hospital diagnoses this difficult and miscellaneous disease, it basically does not consider whether the examination prescribed is excessive. As long as the attending physician believes that relevant examinations are beneficial to the diagnosis of the cause and will not cause serious impact on the patient, they can apply for it. Zhou Can thought that it would take an afternoon to go to the outpatient clinic. The patients with gastric cancer in bed 77 and the patients with liver cirrhosis in bed 79 were not acutely ill, and their signs were stable, so there was no need to worry too much. The patients with esophageal anastomotic leakage and anastomotic segment occlusion in bed 71 were an unstable factor. Zhou Can decided to hurry up and go to the ward to see the situation. If there is no problem, at least you can rest assured. When I came to the ward, the nurse was giving nutrition injections to the 71-bed patient. Intravenous nutrition is also the only way this patient currently uses to support his life. Because the section from the esophagus to the jejunum was blocked, he couldn't eat anything. Even his own saliva had to be spit out in time. The pain, only the patient himself knows. The arrival of Zhou Can made the patients and their families in bed 71 very happy. Because Zhou Can's diagnosis of the 73-bed patient is very good, which is enough to prove that Zhou Can's diagnosis level is extremely high. "Doctor Zhou, you are here!" The family members respected Zhou Can very much. Because Zhou Can has already shown a very high level of medical skills. "Is the situation okay? The operation can be arranged tomorrow. You must cover yourself with a quilt when you sleep at night, and you must not catch a cold." Zhou Can told his family members. While bending down to check the patient's condition. Not bad, except for being weak, the patient's vital signs are fairly stable. Theoretically speaking, let alone one afternoon, even if he stayed in the hospital for a few more days, his condition would not deteriorate immediately. After Zhou Can looked at the patients he managed, he subconsciously looked at the other beds. I promised Duan Zifu and Yu Xin that we are all doctors in the same group and should help each other when the other is away. Yu Xin's attitude towards him now has also undergone a 180-degree change. It's no longer the cold face like before, like someone owes her millions. The patient in bed 73 who underwent pancreatic duct stone extraction was Zhou Can's key investigation object. After rehydration, the patient's condition improved. But it still looks like a pain in the stomach. "Doctor Zhou, my husband has had diarrhea more than ten times this morning, and he is exhausted. Is it really all right without medicine?" the family member asked Zhou Can. Compared with Yu Xin, the family members are more willing to trust Zhou Can. Almost all family members have this virtue. Whichever doctor has better medical skills, they will trust him. "Judging from his physical records, he should be pretty good now. The third immune mechanism in his body seems to have been activated. I believe his condition will turn around by six or seven in the afternoon." Zhou Can checked the patient case, an explanation is given. When inactive macrophages are reactivated by synergid cells, they not only more than double in size, but also become more rapid. It can also release highly toxic substances that are horribly lethal to Salmonella. Salmonella can't beat the macrophages at this time at all, and will soon be completely defeated, and finally completely defeated and eliminated by the body's immune system. There is almost no suspense about victory. If the patient has not improved until tomorrow, he must take medication decisively. Because it means that the patient has serious complications. Serious diseases such as typhoid fever and sepsis. At this time, the body is equivalent to a multi-faceted battle, and the defense system directly collapses. Without medical intervention, the patient would die quickly if treated. "That's fine! Let's wait and see!" The family members trusted Zhou Can's words and agreed to Zhou Can's proposal. "Did you know? In fact, every time our human body's immune mechanism is activated and successfully eliminates germs or diseases, the immune system is equivalent to getting a training session, and it will become stronger. At present, with our country's medical With the improvement of the level, all pediatricians have reached a consensus that babies should not be treated with drugs immediately when they have a cold, especially antibiotics must not be abused." "Instead, try to use the baby's immune system, as well as Antibodies, fight against colds. As long as they can survive, the baby's immune system will be stronger than before. After a few exercises like this, when the baby is weaned at one year old, they will be able to adapt well to the complex environment of this world." " Your husband is an adult, but every time the immune system is exercised, it will become stronger, and this rule will not change." Zhou Can said to his family. Family members may not accept or understand these theories. But as a doctor, it is a kind of charity and a very meaningful thing to properly popularize some useful basic medical knowledge to family members. People in China are becoming more and more health conscious, which is the result of the joint efforts of doctors. Popular science today, popular science tomorrow, slowly, the common people learn more and more medical knowledge. After they go back, they will publicize it to their family and friends. In this way, the health awareness of the whole people has been improved. In the past, few ordinary people would exercise in the morning and evening, but now, there is almost a wave of fitness for all. There are more and more participants, and more and more people insist on exercising. At present, the abuse of antibiotics has also been brought under certain control. Ordinary people with a little medical knowledge will no longer go to small clinics for infusions and drips as soon as they get sick. Because they have understood the consequences of the overuse of antibiotics. These are all good signs. Zhou Can looked at the patients in bed 73~www.wuxiax.com~ and looked at the family members. "It is recommended that you also conduct a salmonella infection investigation in time. It will not cost much, and the inspection process will not be very painful. Otherwise, if there is a problem, it may cause great losses." Zhou Can said to her. "It's okay! I'm fine until now! Besides, even if my husband is infected with salmonella, don't you just give him some fluids? There is no need for medicine or anything. I am a healthy person, but I am really infected. , can also resist the past.” The family members are unwilling to spend more money. Politely rejected Zhou Can's proposal. Zhou Can didn't say anything more. If the persuasion continued, the family members thought he was trying to get the inspection commission. In fact, he is just a regular trainee now, Mao's commission. What you get every month is only the basic salary. I really doubt that the reason for the three-year regular training in the hospital is to save the cost of employment. When Zhou Can returned to the office, Director Shang did not come over in person. Instead, ask the nurse to call him directly, and if there is no urgent matter at hand, immediately rush to the No. 1 Special Needs Specialist Consulting Room of the outpatient clinic. Director Shang is in the No. 1 Special Needs Specialist Clinic of the Gastroenterology Department, which shows that his strength and status are the strongest chief physicians in the Gastroenterology Department. Zhou Can found the doctor in charge of the bed and explained it, then hurried to the outpatient clinic. The doctor in charge of the bed is generally a doctor at the attending level in name, but in the actual operation process, it is more common for the inpatient to hold this actual position. The inpatient was originally a well-rounded person. Hearing Director Shang asked Zhou Can to go to the outpatient clinic to follow him, in addition to being envious, he also looked at Zhou Can more highly. He fully agreed, and let Zhou Can study with peace of mind. This invisible status still makes Zhou Can feel quite comfortable. During the whole year as an intern, he was treated like a grandson by the hospital chief. Sometimes there are all kinds of scolding. Now, the general hospitalization level treats him politely.