My Medical Skills Give Me Experiences

"I'll wait for you here!"

Zhou Can's purpose of studying medicine is different from that of many people.

Many doctors study medicine in order to have a good income and a higher social status. He studied medicine purely for interest and saving lives.

Every time he successfully cured a patient, relieved them of their pain, or saved a life, he would feel a special sense of accomplishment.

This time, in order to save the 7-bed patient, he has done many things beyond his own work.

He sat in the duty room quietly waiting for Dr. Shi to come out.

During this period, he repeatedly argued in his mind the patient's etiology, pathology, examination methods, and medication, so that Dr. Shi and others could be more confident in convincing the other party when they talked with him.

During this period, doctors and nurses entered and exited the duty room from time to time.

Many people wonder why Zhou Can is sitting here?

Later, after talking with each other, I learned that Zhou Can was working hard to treat patients in the 7th bed. Although some people think his behavior is a bit naive, many doctors and nurses think his courage and spirit of saving lives are worthy of admiration.

Everyone's quality is quite high, try not to disturb Zhou Can.

A young nurse girl looked at him secretly, with curiosity and friendliness in her eyes.

…

After more than an hour, Dr. Shi walked out of the ward.

Look, the face is full of exhaustion.

The care and rescue of some critically ill patients is particularly tormenting.

It takes a lot of effort, the heartstrings are tense, and the spirit is always in a state of high pressure.

"I'll prescribe a doctor's order first, and I'll talk to you after I'm done. The patient in bed 6 is in very bad condition."

Doctor Shi explained a sentence, and then sat in front of the computer and issued a doctor's order.

The previous patient on bed 6 just passed away, and the new patient's condition is extremely unsatisfactory. Who said the number 6 must be auspicious? In the intensive care unit, the sixth bed is almost becoming a death bed.

Car accident, intracranial hemorrhage, deep coma, many patients can't survive this level.

Even if it survives, it is easy to become a vegetable.

After Dr. Shi finished prescribing the doctor's order, Zhou Can hurriedly expressed his dialectical thinking.

After saying a few words, Dr. Shi interrupted.

"My time is very tight, and I can't listen to every detail of your diagnosis in detail. Just talk about your main ideas and results."

Therefore, Zhou Can prepared the speech for more than an hour, and finally compressed it into a simplified version.

After he finished speaking quickly, Dr. Shi pondered for a few minutes, his eyes gradually became brighter and firmer.

This is a good thing, saying that he has accepted Zhou Can's diagnosis ideas and results.

"I have told Xiao Zhang and the nurse to take stool samples from the patients in bed 7 and send them for examination. As long as there are parasites in the patient's body, I believe that the clues will be found. This time I will ask the laboratory to focus on screening for parasites. Eggs and possible parasitic larvae. At the same time, conduct a more detailed analysis of the composition of the feces. Focus on testing whether the feces contain hormones and drugs that can dilate capillaries."

"No matter which one is established, it can become the basis for giving patients medication. As for now, you must wait patiently. You have to come to work tomorrow, and the work here is extremely intensive, and sometimes you even need to extend the working hours for a few hours. You You can go back to sleep first. I believe that when you come to work tomorrow, there will be a result for you."

Doctor Shi is very honest.

It's reassuring to hear.

And before he came out of the ward, he had already explained to his subordinate Gui Peisheng and the assistant nurse to take stool samples and keep samples.

It shows that the first time Zhou Can talked about this matter with him, he has already paid attention to it and thought deeply about it.

Compared with Dr. Hu's "politeness", unwillingness to take risks, and unwillingness to take more responsibilities, Dr. Shi respected Zhou Can even more.

It must be mentioned here that Gui Peisheng Xiao Zhang under Dr. Shi is not from Zhou Can's class. Instead, he has already obtained a licensed medical certificate, and has been qualified for almost three years.

And a specialist in intensive care medicine.

Many regular trainees choose to return to the selected department to complete the final regular training in the last three or four months of regular training.

For example, if you choose the direction of regular training in Shenwai, you will usually return to work in Shenwai in the last three months of the regular training.

It can also be regarded as adapting to the work of the undergraduate department in advance.

As long as you get the training certificate, you can immediately start working and become a qualified resident doctor.

"Okay, I'll leave this to you!"

Zhou Can got up to say goodbye.

Speaking of this, Zhou Can waited for more than an hour, and it was not in vain.

"Oh, by the way, what type of parasite do you suspect? It's best to give advice on medication."

Doctor Shi stopped him.

"Personally, I think it is more likely that it is a worm parasite. If it is really a worm, it is recommended to use mebendazole. Considering the patient's tolerance and intestinal conditions, it would be better if the patient cannot take a little raw tea oil at the same time. "

Zhou Can judged that it was a worm-like parasite, not a protozoa, based on several reasons.

The most important one, he felt that the parasite was very cunning and had a strong sense of territory. Only entrenched in the patient's small intestine.

Then its excrement or secretion can cause telangiectasia, and the general protozoan parasites have never heard of this ability.

As for his medication recommendations.

In fact, his pharmacological foundation is not bad, but because he has not yet obtained a license to practice medicine, he does not have the right to prescribe.

Unable to prescribe medicine.

There are also very few doctor's orders.

Basically has been in a trainee state.

"Use raw tea oil to protect the intestines, and it also has a certain killing effect on parasites, weakening their vitality... This medication suggestion is as strange as your diagnosis."

Dr. Shi actually easily understood Zhou Can's intention of using the drug.

As expected of someone who is about to be promoted to deputy chief physician, I feel that his strength is much stronger than Dr. Hu's.

…

The next day, Zhou Can rushed to work in the hospital, thinking about the patient in bed 7.

I don't know what happened?

"Morning, Doctor Hu!"

Seeing Dr. Hu hurried into the office, Zhou Can hurriedly greeted him with a smile.

"Morning! Follow me to the intensive care unit and get ready to work."

Dr. Hu didn't mention what happened last night at all.

The polite words of adults are basically to appease in person, and then forget about it when you turn around.

Fortunately, Zhou Can has found a breakthrough from Dr. Shi.

Following Dr. Hu, he entered the ICU ward to change shifts.

Dr. Shi and Xiao Zhang, who had been trained for nearly three years, took over their class yesterday afternoon. This morning it was replaced by a strange doctor.

Because of the high workload in the ICU ward, doctors often work in three shifts.

Nurses work in two shifts.

From the time on duty, it can be seen that nurses are more relaxed than doctors.

There is no intention to discriminate against nurses. In fact, when faced with various dangers of patients, the person who bears the most pressure is always the doctor. For nurses, whether they are assisting nurses or other nurses, the pressure is far less than that of doctors.

The work I do is basically nursing care and medication.

Even the dressing changes of many ICU patients are performed by doctors themselves.

"Doctor Hu is here!"

The young doctor in charge of these beds greeted Dr. Hu with a smile.

In fact, from the greetings and greetings among doctors, one can roughly judge whose professional title or status is higher.

This young doctor is about thirty-two years old, quite young.

It is hard to say whether he has been promoted to the attending doctor.

There are still many doctors who are promoted quickly at the age of 31. For example, a single doctor in orthopedic surgery.

"Is the condition of these patients okay?"

Dr. Hu's eyes have already begun to check the status of the patients on each bed and the data of the vital monitoring instruments.

"The 6-bed car accident patient had several dangerous situations, and Director Liu was asked to help several times. And the 7-bed patient with gastrointestinal bleeding has already used the medicine. So far, it seems to have a certain effect. The 8-bed patient, a bit He has a fever and is generally stable."

The young doctor introduced the situation of the patients with three beds.

This is also a normal handover.

Dr. Hu's face changed slightly when he heard that the patient in bed 7 was taking medicine. Instead of looking at the patient first, he took a deep look at Zhou Can.

There was a trace of dissatisfaction in his eyes.

Zhou Can pretended not to see it.

Damn, I reported to him immediately yesterday for instructions. He himself was unwilling to take responsibility, and hung up the phone after saying a bunch of stereotypes.

The patient's condition is so serious, and if the treatment is delayed overnight, the physical condition must be much worse.

Now I still blame Zhou Can for secretly communicating with other doctors. It's only strange if Zhou Can doesn't pretend to be paralyzed.

"Doctor Zhou is very impatient! Did you find another doctor yesterday evening?"

No matter how Dr. Hu heard these words, he felt a little yin and yang.

"I was worried that procrastination would be bad for the patient, so I ran over to find Dr. Shi again." Zhou Can couldn't help but pretend to be stupid, so he had to accompany him and explain carefully.

"Dr. Shi is really brave enough to use the medicine so quickly. The patient's condition is already bad, and the medicine is not careful. What should I do if something happens?"

While reprimanding Zhou Can and Dr. Shi for their recklessness, Dr. Hu walked to the hospital bed to check on the patient's condition.

The patient's face became even paler, and when he touched the patient's limbs, it was a little cold.

Breathing is fairly steady.

There are no other signs of improvement for the time being.

At this time, a middle-aged doctor came from a distance, looking about forty-seven or eighteen years old.

"Hello Director Liu!"

Dr. Hu squeezed out a smile and greeted the other party.

The young doctor also looked respectful.

Director Liu nodded and looked at Zhou Can with kind eyes.

"You are Zhou Can, right?"

"I am!"

Zhou Can never dared to show any disrespect to a chief physician.

Regardless of whether the other party is the director of the department, or the director or the deputy chief physician, they are all worthy of respect.

People are also killed by strength.

"Dr. Shi praised you very much when he took over the shift yesterday. The patient in bed 7 was re-examined, and the parasite's corpse and eggs were indeed found in the feces. This is a kind of helminth parasitism that we have never seen before. Combined with the patient’s experience of living in a tropical rainforest before the onset of the disease, it is likely that he was unfortunately infected with this parasite abroad.”

Director Liu's words made Zhou Can's heart hang, and it seemed to fall to the ground.

It's good to know the cause.

In fact, when the experience value system gave experience value rewards yesterday, he already knew that the diagnosis result was correct.

But that is just his dialectic and diagnosis, and cannot be used as a basis for medication.

Now that the parasites have been detected through special tests on feces, the follow-up matters will be easier to handle.

"It turned out to be a foreign parasite, no wonder it's so strange."

All kinds of parasites in the tropical rainforest are very scary.

Some soldiers have reacted that when performing tasks in the jungle, every time they go in, it feels like they have experienced a battle between humans and insects.

In addition to being densely packed with mosquitoes that penetrate everywhere, **** people's blood, and bite people's exposed bodies out of densely packed pimples. There are also countless leeches that are attached to the human body. Their heads penetrate deeply into the human flesh, sucking blood crazily.

In short, all kinds of parasites are creepy and tingling just by listening to them.

Dr. Hu next to him felt mixed feelings when he heard Director Liu's praise of Zhou Can.

He did not expect to actually detect the parasite in the patient.

"This kind of parasite is indeed very strange. For example, they have been entrenched in the small intestine. They dare not enter the pylorus of the stomach through the small intestine. It can be understood that gastric acid has a strong lethality on them and will kill them. But they enter Why the large intestine died is still a mystery. Moreover, almost no larval corpses were found in the feces, only adult corpses and a few eggs were found."

Director Liu continued to introduce the characteristics of the parasite to Zhou Can.

"I suspect that there is something in the large intestine that prevents parasites from entering, so they can only survive in the small intestine until they die of old age. This is excreted with feces. This is because the patient's large intestine has been sick for a long time and its absorption capacity has weakened. Only then can some of the parasite's corpse be found, otherwise it would be very difficult to find."

"Also, the eggs produced by this parasite should have a strong adsorption capacity. They can be firmly adsorbed in the small intestine wall. Because the eggs found in feces are extremely rare. If too few feces samples are taken, there may be none at all. Can't find it."

The ability that this parasite has evolved is truly terrifying.

It's almost entirely tailor-made for humans, and can easily escape detection such as routine stools.

Because the laboratory takes stool samples, they often only take a little bit, and the amount is very small.

The daily testing volume of the laboratory is very huge.

If it is not detected once, it is basically impossible to check it a second time.

This increases the probability of parasite corpses and worm eggs escaping detection.

"If it's just the above characteristics, it's not enough to be called peculiar. Because there are also many parasites with strong adaptability and can evolve some similar abilities. The key is that we detected a small amount of hormones in the feces that can stimulate human telangiectasia." Whether this hormone is secreted by the patient itself or excreted by the parasite remains to be further studied and tested.”

Director Liu has practiced medicine for many years, and it is probably the first time he has encountered such a strange parasite.

"After taking the medicine, the patient's vital signs were generally stable. Judging from his bowel movements in the morning, the gastrointestinal bleeding has improved significantly. Dr. Shi and I are now full of confidence in the treatment of this patient. Of course, the biggest The hero is you."

When Director Liu looked at Zhou Can, his eyes were full of admiration.

"Being able to put yourself in the patient's shoes, worry about the patient's urgency, and run around to find out the cause of the patient requires not only great enthusiasm, but also great courage. Dr. Zhou, you are very good."

Director Liu gave him a thumbs up and praised Zhou Can without hesitation.

"You're over the top! I just did what a doctor should do."

Zhou Can was a little embarrassed by his praise.

"Those who know me well know that I usually scold people and rarely praise others. Dr. Guan and even Dr. Hu have been criticized by me."

When Director Liu said this, the young doctor and Dr. Hu showed embarrassing smiles~www.readwn.com~You have solid medical knowledge, clear diagnostic thinking, and a benevolent heart for patients. Seriously, I really want to keep you working in intensive care medicine. Our department desperately needs young and promising doctors like you. "

sweat!

After praising Zhou Can all the way, he actually started poaching people.

"Thank you for your kindness. During the three months of regular training in the Department of Critical Care Medicine, I will definitely work harder and continue to maintain a serious and responsible work attitude."

There are too many department directors who want to poach Zhou Can.

Zhou Can rejected them all.

"I knew I couldn't keep you. I really envy Director Lou of the emergency department! Starting tomorrow, you don't have to follow Dr. Hu, and I will take you directly."

Director Liu's words deprived Dr. Hu of his right to teach.

It was only at this moment that Dr. Hu realized how hot Zhou Can was.

He couldn't help feeling a bit of regret. When the higher ups gave Zhou Can to him yesterday, he didn't pay much attention to it.

It's just superficially decent.

It would be great if Zhou Can could pay attention to Zhou Can's diagnosis opinion when Zhou Can called to report to him yesterday evening!

It is definitely not a small achievement to cure 7 patients.

Even be able to write a good paper.

Now, this good opportunity is handed over to Dr. Shi.

If you say you don't regret it in your heart, who will believe it?

This feels like buying a lottery ticket. I have already chosen the number, but I didn't buy it. Instead, the person next to him saw that he didn't buy it, so he bet and bought the bet number.

The next day, the lottery was won.

Dr. Hu is almost in this mood now.

"Thank you Director Liu for cultivating! When can I see you tomorrow?"

Zhou Can couldn't help being overjoyed. Being able to study with a director is more than ten times better than following Dr. Hu.