My Medical Skills Give Me Experiences
Chapter 152: To support my friend, Dr. Ou came too timely
The door of marriage is very magical. Those who stand outside want to get in, and those who stand inside want to get out.
Zhou Can just talked about a relationship, and he really couldn't understand many deep-seated things.
After the female patient completed the operation, it was past the off-duty time.
This is the case with surgery. Before the operation is completed, the doctor has to grit his teeth and persist even if he **** in his crotch.
Zhou Can volunteered to push the patient back to the ward to recuperate together with the nurse.
Dr. Zou left beforehand.
"Or push her back to bed 27?"
Zhou Can asked the female nurse.
"if not?"
The female nurse grinned at Zhou Can.
In the operating room just now, Dr. Zou's attitude towards Zhou Can was exactly the same as that of the same level. Coupled with Zhou Can's excellent performance during the operation, the female nurse naturally looked up to him.
Many people don't understand why nurses like to please doctors?
In addition to the higher status of doctors than nurses, doctors are often able to provide powerful help in matters such as job promotion and department evaluation.
Take Qiao Yu as an example. She was originally a preparatory surgery nurse with a low status and few opportunities to exercise.
Because the relationship with Zhou Can is very good, Zhou Can can directly appoint her as the equipment nurse when Zhou Can performs important operations. This actually helped her a lot.
"She has just had an operation and cannot be subject to any collisions. I think if I can help her change to a quieter bed, it will definitely be good for her physical recovery."
Zhou Can didn't speak clearly in front of the female patient.
In fact, she was worried that her man would go to the hospital to commit domestic violence again.
She would be safer by putting her in a bed where the nurses could monitor her at all times.
"Our nurses don't have the authority to arrange beds. You have to find the attending physician." The female nurse winked at Zhou Can, implying that Zhou Can understood what he meant.
It's just that she can't do anything about it.
Beds are actually a tight resource.
Usually only the attending physician on duty and the attending physician managing the ward are eligible to arrange.
Residents, training students, interns, etc., all do not have this authority.
Nurses also do not have this power.
Zhou Can decided to send the female patient back to bed 27 first, and then talk to Dr. Zou about it when he has a chance.
The **** of the female patient is a gray-haired old lady.
The faces of the two are quite similar.
The old lady who accompanied the bed was most likely the old mother of the female patient.
The old man looked at his daughter, whose head was wrapped in white gauze, with tears in his eyes.
"Doctor, is my daughter okay?"
asked the old lady.
"The operation was successful, and the fractured skull has been fused together. It's just that she has multiple soft tissue contusions on her body. She must be taken care of, and she can't fall again."
Zhou Can was very sympathetic to the mother and daughter, but he couldn't help much.
I can only give as much notice as possible.
It didn't even point out that the woman's injury was not caused by falling, but by being beaten.
Send the woman back to the hospital bed and settle down.
I have to talk to the doctor on duty!
As soon as Zhou Can turned his head, he saw Jiang Xiaohua walking over.
"Doctor Zhou, I heard that you have been appreciated by Director Wen, and you have been directly transferred to Director Wen's group. Congratulations!"
The relationship between Jiang Xiaohua and Zhou Can is quite good.
When we met, we immediately greeted each other with a warm smile.
"There's nothing to congratulate, I'm not as comfortable as you!"
Just listen to what Zhou Can said.
To be appreciated by the Chief Physician is definitely a great thing that countless Gui Peisheng have dreamed of.
"I'm still at ease. I'm about to die suddenly. I've been on the day shift for a whole day today, and Dr. Cheng arranged for me to be on duty at night. What a miserable life!"
Jiang Xiaohua poured out bitter water.
Bullying newcomers is similar everywhere.
Cheng Gang's Gui Peisheng is now only Jiang Xiaohua left, so naturally he is squeezing to death.
All the dirty work is arranged on Jiang Xiaohua.
"The daughter-in-law of many years has turned into a mother-in-law, what else can I do, let me suffer slowly. By the way, let me tell you about this patient. He just had a skull fracture operation..."
Zhou Can explained the patient's general situation and postoperative care requirements.
As for the doctor's orders given by Dr. Zou to the patients, the doctors and nurses on duty can check them on the computer.
After explaining, Zhou Can has nothing to do and is ready to leave work.
When passing the third ward, I heard bursts of scolding coming from inside.
Is this a family fight or what's going on?
Zhou Can stretched his head curiously to look inside.
"Shit, why is it Jin Mingxi?"
I saw a young doctor in his mid-twenties pointing at Jin Mingcheng's nose and cursing mercilessly.
"How do you think you got into Gui Peisheng? The patient has a high fever of 39.2 degrees. You can't handle such a trivial matter?"
Don't look at this doctor who is several years younger than Jin Mingxi, scolding Jin Mingxi in front of the patient and his family would not save any face.
Under normal circumstances, a superior doctor scolds a subordinate doctor, and will definitely pay special attention in front of family members and patients.
After all, it hurt the dignity of the doctor involved.
Even if you do make a serious mistake, you will usually be called to the office to blame it.
"I'm going to issue a doctor's order to instill lysine 0.9g intravenously, but I can't make up my mind, so I'm going to ask you for instructions before making a decision." Jin Mingxi was scolded like this, and had to accompany her with a low eyebrow and explain carefully.
Probably also because he was worried about offending the superior doctor and causing more trouble.
He took the exam for many years before he was admitted to Tuya Hospital as a regular trainee. In case the superior doctor is offended to death, all kinds of small shoes are enough for him to wear to doubt his life.
It will be even harder then.
Only two days have passed since Shenwai's full two-month training period.
The days are still long.
Therefore, Jin Mingxi chose to endure.
"An excuse is clearly an excuse. If I hadn't happened to come over, would you say that?"
The young doctor didn't know where the hostility came from.
He caught Jin Mingxi and scolded him non-stop.
Zhou Can remembered that Jin Mingxi begged him for help yesterday. This young doctor who scolded so much must be Jin Mingxi's superior doctor Dai Wei.
Originally, I wanted to talk to Dr. Ou about this matter in a few days.
Now that they have bumped into each other, Zhou Can will naturally not let his good brother be bullied.
Besides, we are all in the emergency department, so we should be in a group.
The emergency department of Tuya Hospital has no other advantages, but unity. This is especially true when faced with bullying by doctors in the operating room.
"Old Jin, are you still off work?"
Zhou Can walked in and greeted Jin Mingxi with a smile.
It was done on purpose for Dr. Dai Wei to see.
As long as this person has a little discernment, he will know what to do.
"Here, there are still several patients in the beds that have not been dealt with, how do you get off work?"
Jin Mingxi looked like he had eaten Coptis chinensis.
This Dr. Dai Wei is really ruthless, he gave Jin Mingxi a lot of work to do by himself. What's even worse is that if there is something that I didn't do well, I immediately yelled at him.
No matter the occasion, no mercy.
"This patient has a high fever?"
Zhou Can looked at the patient on the bed.
"I'm going to prescribe a 0.9g intravenous infusion of lysine and pirin, but I'm worried about causing trouble. You came just in time, so let's take a look together." Knowing Zhou Can's strength, Jin Mingxi immediately asked him for help.
Dai Wei had already started secretly looking at Zhou Can.
The number of doctors outside the Shenwai is relatively small, only a few dozen people, working for more than a month, basically able to recognize all the doctors and nurses in the department.
"Who is this doctor? You seem to be Gui Peisheng, who has just entered Shenwai this time, right?"
Before Dai Wei could speak, another young doctor who came not far away stared at Zhou Can and spoke first.
"Yes, I'm Gui Peisheng who has just rotated into God. Your memory is pretty good."
Zhou Can admitted it frankly.
What happened to Gui Peisheng?
He's probably the best Gui Peisheng in Tuya Hospital, not one of them.
"Don't get close to me. Do you know who this is? He is Dai Wei, a resident doctor, and Dr. Jin's superior doctor. Heh, Dr. Jin is really interesting. Instead of asking for advice from the superior doctor, he reverses a standard training Asking for help, who is this looking down on?"
This Gui Peisheng looked quite young, with an aquiline beak and a hooked nose, a three-point treacherous face, and a seven-point smirk.
Hearing what he said, you knew it was a thing.
"Dr. Chen, I don't mean to look down on Dr. Dai. I just think we are friends with Dr. Zhou, let's discuss it together."
Jin Mingxi looked very weak in front of these two people, so he could only explain quickly.
Dr. Dai's face was cold, and he said decisively, "What's there to discuss about a high fever? You regular students like to make a fuss over a molehill. It's not a complicated condition. It is reasonable to give the patient medicine immediately to bring down the high fever. Don't make a fool of yourself." Those flashy things."
After speaking, Dr. Dai issued a doctor's order directly.
"The 0.9g intravenous infusion of lysine-pirin you just mentioned is also a treatment for reducing fever, but it is not suitable for this patient who has just completed the operation. Indomethacin suppository 0.05g should be used in the **** That's the safest way."
There are many ways to reduce fever.
Those are the commonly used ones.
Zhou Can personally thinks that it should be feasible to use indomethacin suppository for the **** and intravenous lysine.
Of course, what I'm talking about is just dealing with routine high fever situations.
The doctor's order issued by Dr. Dai is different from the doctor's order that Jin Mingxi intends to declare. It should also be intended to establish the authority of the superior doctor, and to show in front of everyone that his diagnosis and treatment level is better than these regular trainees.
"What are you still doing in a daze? Hurry up and get the medicine for the patient!"
Dai Wei instructed Jin Mingxi.
"OK!"
Jin Mingxi trotted to get the medicine.
There was a trace of struggle and dissatisfaction in his eyes.
Zhou Can did not leave, but carefully observed the patient's complexion and some subtle symptoms.
Dai Wei said to his family members in a more gentle tone, "High fever after surgery is a relatively common phenomenon. You don't need to worry too much. After a while, the patient will sweat profusely. You can feed him more water and supplement Moisture."
Zhou Can was standing at the end of the bed. He really wanted to go to the bedside to get the patient's examination report and medical records.
Learn about the situation.
Only this patient was not in his group.
Now Dr. Dai's attitude towards him is obviously not very friendly. If he checks the patient's information, he will easily be regarded as a dog biting a mouse and meddling in his own business.
Not long after, Jin Mingxi came back with the medicine.
Doctors are actually reluctant to give patients anus.
Usually the big fish eat the small fish, and the small fish eat dried shrimps.
The doctor at the top sends this to the doctor at the bottom.
"Old Jin, what kind of operation did this patient undergo?"
Zhou Can asked casually.
"The meningioma resection in the spinal canal was performed by Director Wu himself."
The family rushed to answer.
"Director Wu is the strongest surgeon in the world. Ordinary doctors would not dare to perform such a difficult operation." When Zhou Can communicated with his family members, he knew what they wanted to hear.
Intraspinal meningioma surgery is a fourth-level major surgery, and it is not an exaggeration.
Not many doctors dare to perform this operation.
What can be done well is even rarer.
At least one must be a doctor at the level of the director of the Ministry of Foreign Affairs to dare to do it.
It may also be necessary to ask a doctor of orthopedic surgery to perform joint surgery to ensure a smooth operation.
"Hehe, that's right. We got the chance to perform the surgery personally with Director Wu because of our relationship. Director Wu's reputation is too great, it doesn't matter, we can't even get his account."
The family immediately blew away.
Most patients or family members have a similar mentality.
Take pride in being connected.
Either it is an honor to know a certain doctor or nurse in the hospital, or it is an honor to know a certain small leader or a little relationship with a higher-level department.
As for those who are truly powerful, there is no need to brag at all.
As soon as he was hospitalized, the leaders of the hospital had sharper noses than dogs, and they all came over to show their hospitality.
"It's not a small skill for you to get someone to connect with Director Wu. Can you show me the inspection report?"
After Zhou Can had a few chats with his family members, they became a lot closer.
Promptly ask to see the patient's examination report.
The family readily agreed.
I also think that because of the mention of being connected to Director Wu through relationships, the young doctor began to take the initiative to curry favor with them.
In any case, Zhou Can's proposal to check the patient's examination report at this time made the family feel very useful.
Doctor Dai and Gui Peisheng Chen Hao stood by the bed and watched Jin Mingxi operate.
Zhou Can was ignored.
After receiving the patient's examination report, Zhou Can checked it carefully.
Soon, he finished reading.
At this time, Jin Mingxi had also finished his medication.
"Doctor Dai, do you think it is necessary to measure the patient's blood pressure?"
When Zhou Can saw the patient for the first time, he found that the patient's face was extremely pale, even his lips were white.
Now after reading the examination report, combine it with some subtle symptoms of the patient to make a comprehensive diagnosis.
He faintly realized that it was not as simple as imagined for a patient to have a high fever, but there was a possibility of great danger.
Why does the hospital require that when the doctor is on duty, when the nurse reports that the patient has some abnormal symptoms, they cannot directly issue a doctor's order to deal with it. Instead, you should go to the ward to check in person and then deal with it.
It is to prevent formalism from appearing and causing accidents.
"Are you teaching us Dr. Dai how to do things? We've already dealt with it. You asked to measure the patient's blood pressure to show that you are capable?"
Chen Hao reprimanded Zhou Can very rudely.
"Just take care of the patients you are responsible for. We don't need you to be responsible for the patients here. If you feel free, tell me, who is your superior doctor? I will ask him to increase your workload."
Doctor Dai's face showed extreme displeasure.
He is the only one who directs Gui Peisheng to do things, when will it be the turn of an outsider Gui Peisheng to point fingers in front of him?
"I'm not meddling in my own business. It's just out of my responsibility to the patient. Then I worry about it because Lao Jin and I are friends. This patient has a high fever. If you just simply reduce the fever now , This is dangerous and extremely irresponsible.”
Zhou Can's tone became a little more serious.
Originally, he ran in to support Jin Mingxi.
He still wanted to have a polite chat with Dai Weike, but he didn't expect to overestimate his own fame.
Dai Wei didn't know him at all.
The hope of using Director Wen's relationship to support Jin Mingxi was also completely shattered.
He had a deep understanding of the faces of Dai Wei and Chen Hao just now.
It's no wonder that Jin Mingxi was tired when he returned to the apartment yesterday.
An unreasonable superior doctor, coupled with a crazy sycophantic Pearson, would make life difficult for anyone.
"Pay attention to your words. Do you think that the relationship between doctors and patients is not tense enough and you want to create disputes between doctors and patients? I will report this to the department."
Dai Wei's face was already ashen.
He really didn't expect Zhou Can to contradict him like this in front of the patient and his family.
The hat of being extremely irresponsible to the patient was put off, and he looked very angry after hearing this.
At this time, Dr. Ou, who had just finished eating, came in when he heard the sound of arguing inside.
In the ICU ward, at least one attending physician is required to be on duty at night.
All attending physicians are required to be on rotation.
Dr. Ou happened to be on duty in the ICU tonight.
After having dinner in the hospital cafeteria, he hurried back to the department, ready to meet the various challenges that the ICU ward would bring.
"You can go back to the office to discuss the patient's condition, don't make any noise in the ward~www.readwn.com~ Doctor Ou said seriously after entering the ward.
It is normal for doctors to disagree when discussing a patient's condition.
But there is a principle, try not to argue in front of family members and patients.
On the one hand, the impact is not good.
On the other hand, it is also easy to cause misunderstandings by family members and patients.
"Doctor Ou, you came just in time. This new Ji Peisheng doesn't know the rules. I don't know which group he is in. He ran into the ward I was in charge of and uttered nonsense."
When Dai Wei saw Dr. Ou coming, he immediately filed a complaint.
He was going to teach this new doctor how to behave today.
Zhou Can turned his head and looked behind him, meeting Dr. Ou's eyes.
"Zhou, Doctor Zhou! It's you!"
Doctor Ou had a dark face at first, and was going to take this ignorant new doctor back to the office to teach him a lesson.
It turned out that it was Zhou Can, and his face immediately changed dramatically.
From the dark face of Mr. Bao, it directly turned into a friend's face with a warm smile.
Doctor Dai and Chen Hao were of low rank, they stayed in the ward to deal with patients, and they didn't know Zhou Can's ability. He knows it all.
Not long ago, he learned from the gossip that Zhou Can had made great contributions to Director Wen's two important operations.
Moreover, he showed an extremely rare double surgery talent.
Director Wen is likely to directly accept Zhou Can as an apprentice and focus on training.
Such a potential stock, let alone offend Dr. Ou, it's too late to curry favor.
Besides, he and Zhou Can also have such a trace of friendship.
He reprimanded Zhou Can with a dark face, without even thinking about it.
Dai Wei and Chen Hao were dumbfounded. Doctor Ou is usually serious and cold. When did he treat Gui Peisheng so pleasantly?
And that smiling face, that tone of voice, was no longer amiable, but a flattering compliment.
What's the origin of this kid?
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