My medical skills add experience

Chapter 594 Seeing but not knowing Mount Tai, looking for embarrassment by yourself

Sitting below, Zhou Can listened to the five diseases mentioned by Director Tang Fei, and almost subconsciously ruled out most of them.

"Let's talk about typhoid fever again. First of all, typhoid fever is self-limiting, and the course of the disease generally does not exceed one month. The lower gastrointestinal bleeding occurs about half a month after the onset. Wuxi's Feida and Waifei reactions were negative, and blood, feces No pathogenic bacteria were found in the culture, and she did not have the typical clinical manifestations of typhoid fever. Typhoid fever can basically be ruled out."

Director Tang Fei has a very high level and is very familiar with various intestinal diseases.

She can tell one, two, three why every disease is ruled out.

"There are three remaining diseases, and it is more difficult to rule out. Dr. Zhou Can is a super talent in our pediatrics department. He was once a key training object in gastroenterology and digestive surgery. He has unique insights in diagnosing various difficult cases. Next, please Take over the analysis and try to diagnose Lin Aixi's cause, okay?"

Director Tang Fei actually carried Zhou Can out after ruling out two diseases in a row.

This is clearly exalting Zhou Can's identity.

It also helped Zhou Can eliminate the grievances he suffered before.

It can be understood as a kind of caring.

Lin Jinzhi thought that Zhou Can was young, so he asked Zhou Can to ask less questions in public, leaving time for the old experts.Director Tang Fei felt that Zhou Can was wronged by this incident. At that time, other experts did not take Zhou Can's feelings into consideration, but she remembered it deeply.

Because Lin Jinzhi's status is very noble, he cannot be directly refuted like ordinary family members.

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 anything, but he was full of gratitude to Director Tang Fei in his heart.

It is clearer that she is expressing kindness.

It is precisely because Director Tang Fei has always treated him well that he was like a brave general when he was working in the pediatrics department, constantly charging forward and making countless contributions.

Lin Jinzhi looked at Zhou Can in 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 his medical skills are actually very high."

Director Tang Fei nodded solemnly and said.

"Professor Wei Zhengzheng also mentioned Dr. Zhou when he was transferred to the Provincial Children's Hospital. Just now I didn't know Taishan, so I despised Dr. Zhou. Please don't blame me!" Lin Jinzhi is also a BOSS out of a human being.

From Director Tang Fei's words, she already understood her deep meaning.

This kind of BOSS-level character can also put down his figure.

He apologized to Zhou Can on the spot.

"Forest Bureau is polite!"

Zhou Can waved his hand indifferently.

As his strength continued to improve, he became less and less concerned about various false names.

He still cared if he was despised before, or someone said bad things about him.Now it's really calm and breezy, don't care.

"Professor Wei admired you very much, and asked me to transfer my daughter to Tuya, so I can see the effect first. If there is no major diagnosis progress, I can ask you for help. Really, I even gave me your phone number .It’s all right now, you participated in the consultation directly, and I don’t need to ask you for extra help. I just didn’t expect you to be so young.”

Lin Jinzhi raised his phone and told Zhou Can that his phone number was saved.

"Professor Wei really thinks highly of me. In fact, I'm just a resident doctor in Tuya Hospital."

Zhou Can couldn't help showing a wry smile.

Sometimes, he doesn't understand why these professors and directors think so highly of him?Either they want to accept him as a successor, or they discuss the Tao with his peers, and even admire that his medical skills are better than theirs.

This makes Zhou Can really helpless sometimes.

In fact, he just doesn't know how good he is.Almost no doctor can promote so many medical skills to the director level at the same time.

And different from other doctors, Zhou Can followed the general practice development route.

Other doctors are basically specialists, and they can choose at most two medical fields.

When Zhou Can was first trained, he also thought that he could chew more than he could chew. Instead of knowing a little about everything and being broad but not proficient, it is better to specialize in two fields.

Later, he discovered a strong connection between the various fields of medicine.Simply mastering one or two subjects will cause many shortcomings and obstacles in diagnosis.

Even with this understanding, he still never thought about taking the general practice development route.

Dr. Xu, Director Hu Kan, Director Tan and others have all warned him in this way, asking him to determine one or two areas of specialization as soon as possible, and devote most of his time and energy to the main direction of attack.

At the end of the regular training, he found that he seemed to have reached a fairly high level in many medical fields.

After several years of residency, the accumulated clinical experience has become richer and more knowledge has been learned.He found helplessly that he was developing towards a general practitioner.

He discovered this problem when the pathological diagnosis was promoted to the sixth level.

Later, when the pharmacological syndrome differentiation was also promoted to the sixth level, the chief physician of the general practice level was born.Maybe he still has some shortcomings and flaws, but this shortcoming is constantly decreasing.

For example, in the field of orthopedics, he used to be weak in joints and various difficult orthopedic diseases.

Now I am studying orthopedics in graduate school, and I am making up for this shortcoming.

In addition, he was not particularly good at pediatrics before.

Although he gained some reputation in pediatrics, he mainly relied on his excellent diagnostic ability and emergency rescue ability.

However, after several years in pediatrics, he has participated in many difficult cases, participated in various difficult pediatric surgeries, and emergency rescue, which gave him a wealth of accumulation and qualitative breakthroughs.

Unknowingly, his level of diagnosis and treatment in the field of pediatrics gradually equaled that of chief physicians in pediatrics.

For example, Director Zhuang Sheng is good at neonatology, and he is an expert in this area.

Zhou Can is now also good at neonatology.

Another example is Director Yan, who is good at pediatric respiratory diseases, and Zhou Can is also good at it.

Therefore, one Zhou Can is equivalent to integrating N pediatric directors.

This is only in the field of pediatrics. Zhou Can is also excellent in many fields such as cardiothoracic surgery and emergency department.That's why those professors and experts will admire him deeply and highly praise him after they come into contact with him.

"Before I transferred my daughter to Tuya, I had also heard about Dr. Zhou's reputation. As early as more than a year ago, I heard some friends and colleagues mention that among the new high-level doctors in the province, many I mentioned Dr. Zhou Can from Tuya for the first time. But what I learned is that you seem to be very capable in the fields of emergency and cardiothoracic surgery."

Lin Jinzhi is the boss of the medical system, so he is naturally well-informed.

The situation of famous doctors that I have mastered is far beyond imagination.

He basically knows the real high-level doctors in the province.

At least he should have such a roster.

It is unrealistic to say that every doctor's name and field of expertise are memorized.

It is more likely that there is a need, so take it out and double it.

Zhou Can is so young, but he was honored to be mentioned by many people in charge of the department and entered the roster of high-level doctors.Needless to say, this is an honor.

"Dr. Zhou is very low-key. He is good at emergency and critical care and cardiothoracic surgery. He has been working in the pediatrics department for several years. Bureau Lin, you may not know how popular Dr. Zhou's account is in our pediatrics department. Almost every time a new account is launched, it must be sold out within ten seconds. And it is often necessary to add an account to basically meet the needs of patients. For example, today, Dr. Zhou has added dozens of accounts. Not long ago, he was successful Rescued a critically ill child transferred from another hospital!"

Director Tang Fei finished her introduction and looked at Zhou Can with a smile.

For this hero in pediatrics, she tried not to let Zhou Can suffer any grievances.

The honors, bonuses, and development opportunities that should be given are never stingy.

"It turns out that Dr. Zhou is so good, no wonder Professor Wei strongly recommended him to me." Lin Jinzhi looked at Zhou Can completely differently after hearing this.

Full of respect, but also with deep hope.

"I really don't have such a high level. It's just that everyone loves me. Let's hurry up and make a diagnosis!"

Zhou Can felt a little embarrassed after being praised in turn.

The experts present here actually have Xiao Jiujiu in their hearts.

Because of Lin Jinzhi's noble status, there are not a few experts who want to curry favor with him.

Zhou Can had just asked two questions before, but was given a cold bench by Lin Jinzhi. At that time, several experts rushed to ask questions.These people are nothing more than holding the small mind of grabbing credit.

Now being praised by Director Tang Fei, it became a bit futile for them to claim credit.

At least Lin Jinzhi already had a very deep impression on Zhou Can.

"All the experts have worked together to point out five diseases that are relatively close to Lin Yuxi's diagnosis. Director Tang has already ruled out two, and I will rule out three directly. Crohn's disease, myeloma, and lymphoma can all be ruled out. "

As soon as Zhou Can expressed his opinion, everyone's jaws dropped.

Lin Jinzhi was even more dumbfounded.

He didn't expect Zhou Can to eliminate all the remaining three diseases in one go.

These are the five most likely diseases that many experts have discussed for a long time!
They were all rejected, which is somewhat juvenile arrogance.

"Doctor Zhou ruled out all the remaining three diseases, so what do you think is the disease?"

An old expert asked with some displeasure.

"The course of Crohn's disease is often extremely long, starting at least half a year. Moreover, Crohn's disease has a sudden onset and is fierce, and there is no recurrence. It is mainly manifested in intestinal diseases. Therefore, 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, and there was only one unexplained high fever symptom, which was difficult to support the diagnosis of this disease."

"Lymphoma sounds like a tumor, but according to my personal clinical experience, it is rare to feel such a large cord-like mass in the ileocecal area. Moreover, the nature of the mass is far from the feel of a tumor. Yes, the symptoms and signs are not consistent with lymphoma, so it can also be ruled out."

After explaining the reasons for the elimination of the three diseases one by one, Zhou Can's eyes swept across the audience.

It finally fell on Lin Jinzhi's face.

"I think the most likely cause is malignant group, which is also known as intestinal malignant histiocytosis, which is extremely dangerous."

As soon as Zhou Can's words fell, the old expert immediately denied, "There are very few abdominal masses in the evil group."

Those present are highly qualified and experienced experts.

He has a deep understanding of various common and rare diseases.

"That's right. Abdominal masses rarely appear in the evil group. However, the symptoms of the sick children and the rapid progress of the disease are highly similar to those in the evil group. Although the experts at the Provincial Children's Hospital have basically ruled out the disease, But I highly doubt it's the 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, is too aggressive, has a big brain, and is a bit paranoid. This sick child is the daughter of the Forestry Bureau. , we should be cautious and not take too many risks."

This old expert, like Director Yan, is an old pediatric expert who has been rehired.

Usually participating in consultations, as long as Zhou Can participates with her, she will refute Zhou Can in a more targeted manner.

Sometimes, people get weirder as they get older, and Zhou Can doesn't bother to talk to them.

At this moment, I don't know which tendon of this old lady is wrong, she is obviously very aggressive towards Zhou Can.

The prejudice against Zhou Can was almost written on his face.

"Director Qu, have you ever heard that serious illness requires strong medicine? I think no matter what, you should listen to Dr. Zhou's explanation first, and you should be right. According to past consultation experience, Dr. Zhou's diagnosis rate is close to [-]%."

Director Tang Fei is extremely protective of Zhou Can.

But respect must also be given to these old experts.

Otherwise, it would be very troublesome for these old experts to have a childish temper.

"Is his diagnosis rate so high? Didn't he misdiagnose the little boy with a brain tumor I consulted with him last time? At that time, he said that the boy had cardiovascular disease, and I diagnosed it as a brain tumor. Later experience Doesn’t a cranioscopic examination prove it’s a brain tumor?”

Director Qu was quite unconvinced.

He even did not hesitate to expose Zhou Can's embarrassing things.

"That little boy, don't mention it."

Director Zhuang repeatedly shook his head and sighed.

"It's not that I want to mention it, I just want to tell everyone that this young man Zhou Can is really good, but he can't be too mythical. Otherwise, he will be praised and killed! This time it is even more about the safety of the daughter of the Forestry Bureau. Everyone should be more careful."

Director Qu said sternly.

I don't know why this old lady tried so hard to please Bureau Lin?

Adults often have a strong purpose in doing things.

She must have some purpose.

"Director Qu, I didn't want to mention this matter at first. In fact, it was later confirmed that the brain tumor in the little boy's brain was benign and had no adverse effects on the little boy's body. After cutting it, the little boy The symptoms are still there. The little boy was later transferred to the Department of Cardiothoracic Surgery, and Dr. Zhou and Director Xueyan performed the operation, and then he was cured. We are worried that you are too old to accept it, so we did not tell you the final result."

Director Zhuang said helplessly.

Immediately, Director Qu's facial expression became stiff, and the atmosphere in the meeting room became even more strange.

Everyone wants to laugh, but dare not laugh.

I'm afraid that the old lady is getting old, and if she is a little stimulated, it will be troublesome if something happens on the spot.

(End of this chapter)